week 5 - adult teaching

Question 1

joint commission standards (I need the ability to be ready to plan an intervention that’s effective)

Answer 1

 Needs Assessment
 Ability Assessment
 Readiness to Learn
 Educational Plan
 Educational Intervention
 Evaluation of Effectiveness of Teaching

Question 2

factors that influence teaching - nurse

Answer 2

 Knowledge of material - nurse knows material well. maybe knowledge about a disease. if not, it can be referred to an NP or a expert in the area. ex. - diabetes - might refer to diabetes nurse specialist.
 Communication skills
- Verbal: Should match educational level of pt.
Avoid medical jargon ex- instead of ACE inhibitor for BP, say this med opens up blood vessels and lowers BP.

Question 3

Nonverbal communication:

Answer 3

Nonverbal communication: Don’t appear hurried - designate a certain amount of time for teaching, like 10 min.
Cultural Issues
- Active listening skills: nonverbal clues
- Ability to demonstrate empathy

Question 4

Readiness to learn

Answer 4

• Emotional readiness - take info in small doses
  
  • Experiential readiness - maybe have a family member with this
     Ability to learn - Physical Condition 1st address comfort - think about Maslow
• Cognitive Ability - - some ppl are not teachable, so use a significant other.
• Level of Education -

Question 5

Ability to Learn (con’t)
- Literacy/Health Literacy

Answer 5

Ability to Learn (con’t)
- Literacy/Health Literacy (everything kept at 5th grade level)
- Communication skills
- Primary language
Important to assess learning abilities in order to
ID teaching strategies - ask patients how they best learn, audio, visual, etc

Question 6

Learning Strengths

Answer 6

• Successful learning in the past
• Above average comprehension/ reasoning, memory, psychomotor
  skills
  
  • High motivation
  • Strong network
  • Adequate financing (think about shelter)

Question 7

factors that interfere with learning

Answer 7

Lack of Time
- Shorter hospital stays - teach in small spurts.
- Begin teaching on admission
 Lack of Knowledge
- More specialties
- Floating
- New equipment
Disagreement with patient or family
Language Barrier
- Interpreter
- Set aside time
- Assess cultural influences

don’t ever say let’s learn this together - you need to know it before you walk in

Question 8

planning (do we plan our goals?)

Answer 8

Goal Setting
- Write clear and measurable learning objectives
- Long term goals
- Short term goals (should be met during hospitalization)

Question 9

SMART

Answer 9

 Specific
 Measurable
 Attainable
 Relevant
 Time Frame

Question 10

documentation (document my needs, my methods, my understanding, my referrals and my goals)

Answer 10

Needs assessment
 Interventions
 Methodology
 Whether pt required return demonstration
 Pt stated or demonstrated understanding
 Appropriate referrals made
 How pt has met goals

Question 11

discharge teaching (and document what?)

Answer 11

 Any instruction necessary i.e. Danger signs
 Specific instructions outlined by MD
 Provide written material/ phone numbers/
appointments
 Equipment & supplies necessary
 Document response to education

Question 12

intefere with learning

Answer 12

disagreement w/ patient or family
set goals with pt
realistic goals
powerlessness, frustration on part of nurse & patient

Question 13

teach back show back

Answer 13

after instruction, have patient teach back to you or show back to you

Question 14

using technology to teach

Answer 14

apps, websites. ex. financial resources - maybe they don’t have a smart device - make sure it’s an appropriate choice
telehealth -

Question 15

group peer teaching

Answer 15

eating disorders, diabetics, weight loss

Question 16

always evaluate what you taught

Answer 16

how are they progressing towards goal.