Patient teaching in general hospitals is becoming increasingly importa
nt both due to higher patient turnover and the principles of self-care
. This study focuses on how hospital nurses describe ideals and realit
ies in teaching adult patients in a general hospital, and how they des
cribe the factors affecting their teaching function. The study has a q
ualitative approach. Fourteen registered nurses, working in a general
hospital, are interviewed. The interviews are semistructured. The four
stages adapted from Glaser & Strauss grounded theory approach are use
d as a support in the elaboration and the analysis of the data. The st
udy shows that the ideals about patient teaching are rather weakly art
iculated. The realities are, however, more distinctly described. Empir
ical findings reveal two different 'teaching processes' articulated by
the informants. Both processes are novel and different from the tradi
tional teaching process mentioned in the literature. Which processes t
he nurses are applying in the clinic seem to depend on the objective a
nd content of the patient teaching. This evidence has so far not been
reported in previous studies. Regarding the factors affecting their pa
tient leaching, the nurses emphasize the following three; The nurses'
qualifications, training in the teaching function and the organization
al setting.