Teaching/Learning in Nursing

• client education assists individuals, families, and communitie in achieving optimal health 
• "is a basic standard of professional care 
• Teaching is interactive, promotes learning, and leads to a change in behavior
• Learning is an intentional gain of new information 
• information technology can be used to enhance access to and delivery of knowledge

• health maintenance and promotion and illness prevention 
• health restoration(teaching a client how to administer insulin) 
• coping with impaired function(ostomy care, learning swallowing tech, speech therapy)

(all intellectual activities) knowledge, application, analysis, synthesis (ex: a pt is taught and then can list the signs and symptoms of hypoglycemia )

(includes feelings, opinions, and values)receiving, responding, valuing ex(client is attentive and willing to listen to the nurse discuss new onset diabetes)

• (learning how to complete a physical activity ) performing, adapting (ex: client practices preparing insulin injections 

• perceived benefit 
• cognitive and physical ability 
• health and cultural beliefs 
• active participation 
• age/educational level-appropriate methods

• fear, anxiety, depression 
• physical discomfort, pain, fatigue 
• environmental distractions 
• health and cultural beliefs 
• sensory and perceptual deficits 
• psychomotor deficits

• Motivation: health beliefs, readiness to learn 
• learning style 
• learning environment 
• literacy 
• developmental level 
• physical factors

• assessment
• diagnosis 
• planning 
• implementation 
• evaluation

assess/monitor the clients learning needs

• ass/monitor clients learning style 
• id. areas of concern
• assess/monitor available resources 
• id. clients developmental stage/physical and cognitive availability 
• id. special needs
• determine motivation and readiness to learn

• deficient knowledge 
• noncompliance 
• ineffective health maintenance 
• health-seeking behaviors

• id. Mutually agreed upon client outcomes 
• prioritize the learning objectives with the client's needs in mind 
• use methods that emphasize clients learning style 
• age appropriate teaching methods/materials 
• provide electronically resources as appr. 
• demonstrate use of internet
• organize learning activities to move from simple to more complex tasks. 
• incorporate active participation in the learning process 
• schedule teaching sessions to coincide with clients' daily activities

• content 
• strategies/approaches 
• environmental considerations 
• resources needed

a goal is a general statement about what you want the client to be able to achieve as a result of the teaching session

• objectives are more specific than goals
• they must be client centered, measurable and time specific

• at the end of this lecture studetns will 
• -id the three components of a learning objective 
• -write at least two specific measurable outcomes for a specific learning need

• goal: mother will prevent transmission of infection to her premature hospitalize infant 
• learning objectives: upon completion of a teaching session, the mother will correctly and independently perform a 3 min surgical handwash 
• aftertoday, the mother will perform a surgical handwash every time she enters and leaves the baby's room, without prompting from the staff

• create an environment conductive to learning 
• use therapeutic communication to develop a trusting relationship that allows the client to express areas of concern 
• review previous knowledge and experiences 
• explain the procedures 
• present steps building to more complex tasks 
• demonstrate psychomotor skills 
• allow time for return demonstrations 
• provide positive reinforcement

• observe the client demonstrating the learned activity 
• ask questions 
• listen to client explain the information learned 
• use written tools to measure accuracy of information 
• observe verbal and nonverbal communication 
• revise the care plan as needed