Institutionalizing the educational role of nurses by Deming cycle (PDCA)

The common patient's complaints is the educational role of nurses. So, the health system should be used appropriately and dynamic management model that is aligned with the clinical audit cycle for planning and institutionalizing the educational role of nurses.
Aims: The purpose of this study was to institutionalization the educational role of nurses by Deming management cycle (PDCA) based on the patients satisfaction.
This study was an action research that was done with collaboration between nursing school and two teaching hospitals in Bojnord in one year (2013-2014). At first problem's patient education was identified by (5Whys) technique and then planning for solving those problems based on PDCA started. Based on the PDCA for assessing used forms and tools (eg., patient satisfaction, barrier identification form, SMOG formula and PEMAT). In implementation phase patient satisfaction from the training provided in 5 steps, barriers to patient education from nurse's and student's viewpoint in the 2 steps, patient's literacy levels in 500 patients before change and readability level of educational pamphlets before and after change according to the SMOG formula and PEMAT measured. The next step implemented changes based on past step identified problems and barriers. After change implemented, again patients satisfaction measured in five steps with (200) patients in each steps. Data were analyzed by SPSS 20 software and using statistical tests ANOVA and T-test.
The most important barriers from the nurse's and nurse manager's viewpoint was lack of knowledge of the principles of patient education and from the student's viewpoint was high level of pamphlet' contents. The mean level of patient's literacy (n=500) was (6.72 ± 4.34). Readability level pamphlets had significant difference before and after modification based on the SMOG formula and PEMAT so, the paired t-test was significant (p For changing in clinical education and learning, applying the Deming model suggest to nurse managers and educational managers in nursing, because it has direct effect on student's education and preparing them for adopting educational role in future. Also, clinical learning environments will be enrich that would be promoted faculty staff, clinical nurses competencies and the end improve patients satisfaction.