ED-HOME: Improving nurse confidence with patient education in the emergency department

Nicole M Coombs1, Dr Joanne Porter2, Dr Alison Beauchamp3

1 Federation University Australia, Gippsland Campus, Northways Rd, Churchill, Victoria 3842, n.coombs@federation .edu.au
2 Federation University Australia, Gippsland Campus, Northways Rd, Churchill, Victoria 3842, Joanne.porter@federation.edu.au
3 Population Health Strategic Research Centre, Deakin University, Burwood Campus Burwood Hwy, Burwood Victoria, 3125, Alison.beauchamp@deakin.edu.au 

Aim: The aim of this study was to highlight and increase the quality of patient education being provided in the emergency department by improving nurse confidence and self-efficacy as educators, through the implementation of a structured education tool, (ED-HOME).

Background: Patient education in the emergency department (ED) has been researched on many occasions, highlighting barriers such as time restraints, resources and both staff and consumer expectations2. Based on Bandura’s classic self-efficacy theory1, this study aimed to improve the quality of patient education by examining emergency nurse’s confidence and competence as educators in this unique environment.

Method: A new structured education tool and information package; ED-HOME, was designed and implemented for four (4) weeks into one metropolitan ED. Registered nurses were questioned regarding confidence, self-efficacy and technique for providing patient education in the emergency department. A quantitative pre and post-test questionnaire was used to assess the effectiveness of both the tool and the program and to determine the impact on nurses’ confidence as educators, attitudes and patient education practices.

Results:Results indicated that both confidence and self-efficacy of nurses who used the ED-HOME tool, did increase and that by using the structure format provided, staff satisfaction and educator competence increased. Participants responded positively to the new tool and recommended it be used in other emergency departments.

Conclusion:This study indicates that if emergency nurses feel more confident as educators in the ED, by using a structured format such as in the ED-HOME tool, then patient education provision will improve and hence, help produce better patient outcomes in the future.


1: Bandura A (1977) Self-efficacy: toward a unifying theory of behavioural change. Psychological Review. Vol 84, 121-215.

2: Perez-Carceles M, Gironda J, Osuna E et al (2010) Is the right information fulfilled in an emergency department? Patients perceptions of care provided. Journal of Evaluation in Clinical Practice. Vol 16, 456-63.

Funding / Acknowledgments

No funding was associated with this study.

Key Words

Patient education, emergency department, nurse confidence, self-efficacy,


Nicole Coombs has completely a Masters of Nursing with a research thesis: ED-HOME Improving patient education in the Emergency Department (ED). She is currently employed as a lecturer at Federation University but has also worked as an emergency nurse for 10 years in Victoria. She has a passion for patient centered care and patient education especially in the unique, dynamic ED environment.