e-journal
Educator challenges using participatory methods in group-based patient education
Purpose – The purpose of this paper is to explore educators’ experiences of putting a participatory
and patient-centered education model, “The Health Education Juggler,” into practice after having
attended a one-day seminar. The model consists of four educator roles in participatory group-based
patient education in chronic illness: embracer (takes care of the group), facilitator (generates dialogue
and participation), translator (communicates professional knowledge) and initiator (motivates action
in patients).
Design/methodology/approach – Qualitative analysis of observations of eight group-based patient
education sessions and seven in-depth semi-structured interviews with 11 educators.
Findings – Educators find it difficult to include disease-specific knowledge when working with a
flexible patient-centered approach. They tend to stay in the role they find most comfortable during
education sessions (most often that of embracer), rather than adopting new and more challenging roles
in the teaching process. Educators theoretically understand the role of facilitator, but they do not
know how to perform in this role in practice. The ability to juggle all educator roles depends on the
ability to master each.
Practical implications – The Health Education Juggler model shows promise in promoting
participation and patient-centeredness and as a reflection tool for educators and an analytic tool for
quality assessment of patient education. These findings support further development of model use.
Originality/value – This model of educator roles in group-based patient education in chronic illness
provides a new approach to patient education. It indicates the need for various professional
competencies among educators to provide patient-centered education in a flexible way, with a strong
focus on patient-identified problems and challenges, social learning processes and generation of
internal motivation in patients.
Keywords Participation, Competence, Empowerment, Educational practice, Health education,Diabetes
Tidak ada salinan data
Tidak tersedia versi lain