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Standards for client education:
- Joint commission sets standards for clinet and family education.
- Successful accomplishment of standards requires collaboration among haelth care professionals.
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Purpose of client education:
To help individuals, families or communities achieve optimal levels of health.
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Client education includes:
- Maintenance and promotion of health and illness prevention
- Restoration of health
- Coping with impaired functioning.
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An interactive process that promotes learning is....
teaching
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The purposeful acquisition of knowledge, skills behaviors and attitudes.
learning
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Role of the nurse in teaching and learning:
- Teach info the client and family needs to make informed decisions regarding their care.
- Determine what clients need to know.
- Identify when clients are ready to learn
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Teaching as communication:
- Closely parallels the communication process.
- Depends in part on effective interpersonal communication.
- The learning objective describes what the learner will be able to accomplish after instructions is given.
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Domains of learning:
- Cognitive
- Affectice
- Psychomotor
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Includes all intellectual behaviors and requires thinking.
Cognitive
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Deals with expression of feelings and acceptance of attitudes, opinions, or values. "Feels tension"
Affective
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Involves acquiring skills that require integration of mental and muscular activity.
Psychomotor
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Involves computers, facts, lecture.
Cognitive
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Involves role playing, small cozy rooms, "feeling tension"
Affective
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Involves hands on labs, demos.
Psychomotor
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Basic learning principles:
- Motivation to learn
- Ability to learn
- Learning environment
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Addresses the client's desire or willingness to learn.
Motivation to learn
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Depends on physical and cognitive abilities, developmental level, physical wellness, thought processes.
Ability to learn
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Allows a person to attend to instructions.
Learning environment
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Integrating the nursing and teaching process:
- relationship exists
- The nursing and teaching process are not the same
- The nursing process requires assessment of all data
- The teaching process focuses on the client's learning needs and ability to learn
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Assessment
Nurses need to assess all factors that influence content, ability to learn and resources available:
- Expectation of learning
- Learning needs
- Motivation to learn
- Ability to learn
- Teaching environment
- Resources for learning
- Health literacy and learning disabilities
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Planning:
Determine goals and expected outcomes that guide the choice of teaching stategies and approaches with a client:
- Set priorities
- Select timing to teach
- Organize the teaching material
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Implementation
- Maintain learning attention and participation
- Build on existing knowledge
- Select teaching approach
- Incorporate teaching with nursing care
- Select appropriate instructional methods
- Illiteracyi and other disabilities
- Cultural diversity
- Using different teaching tools
- Special needs of children and other adults.
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Evaluation:
- Necessary to determine whether the client has learned the material
- Helps to reinforce correct behavior and change an incorrect behavior
- Success depends on the client's performance of expected outcomes
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Active organization cognitive process
Not just one answer or black and white.
Scientific knowledge base and experience based
Critical thinking
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3 Levels of Critical Thinking
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Trust expert to have right info
Concrete, based on regulations and standards.
Follows step by step.
Basic Critical thinking
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Analyzes
Examines alternatives
Looks mroe independently looks outside the box
The answer is "it depends"
Become more creative and innovative
Complex Critical Thinking
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Begins to anticipate things
Come to conclusions ahead of time
Preparing things before
Function more independently
More attention to detail and accountability
Committement Critical Thinking
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