ABSTRACT Evaluating care pathways, strengthening patient education, developing staff’s patient education skills, and improving collaboration between primary and special healthcare workers are all topical challenges. Successful patient education requires seamless cooperation across organizational boundaries throughout the whole nursing process. The aim of this study is to describe participants’ experiences of development work between primary and special health care units on patient education. In this qualitative descriptive study twenty four health care workers who took part in development work in a collaborative project of special and primary health care service in northern Finland were interviewed when they had nine months’ experience of the development work. The material was analysed using content analysis. Experiences of the nature of development work were described using the following categories: attachment to development work, delight in participation, factors supporting success and challenges of development work. Improvement of co-operation between special and primary health service is a topical challenge. Participation in development work offers occupational learning opportunities. Evaluation and development of own work strengthens staff members’ occupational know-how. The results of this research may be utilized in the planning and execution of development work in the field of health care.
Cite this paper
Lipponen, K. , Kanste, O. and Kyngäs, H. (2013) The development of patient education: Experiences of collaborative work between special and primary care in Finland. Open Journal of Nursing, 3, 101-107. doi: 10.4236/ojn.2013.31013.
 Kanste, O., Lipponen, K., K??ri?inen, M. and Kyng?s, H. (2010) Effects of network development on attitudes towards work and well-being at work among health care staff in northern Finland. International Journal of Circumpolar Health, 69, 394-403.
 Johansson, K., Salanter?, S. and Katajisto, J. (2007) Empowering orthopaedic patients through preadmission education: Results from a clinical study. Patient Education and Counseling, 66, 84-91.
 Efraimsson, E., Hillervik, C. and Ehrenberg, A. (2008) Effects of COPD self-care management education at a nurse-led primary health care clinic. Scandinavian Journal of Caring Sciences, 22, 178-185.
 Ahgren, B. and Axelsson, R. (2007) Determinants of integrated health care development: Chains of care in Sweden. International Journal of Health Planning and Management, 22, 145-157. doi:10.1002/hpm.870
 Kerosuo, H. (2006) Boundaries in action. An activitytheoretical study of development, learning and change in health care for patients with multiple and chronic illnesses. Ph.D. Thesis, University of Helsinki, Helsinki.
 Arranz, P., Ulla, S., Ramos, J., del Rincon, C. and Lopez-Fando, T. (2005) Evaluation of a counseling training program for nursing staff. Patient Education and Counseling, 56, 233-239. doi:10.1016/j.pec.2004.02.017
 K??ri?inen, M. (2007) The quality of counselling: The development of a hypothetical model. Ph.D. Thesis, University of Oulu, Oulu.
 Smith, T., Ingersoll, G., Robinson, R., Hercules, H. and Carey J. (2008) Recruiting, retaining, and advancing careers for employees from underrepresented groups. The Journal of Nursing Administration, 38, 184-193.
 Kouri, P., Karjalainen-Jurvelin, R. and Kinnunen J. (2005) Commitment of project participants to developing health care services based on the Internet technology. International Journal of Health Informatics, 74, 1000-1011.
 Hallin, K. and Danielson E. (2008) Registered nurses perceptions of their work and professional development. Journal of Advanced Nursing, 61, 62-70.
 Johnson, A., Hong, H., Groth, M. and Parker, S.K. (2010). Learning and development: Promoting nurses’ performance and work attitudes. Journal of Advanced Nursing, 67, 609-620. doi:10.1111/j.1365-2648.2010.05487.x
 Eraut, M. (2004) Informal learning in the workplace. Studies in Continuing Education, 26, 247-273.
 Fusilero, J., Lini, L., Prohaska, P., Szweda, C., Carney, K. and Mion, L. (2008) The career advancement for registered nurse excellence program. Journal of Nursing Administration, 38, 526-531.
 Innstrand, S.T., Espnes, G.A. and Mykletun, R. (2004) Job stress, burnout and job satisfaction: An intervention study for staff working with people with intellectual disabilities. Journal of Applied Research in Intellectual Disabilities, 17, 119-126.
 H?ggstr?m, E., Skovdahl, K., Fl?chman, B., Kihlgren, A.L. and Kihlgren, M. (2005) Work satisfaction and dissatisfaction—Caregivers’ experiences after two-year intervention in a newly opened nursing home. Journal of Clinical Nursing, 14, 9-19.
 Kalisch, B.J., Curley, M. and Stefanov, S. (2007) An intervention to enhance nursing staff teamwork and engagement. The Journal of Nursing Administration, 37, 77-84. doi:10.1097/00005110-200702000-00010
 Amos, M.A., Hu, J. and Herrick, C.A. (2005) The impact of team building on communication and job satisfaction of nursing staff. Journal for Nurses in Staff Development, 21, 10-16. doi:10.1097/00124645-200501000-00003
 Henderson, A. and Winch, S. (2008) Staff development in the Australian context: Engaging with clinical contexts for successful knowledge transfer and utilisation. Nurse Education in Practice, 8, 165-169.
 Gustafsson, C. and Fagerberg, I. (2004) Reflection, the way to professional development? Journal of Clinical Nursing, 13, 271-280. doi:10.1046/j.1365-2702.2003.00880.x
 Hasson, H. and Arnetz, J. (2008) The impact of an educational intervention for elderly care nurses on care recipients’ and family relatives’ ratings of quality of care: A prospective, controlled intervention study. International Journal of Nursing Studies, 45, 166-179.
 Laird-Fick, H.S., Solomon, D., Jodoin, C., Dwamena, F., Alexander, K. and Rawsthorne, L. (2011) Training residents and nurses to work as a patient-centered care team on a medical ward. Patient Education and Counseling, 84, 90-97. doi:10.1016/j.pec.2010.05.018
 Elo, S. and Kyng?s, H. (2008) The qualitative content analysis process. Journal of Advanced Nursing, 62, 107-115. doi:10.1111/j.1365-2648.2007.04569.x
 Polit, D. and Beck, C. (2011) Nursing research: Generating and assessing evidence for nursing practice. 9th Edition, Wolters Kluwer Health/Lippincott Williams & Wilkins, Philadelphia.