健康教育是临床护理工作者的基本职责之一。我们对患者及其家属进行健康宣教，然而，不是所有的宣教状况都非常的理想。我们会护理争论每个细节的患者和求知欲望非常强的患者，在这样医院学习环境中，我们就像在进行战争。下面，你将会看到关于健康宣教的情景对话，这段情景会话含盖了国内护理专家对临床护士处理类似健康宣教的方法及建议。

护理专家
 

CoryB.Sevin-科里.斯万，注册护士，护理学硕士，实行护师

Barbara Boushon - 巴巴拉.布肖恩，注册护士，护理学学士

Education is a fundamental responsibility of nursing practice. We teach patients and their families. But, not all teaching situations are ideal. We've all taken care of the patients who argue with every sliver of information they're provided and will outright defy efforts to provide learning, and we've all battled inhospitable learning environments. Below, you'll find two common scenarios of educational challenges that practicing nurses face as well as approaches to handling those situations suggested by nursing experts from around the country.

Meet the Experts:

Cory B. Sevin RN, MSN, NP

Sevin lives in Colorado and is a director with the Institute for Healthcare Improvement.

Barbara Boushon, RN, BSN

Boushon lives in Wisconsin and works as an independent health care consultant.

Mrs. Smith is a 56-year-old woman with a new diagnosis of breast cancer. She is scheduled for a mastectomy and is in her surgeon's office to go over her treatment plan. The office nurse plans to review the exercises Mrs. Smith will need to do after her mastectomy and information about expectations and changes after surgery. When the nurse attempts to provide Mrs. Smith with information, Mrs. Smith continually interrupts and talks over the nurse. The nurse is concerned Mrs. Smith is not getting all the information she needs.

Sevin: Mrs. Smith is interrupting the nurse because she is not able to hear what she has to say at this time. As important as the information is that the nurse has to impart, she will need to meet the more immediate needs of Mrs. Smith. It is likely that Mrs. Smith is experiencing anxiety, may be grieving and is afraid.