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J Caring Sci. 2023;12(3): 188-200.
doi: 10.34172/jcs.2023.31891
PMID: 38020736
PMCID: PMC10663435
  Abstract View: 622
  PDF Download: 588
  Full Text View: 142

Review Article

Outcomes of Patient Education in Nurse-led Clinics: A Systematic Review

Zohre Pouresmail 1,2 ORCID logo, Fatemeh Heshmati Nabavi 3,4* ORCID logo, Najmeh Valizadeh Zare 3,5 ORCID logo

1 Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
3 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4 Department of Community Health and Psychiatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
5 Department of Operating Room, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
*Corresponding Author: *Corresponding Author: Fatemeh Heshmati Nabavi, , Email: heshmatinf@mums.ac.ir

Abstract

Introduction: Patient education is an independent role of nurses performed in nurse-led clinics (NLCs). The measurement of patient education outcomes validates whether nursing educational interventions have a positive effect on patients, which helps determine whether changes in care are needed. Standardized nursing terminologies facilitate the evaluation of educational outcomes. We aimed to explore the outcomes of patient education in NLCs based on the Nursing Outcome Classification (NOC) system.

Methods: The review was conducted according to PRISMA guidelines. We searched “Medline”, “Embase”, “Web of Science”, and “Scopus” databases for articles published between 2000 and 2022. Based on the search strategy, 1157 articles were retrieved from PubMed, Scopus, Web of Science, and Embase databases. After excluding the duplicates, 978 articles were appraised. 133 articles remained after reading the titles and abstracts of the articles. In the next step, the articles were evaluated regarding methodology, research population, and exclusion criteria, after which 112 articles were omitted, and finally, 21 articles were included in the full-text review. We assessed all included studies using the Quality Assessment of Controlled Intervention Studies checklist.

Results: A total of 21 randomized controlled trials met the inclusion criteria. “Physiologic health”, “functional health”, “psychosocial health”, “health knowledge and behavior”, and “perceived health” were the domains of nursing outcomes investigated as Patient Education Outcomes in NLCs.

Conclusion: Most of the outcomes were linked to lifestyle-related chronic diseases and, further studies are needed to determine the effects of patient education provided in NLCs in terms of family/society health outcomes.

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Submitted: 11 Dec 2022
Accepted: 13 Jul 2023
ePublished: 08 Aug 2023
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