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NURS 3520 - Patient Education > Week 1 > Flashcards

Week 1 Flashcards

1
Q

What is the teach back method?

A
  • a way to confirm what ur patient understands about what you’ve told them
  • practice that enables providers to learn from the pt what they understood by asking them to repeat back what they learned
  • way to confirm that the pt or family understands the education they receieved
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2
Q

what are some benefits of teach back (2)

A
  • improves pt comprehension

- allows you to clarify small/key details w the pt

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3
Q

what is an example of how to use teach back (2)

A

” i know we covered a lot of information and I want to make sure I explained everything clearly, can you tell me what you heard/ what you’ll do when you get home”

” when you get home, what time will you take your med”

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4
Q

what are some times where teach back be used (4)

A
  • discharge
  • when providing education
  • when sharing a new diagnosis
  • after reviewing the care plan
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5
Q

what is pt education

A
  • anything that provides pts and families with info that enables them to make informed choices about their care, health, and wellbeing, and that helps them gain knowledge and skills to participate in care or healthy living processes
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6
Q

what is an interchangeable term for pt education

A
  • pt teaching
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7
Q

what are learning domains? what are the 3 domains?

A
  • learning domains refer to the type of learning in which a learner will be engaged, type of learning the pt will need
    1. cognitive
    2. psychomotor
    3. affective
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8
Q

what is the cognitive domain of learning

A
  • learning that increases knowledge

- includes written material, lecture, discussion

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9
Q

what is the psychomotor domain of learning? what is an example

A
  • learning that develops or improves a skill
  • often involves touch, manipulation, practice
    ex. wound dressing
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10
Q

what is the affective domain of learning? what is an example?

A
  • learning that changes or influences attitudes & lifestyles

ex. recently diagnosed of heart condition –> modification of diet/exercise

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11
Q

what is the ASSURE model

A
  • a useful paradigm to assist nurses to organize and carry out the education process
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12
Q

what does the A mean in the ASSURE model

A
  • analyze the learner
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13
Q

what do the two S’s in the ASSURE model mean

A
  • state the objective

- select the instructional methods and material

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14
Q

what does the U mean in the ASSURE model

A
  • use the instructional methods and material
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15
Q

what does the R mean in the ASSURE model

A
  • require learner performance
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16
Q

what does the E mean in the ASSURE model

A
  • evaluate the teaching plan & revise as necessary
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17
Q

what are the 3 attributes & criteria of the concept of pt education

A
  • teaching is planned –> know audience & plan accordingly
  • learning outcomes are goal orientated (goal = change in behavior or attitude)
  • pt is motivated to learn
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18
Q

what is the learner assessment

A
  • involves the assessment of a pts individual learning needs
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19
Q

what does the learner assessment include (12)

A
  • education lvl
  • literacy lvl
  • social support
  • resources
  • developmental lvl
  • culture
  • barriers to learning
  • stage of psychosocial development
  • age
  • maslow’s hierarchy of needs
  • pedagogy vs andragogy
  • generational differences
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20
Q

how can psychosocial development affect learningn

A
  • educational interventions must attend to the pts achievement of developmental tasks
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21
Q

what is pedagogy

A
  • child-focused teaching approach
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22
Q

what is andragogy

A
  • methods and approaches used in adult education
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23
Q

how can pedagogy vs andragogy affect learning

A
  • teacher must use the education method that is appropriate for their developmental age
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24
Q

how can Maslow’s hierarchy of needs affect learning

A
  • lower lvl needs (physiological, safety) must be met before addressing higher lvl needs (self-actualization, esteem)
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25
Q

how can generational differences affect learning

A
  • learning styles may be different between generations, as well as social and political influences
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26
Q

what should be considered with generational differences

A
  • age of individual as well as era born
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27
Q

what are some examples of generational differences

A
  • before 1946 are self motivated and do not need feedback

- generation Y depend more on technology and desire feedback

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28
Q

what is literacy

A
  • the ability to read and understand words
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29
Q

how can literacy lvl affect learning (3)

A
  • nurses must adjust learnings appropriately
  • shame & stigma may cause pts to hide literacy issues
  • health literacy may be different from general literacy
30
Q

what are some barriers for nurses that may affect teaching (4)

A
  • staffing
  • perception of effectiveness of education
  • lack of training
  • nurses motivation (personal characteristics)
31
Q

what are some barriers for pts that may affect learning (6)

A
  • lack of supports
  • culture
  • financial resources
  • lack of time
  • illness/stress
  • literacy
  • etc.
32
Q

what is communication

A
  • a process of interaction between people in which symbols are used to create, exchange, and interpret messages about ideas, emotions, and mind states
33
Q

what are attributes of communication (3)

A
  • complimentary exchange
  • context
  • learned skill
34
Q

describe the scope of communication

A
  • ranges from effective –> ineffective –> absence of communication
35
Q

what is complimentary exchange

A
  • a process that occurs between people
  • in exchange, each participant is, in turn, either a sender or receiver
  • the sender encodes a message w symbols ( both verbal & non) and transmits the message to the receiver
  • the receiver then perceives the message, interprets the symbols, and responds again w symbols
36
Q

what are some elements that characterize therapeutic communication (14, long list but common sense)

A
  • humor (at approp times, can break tension)
  • emotions ( both the pt & yours)
  • silence (time to gather thoughts)
  • clarifying
  • paraphrasing
  • open ended questions
  • close ended questions ( at appropriate times)
  • developing trust
  • communicating hope
  • empathy
  • listening w the whole self & being fully present
  • active listening
  • develop an attitude of respect, dignity, and empowerment
  • good direction –> communicate w intention
37
Q

how is understanding confirmed in the teach back method

A
  • when the pt or family explains to the educator, in their own words, what was taught
38
Q

what are the types of educational approaches in pt education

A
  • group
  • formal
  • informal
  • individual/self directed
39
Q

what is formal pt education

A
  • often taught using a curriculum/course plan w standardized content
  • useful to address needs common to a group of pts/family
40
Q

what is informal pt education

A
  • teaching that often occurs in one-on-one sessions w the pt or family
  • may be planned or spontaneous
  • do not follow a specific formalized plan
  • represents a large portion of pt education done by nurses
41
Q

what is individual/self-directed pt education

A
  • results when a pt or family obtains and/or completes an educational activity independent from the nurse or other HCP
  • often thru written material and media
42
Q

health education is… (2)

A
  • purposeful

- and has an intent of behavior change

43
Q

what acryonym is used to represent non verbal behaviors used to facilitate active listening

A 
Sit squarely w the pt (unless cultural background discourages eye contact)
Observe an open posture
Lean forward toward the pt
Eye contact
Relax
44
Q

why is context important in communication

A
  • is important to the quality of meaning derived by participants during the process of complimentary exchange
45
Q

what are contextual factors

A
  • characteristics of the enviro that in which the communication that occurs that affects perception & interpretation of messages by participants
46
Q

list contextual factors (5)

A
  • relationship between participants
  • internal mood states
  • mental & physical conditions
  • experience & education
  • enviro (external noise)
47
Q

describe the third attribute of communication, learned skill

A
  • communication is a learned skill that develops over time & thru interactions w others
48
Q

list 2 roles of the nurse r/t health education

A
  • promote & respect informed decision making

- ensure health info is given in an open, understandable, and transparent manner

49
Q

what are the 6 steps to a health education plan

A
  • assess the pts needs, motivation, abilities
  • assist in forming goals
  • plan educational activities
  • implement health teaching
  • evaluate outcomes toward goal attainment & revise as needed
  • document
50
Q

what is health education

A
  • purposeful teaching with an intent to change behavior
51
Q

what is formal pt education

A
  • structured courses or classes for a group of pts with similar conditions
52
Q

what is informal pt education

A
  • one-on-one w pt or w family

- no formalized teaching plan

53
Q

what is a learner assessment

A
  • a comprehensive assessment of the pt’s learning needs and lvl
54
Q

the education process is…

A
  • a systematic, sequential, logical, scientifically based, planned course of action
55
Q

the education process consists of 2 major interdependent operations which are???

A
  • teaching

- learning

56
Q

what are some barriers to teaching (9)

A
  • lack of time
  • lack of motivation
  • lack of skill
  • low priority status of client education
  • lack of confidence and competence
  • questionable effectiveness of client education
  • documentation difficulties
  • absence of 3rd party reimbursement
  • negative influence of enviro (lack of space, privacy, noise)
57
Q

what are some barriers to learning (9)

A
  • lack of time (rapid discharge)
  • literacy problems
  • negative influence of enviro
  • extent of needed behavior changes
  • lack of support from HCP and signif others
  • denial of learning needs
  • stress of illness
  • readiness to learn issues (motivation and adherence)
  • complexity, fragmentation, and inconvenience of healthcare system
58
Q

describe pt education as a scope of nursing practice

A
  • provides a foundational role and provides competency in the professional nursing practice
  • expected as a component of health care in all setting
  • pt education is applicable to all areas of the nursing practice involving pt care
59
Q

what is the role of the nurse in health education

A
  • promote and respect informed decision-making

- ethical respsonsibilities

60
Q

what are the ethical responsibilities of the nurse r/t health education

A
  • provide info to support informed decision making

- ensure that the health info given is open, accurate, understandable, and given in a transparent manner

61
Q

what are 2 exemplars of pt education

A
  • illness related

- health promotion

62
Q

what are some examples of how to provide pt education that is illness related

A
  • formal pt education (support groups, classes)
  • informal pt-nurse encounters (discharge teaching, wound care)
  • self-directed pt education activities (self-help books, internet resources,)
63
Q

what are some examples of how to provide pt education that is regarding health promotion

A
  • formal (wellness education programs)
  • informal (ACO, immunization teaching)
  • self directed (exercise videos, webMD)
64
Q

what are the steps to health education

A
  • learner assessment
  • planning
  • teaching
  • resource appraisal, use, and differentiation
  • motivation
  • adherence
  • evaluation
  • documentation
65
Q

what should you assess r/t learner assessment (2)

A
  • learner needs

- learning barriers

66
Q

what should you consider during the planning stage of health education

A
  • collaborate w the client and family

- develop an individualize plan of care

67
Q

what should you consider during the teaching stage of health education

A
  • teach the client and family how to meet their goals

- includes spontaneous and planned interactions

68
Q

what should be considered regarding the resouces used for health education

A
  • use resources to support education

- differentiation: adapt teaching strategies specific to the client’s needs

69
Q

what should be considered regarding the motivation stage of health education

A
  • assess motivation

- motivate the client to improve /maintain their health

70
Q

what should be considered regarding adherence to health education

A
  • assess factors impacting adherence

- promote client adherence

71
Q

what should be assessed regarding evaluation of health education

A
  • evaluate client learning

- revise plan accordingly

NURS 3520 - Patient Education (5 decks)

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