e-journal
“The Health Education Juggler” Development of a model describing educator roles in participatory, group-based patient education
Purpose – The purpose of this paper is to explore educator competencies and roles needed to perform
participatory patient education, and develop a comprehensive model describing this.
Design/methodology/approach – Data collection in the qualitative study proceeded through
two phases. In the first phase, 28 educators were involved in exploring educator competencies needed
to perform participatory, group-based patient education. The paper used qualitative methods:
dialogue workshops, interviews and observations. In the second phase, 310 educators were involved
in saturating and validating the insights from phase one using workshop techniques such as
brainstorming, reflection exercises and the story-dialogue method. A grounded theory approach was
used to analyse data.
Findings – A model called “The Health Education Juggler” was developed comprising four educator
roles necessary to perform participatory patient education: the Embracer, the Facilitator, the Translator
and the Initiator. The validity of the model was confirmed in phase two by educators and showed fit,
grab, relevance, workability and modifiability.
Practical implications – The model provides a tool that can be used to support the focus on
“juggling” skills in educators: the switching between different educator roles when performing
participatory, group-based patient education. The model is useful as an analytical tool for reflection
and supervision, as well as for observation and evaluation of participatory, group-based patient
education.
Originality/value – The study proposes a comprehensive model consisting of four equally important
roles for educators performing participatory, group-based patient education.
Keywords Participation, Qualitative methods, Educational practice, Health education
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