CLIENT EDUCATION Flashcards
purpose of education
- health promotion and illness prevention
- health restoration
- coping
scope of practice includes what?
according to the sc board of nursing scope of practice sec 40-33-20
- providing counseling and teaching for the promotion and maintenance of health
- evaluating and revising responses to interventions as appropriate
professional nurses have the primary responsibility to what
educate patients, families, and the community about health related issues
good teaching plans identify what
the unique learning needs of the patient to encourage a change in behavior
the purpose of patient education is to what
empower patients to prevent illness, promote health and restoration, and assist patients with coping with life changing disease or disability
nurses assist patients with gaining knowledge and skills necessary to change, however, we do not what
force change on patients
the 3 roles of the nurse in education
- assess patient needs
- provide education
- promote patient autonomy
assessment
- assess the patients prior knowledge (they are often misinformed and we must address)
- assess the patients preferences of learning- could be teaching, brochures, watching videos, alternate times
why do we provide different channels or modes of education
improves comprehension but also provides autonomy
autonomy
the ability to make an informed decision meaning they must have all of the facts, risks, and benefits.
what does giving patients the ability to make their own decision do
improves patient outcomes because they become invested in the changed behavior
what does teaching efficacy depend on
good interpersonal skills and a good patient-nurse relationship
what are the 3 domains of learning
- cognitive (knowledge)
- affective (attitudes)
- psychomotor (skills)
cognitive (knowledge)domain of learning
answers the question “what do you know”
focuses on gaining info.
gives patients the knowledge necessary to manage their disease or disability
focus of the affective (attitude) domain of learning
values, attitudes, emotions, and motivation behind learning
maslow’s hierarchy of needs in relation to the affective domain of learning
- address the basic physiologic needs followed by safety, love, esteem, and self actualization prior to educating.
- higher levels are addressed through a positive nurse- patient relationship
why is it important to develop a relationship of trust and to be empathetic with the patient
people may not always remember how or what you say, but they will remember how you make them feel
if a patient feels safe and comfortable while learning, what will happen
they will be more receptive to content and to a behavior change
what does the psychomotor domain of learning focus on
actions and skills. get patients involved and provide multiple opportunities for them to learn and practice.
when teaching a new skill, what should you provide
support and encouragement. learning a new skill is difficult and everyone does not learn at the same pace
nursing process as applicable to education
- assessment- gather data regarding learning needs
- diagnosis- learning needs are id and prioritized using clinical judgment
- planning- develop a teaching plan
- implementation- implement teaching with client
- evaluation- has patient met the goals
readiness to learn- maslow’s hierarchy of needs
top to bottom of pyramid
1. self actualization/self fulfillment needs
2. esteem needs (psychological)
3. belongingness and love needs (psychological)
4. safety needs (basic needs)
5. physiological needs (basic needs)
self actualization
achieving one’s full potential including creative activities
esteem needs
prestige and feeling of accomplishment
belongingness and love needs
intimate relationships and friends
safety needs
security and safety
physiological needs
food, water, warmth, rest
barriers to learning
culture
emotion
cognition
language
visual/hearing
environment
why do we need to understand and respect the patients culture
can help guide the learning objectives and goals of the teaching plan
why do we need to address maslow’s hierarchy of needs
addressing prior to education improves the patient’s concentration and comprehension level
review the list of 46 concepts in the concept based assessment
slide 9 of the client education powerpoint
SMART goals acronym
specific
measurable
attainable
realistic
timebound
examples of SMART goals
- the pt will verbalize pain less than 5/10 by end of shift
- pt will remain afebrile for the duration of the shift
- patient will verbalize understanding factors to change wound dressings by end of shift
teaching approaches
telling
participating
repetition
instructional methods
lecture
group/individual discussion
demonstration
role playing
games
participation and why it’s used
often used to support patient autonomy and foster patient centered care. the nurse and patient develop a plan together to address the learning needs
reinforcement teaching approach
relates to the self efficacy theory because feedback, whether positive or negative, influences the patients reception to change
when planning teaching approaches, what must we assess
the ability to learn and developmental level of the patient
considerations in demonstration instructional methods
provide time for questions and give clear and simple rationales
why is printed learning materials provided
to reinforce learning at the conclusion of the teaching session to reinforce learning
evaluation
- teach back
- return demonstration
- ask questions
when should evaluation occur
at the end of the learning process, but also at each stage throughout the learning process to ensure goals and expected outcomes are met
teach back
assess the learners understanding and asks learners to explain the content in their own words
return demonstration
useful to id the skill mastery of the patient. pt performs the skill independently and we provide constructive feedback as needed
reflective questions
Were the expected outcomes and goals met?
Are there any additional concerns?
Are there any concepts that need to be explained better?
Should be asked throughout the learning process.
why do we ask questions
Asking questions can help determine whether the teaching plan needs to be modified, or if additional reinforcement is needed.
