The Effectiveness of Structured Clinical Supervision on the Ability of Nurses in Lifestyle Education of Heart Patients
DOI:
https://doi.org/10.46799/adv.v4i10.671Keywords:
cardiac patients, clinical supervision, lifestyle education, nurses' competence, structured supervisionAbstract
Lifestyle education is essential for cardiac patients; however, inconsistent delivery may limit its contribution to continuity of care. Structured clinical supervision supported by educational tools may strengthen nurses’ ability to provide comprehensive and systematic patient education. This study aimed to assess changes in nurses’ ability to provide lifestyle education following structured clinical supervision at Arifin Achmad Hospital, Pekanbaru, Indonesia. This quantitative study employed a one-group pretest–posttest design and included 34 inpatient nurses. The intervention consisted of two structured clinical supervision sessions supported by lifestyle education cards addressing diet, physical activity, smoking and alcohol avoidance, medication adherence, stress management, and recognition of warning signs. Nurses’ lifestyle education ability was assessed using a 20-item questionnaire, with item-level content validity indices (I-CVI) ranging from 0.90 to 1.00 and a scale-level content validity index (S-CVI) of 0.975. Pretest and posttest scores were compared using the Wilcoxon signed-rank test. The median score increased from 30.0 to 36.0, while the mean score increased from 29.18 to 34.06. Overall, 31 nurses demonstrated improved scores, one showed no change, and two demonstrated decreased scores. The difference between pretest and posttest scores was statistically significant (p < 0.001). These findings suggest that structured clinical supervision combined with lifestyle education cards may support more systematic patient education by nurses. However, causal attribution remains limited because of the absence of a control group. Further controlled studies are warranted to determine whether structured clinical supervision produces sustained improvements in nurses’ educational abilities and contributes to better patient self-management and clinical outcomes.
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