Health Ed - Chapter 1
Health Ed - Chapter 1
Trends (contd)
expanding scope and depth of nurses practice responsibilities consumers demanding more knowledge and skills for self-care demographic trends influencing type and amount of health care needed recognition of lifestyle related diseases which are largely preventable health literacy increasingly required advocacy for self-help groups
ASSURE Model
A useful paradigm to assist nurses to organize and carry out the education process. Analyze the learner State objectives Select instructional methods and materials Use teaching materials Require learner performance Evaluate/revise the teaching/learning process
The partnership philosophy stresses the participatory nature of the teaching and learning process.
Barriers to Teaching
Barriers to teaching are those factors impeding the nurses ability to optimally deliver educational services. Major barriers include:
lack of time to teach inadequate preparation of nurses to assume the role of educator with confidence and competence personal characteristics low-priority status given to teaching
Obstacles to Learning
Obstacles to learning are those factors that negatively impact on the learners ability to attend to and process information. Major obstacles include:
limited time due to rapid discharge from care stress of acute and chronic illness, anxiety, sensory deficits, and low literacy functional health illiteracy
Obstacles (contd)
lack of privacy or social isolation of health-care environment situational and personal variations in readiness to learn, motivation and compliance, and learning styles extent of behavioral changes (in number and complexity) required
Obstacles (contd)
lack of support and positive reinforcement from providers and/or significant others denial of learning needs, resentment of authority and locus of control issues complexity, inaccessibility, and fragmentation, of the healthcare system
Questions To Be Asked
The following questions can be posed about the elements of the education process, the role of the nurse as educator, and the principles of teaching and learning: How can the healthcare teams work together more effectively to coordinate educational efforts? What are the ethical, legal, and economic issues involved?
Questions (contd)
Which theories and principles support the education process? What assessment methods and tools can be used to determine learning needs, readiness and styles? Which learner attributes positively and negatively influence education efforts? What can be done about the inequities in the delivery of education services ?
Questions (contd)
Which elements need to be taken into account when developing and implementing teaching plans? Which instructional methods and materials are available to support teaching efforts? Under which conditions should certain teaching methods and tools be used? How can teaching be tailored to meet the needs of specific clientele?
Questions (contd)
What are the common mistakes made in the teaching of others? How can teaching and learning best be evaluated?