How Do The Perceptions Of Healthcare Professionals Help To Understand The Difficulties In Integrating Patient Education Into Care Practices? A Mixed-method Study.

Roussel, Sandrine;Frenay, Mariane
(2018) ICAP2018-international congress of applied psychology — Location: Montréal (26.June.2018)

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Background: Two decades after the WHO has defined patient education, its integration into care practices remains a challenge. The mutual influence between professionals' practices and perceptions, well-known in literature but little explored in patient education, might open avenues to a better understanding of these implementation difficulties. Methods: The sample considered was European French-speaking healthcare professionals (nurses, physicians, pharmacists, dieticians…) practising patient education in all kinds of chronic health problems. This study followed a mixed-method design. It proceeded in three phases alternating exploratory qualitative research and confirmatory quantitative research. Results: Original tendencies in professionals' perceptions provide new insights on the implementation difficulties: different perceptions among practitioners for concepts which are considered to be consensual (autonomy, global health, …); perceptions (of the context, patient education or the illness) which encourage practitioner-centred approaches; an inclination for subjective psychological health objectives. Conclusion: Perceptions of the healthcare professionals help to understand why the practices of patient education are still mostly practitioner-centred and not integrated into care. Different types of perceptions were associated with educational practices. Actions: Recommendations cannot focus on perceptions of patient education alone, as other perceptions (context, illness, patient and oneself) are at work. No panacea is relevant for all professionals. If training, intervision, settings supporting reflexivity, and co-negotiated approaches should be promoted, the professional's type(s) of practices has/have to be considered.
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Roussel, S., & Frenay, M. (2018). How Do The Perceptions Of Healthcare Professionals Help To Understand The Difficulties In Integrating Patient Education Into Care Practices? A Mixed-method Study. ICAP2018-international congress of applied psychology, Montréal. https://hdl.handle.net/2078.5/123951