Nurse as Educator: Principles of Teaching and Learning
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Questions and Answers

What are the legal, ethical, and moral responsibilities of nurses regarding education?

To teach patients, families, colleagues, and future nurses within their holistic approach to professional practice.

Which of the following is a critical issue in healthcare education discussed in this text? (Select all that apply)

  • Consumer health literacy (correct)
  • Chronic illnesses (correct)
  • Traditional teaching methods
  • Health promotion (correct)

    • Nurses have received the formal preparation necessary to confidently fulfill their educator role.

    False

    The growing demand for nurses to deliver the highest quality of care is a response to _______.

    <p>changing demographics and the complexity of healthcare.</p> Signup and view all the answers

    What is emphasized throughout the chapters regarding the teaching process?

    <p>The interdependence between the teacher and learner.</p> Signup and view all the answers

    What is one of the roles of nurses in relation to educating other members of the healthcare team?

    <p>To teach future nurses</p> Signup and view all the answers

    What is the main focus of the Healthy People initiative?

    <p>Health promotion and disease prevention</p> Signup and view all the answers

    The Joint Commission established nursing standards for patient education in 1993.

    <p>True</p> Signup and view all the answers

    What campaign was announced by the Institute for Healthcare Improvement in 2006?

    <p>5 Million Lives campaign</p> Signup and view all the answers

    The transition from disease-oriented education to prevention-oriented education is referred to as _____.

    <p>promotion-oriented patient education</p> Signup and view all the answers

    Which of the following is NOT one of the overarching goals of Healthy People 2020?

    <p>Increasing healthcare costs</p> Signup and view all the answers

    What role has evolved significantly for nurses since the 1980s?

    <p>Role as health educators</p> Signup and view all the answers

    What publication built on the previous Healthy People initiatives and provided an expanded framework for health prevention?

    <p>Healthy People 2010</p> Signup and view all the answers

    Nursing has long considered ____ as a major component of standard care.

    <p>patient education</p> Signup and view all the answers

    How is the term evaluation defined?

    <p>Evaluation is defined as a systematic process that judges the worth or value of something, in this case teaching and learning.</p> Signup and view all the answers

    How does the process of evaluation differ from the process of assessment?

    <p>Evaluation assesses the overall worth or value of an educational activity, whereas assessment measures specific learning outcomes.</p> Signup and view all the answers

    How is evidence-based practice (EBP) related to evaluation?

    <p>EBP is related to evaluation as it requires that practice decisions be based on the best available evidence, often gathered through systematic evaluation.</p> Signup and view all the answers

    How does internal evidence differ from external evidence?

    <p>Internal evidence is data and insights derived from within an organization, while external evidence comes from outside sources, such as research studies.</p> Signup and view all the answers

    The five basic types of evaluation include process, content, outcome, ____ , and ____ evaluations.

    <p>impact, program</p> Signup and view all the answers

    What is the purpose of each type (level) of evaluation as described by Abruzzese?

    <p>Each type of evaluation serves to assess different aspects such as process, content, outcomes, impact, and program effectiveness.</p> Signup and view all the answers

    What are the three major barriers to conducting an evaluation?

    <p>Major barriers include lack of resources, insufficient training, and inadequate evaluation frameworks.</p> Signup and view all the answers

    When and why should a pilot test be conducted prior to implementing a full evaluation?

    <p>A pilot test should be conducted to assess the feasibility and effectiveness of the evaluation methods before full implementation.</p> Signup and view all the answers

    Which type of evaluation is conducted annually when nurses review the program and complete the cognitive test?

    <p>Summative evaluation</p> Signup and view all the answers

    Which type(s) of evaluation would be most relevant to the nurse manager’s concerns regarding diabetes education?

    <p>Process and outcome evaluations would be most relevant.</p> Signup and view all the answers

    If evaluation is crucial to healthcare education, what are some of the reasons why it is often overlooked?

    <p>Reasons include time constraints, lack of training, and undervaluing the evaluation process.</p> Signup and view all the answers

    What role do nurses play in patient education?

    <p>Nurses educate patients and their family members about self-care management and health practices.</p> Signup and view all the answers

    What are some barriers to teaching and obstacles to learning?

    <p>Lack of resources</p> Signup and view all the answers

    The focus of modern health care is solely on technological advancements.

    <p>False</p> Signup and view all the answers

    The Division of ______ Hygiene was established in New York City in 1908.

    <p>Child</p> Signup and view all the answers

    What was emphasized by Florence Nightingale regarding public health nurses?

    <p>She advocated for the educational responsibilities of district public health nurses.</p> Signup and view all the answers

    Which act created Medicare and Medicaid plans?

    <p>The Social Security Act</p> Signup and view all the answers

    What are the main purposes of patient education?

    <p>To empower patients to manage their own health care and improve health outcomes.</p> Signup and view all the answers

    Patient education is considered a privilege, not a right.

    <p>False</p> Signup and view all the answers

    Who is Susan B. Bastable?

    <p>An author and nursing education consultant.</p> Signup and view all the answers

    The term patient education encompasses ______, health promotion and disease prevention.

    <p>teaching</p> Signup and view all the answers

    What was one of the early mentions of documentation of patient education?

    <p>Technical Bulletin on Patient Education</p> Signup and view all the answers

    Study Notes

    Principles of Teaching and Learning for Nursing Practice

    The Importance of Evaluation in Healthcare Education

    • Evaluation is a systematic process that judges the worth or value of teaching and learning activities
    • Importance of evaluating patient education, especially in healthcare, to ensure that patients understand their health needs and can manage their own care effectively
    • Evaluation provides evidence that what nurses do as educators makes a value-added difference in patient outcomes

    Types of Evaluation in Healthcare Education

    • Process evaluation: focuses on the planning, implementation, and coordination of educational activities
    • Content evaluation: focuses on the quality and relevance of the educational content
    • Outcome evaluation: focuses on the impact of the educational activities on learning outcomes
    • Impact evaluation: focuses on the long-term effects of the educational activities on patient outcomes
    • Program evaluation: focuses on the overall effectiveness of the educational program

    Characteristics of Evaluation in Healthcare Education

    • Systematic and rigorous
    • Focuses on the worth or value of educational activities
    • Uses evidence-based practice and practice-based evidence
    • Involves the collection, summarization, interpretation, and use of data to inform decision-making
    • Crucial in today's healthcare environment, where "best" practice must be based on evidence

    Barriers to Evaluation in Healthcare Education

    • Lack of resources, including time, money, and personnel
    • Limited understanding of evaluation principles and methods
    • Resistance to change and lack of motivation among educators and learners
    • Competing priorities and demands on educators and learners

    Models of Evaluation in Healthcare Education

    • Abruzzese's RSA evaluation model: focuses on five levels of evaluation, from simple to complex
    • Includes formative and summative evaluation, as well as internal and external evidence

    Case Study: Evaluating Patient Education for Type 2 Diabetes

    • Sharon, a clinical nurse educator, is tasked with evaluating the effectiveness of patient education on type 2 diabetes
    • She meets with nurse managers to identify priority issues and develops an evaluation plan
    • The evaluation plan involves process, content, outcome, and impact evaluation, as well as the collection of data on patient outcomes and satisfaction### Contact Information
    • Jones & Bartlett Learning can be contacted directly at 800-832-0034, faxed at 978-443-8000, or visited at www.jblearning.com.
    • Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and other qualified organizations.
    • Contact the special sales department at Jones & Bartlett Learning via their contact information or email at [email protected] for details and specific discount information.
    • Copyright © 2019 by Jones & Bartlett Learning, LLC, an Ascend Learning Company.
    • All rights reserved.
    • No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, without written permission from the copyright owner.
    • The content, statements, views, and opinions are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC.

    Nurse as Educator: Principles of Teaching and Learning for Nursing Practice

    • Fifth edition.
    • Published by Jones & Bartlett Learning, LLC.
    • ISBN 9781284127201 (pbk.).

    Production Credits

    • VP, Product Management: David D. Cella.
    • Director of Product Management: Amanda Martin.
    • Product Manager: Rebecca Stephenson.
    • Product Assistant: Anna Maria Forger.
    • Production Editor: Vanessa Richards.
    • Senior Marketing Manager: Jennifer Scherzay.
    • Product Fulfillment Manager: Wendy Kilborn.
    • Composition: S4Carlisle Publishing Services.
    • Printing and Binding: Edwards Brothers Malloy.

    Library of Congress Cataloging-in-Publication Data

    • Names: Bastable, Susan Bacorn, editor.
    • Title: Nurse as educator : principles of teaching and learning for nursing practice / edited by Susan B. Bastable.
    • Description: Fifth edition.
    • Burlington, Massachusetts : Jones & Bartlett Learning, LLC.
    • Includes bibliographical references and index.
    • Identifiers: LCCN 2017030094 | ISBN 9781284127201 (pbk.).
    • Subjects: Patient Education as Topic--methods | Teaching | Learning | Nurses’ Instruction.
    • Classification: LCC RT42 | NLM WY 105 | DDC 610.73--dc23.

    In Memory

    • In memory of Dr. M. Louise Fitzpatrick, Dean of the College of Nursing at Villanova University for 4 decades.

    About the Author

    • Susan B. Bastable, editor.

    Contents

    • Foreword.
    • Preface.
    • Acknowledgments.
    • Contributors.
    • About the Author.
    • PART 1: Perspectives on Teaching and Learning.
    • PART 2: Characteristics of the Learner.
    • PART 3: Techniques and Strategies for Teaching and Learning.

    Chapter 1: Overview of Education in Health Care

    • Historical Foundations for Patient Education in Health Care.
    • The Evolution of the Teaching Role of Nurses.
    • Social, Economic, and Political Trends Affecting Health Care.
    • Purposes, Goals, and Benefits of Patient and Nursing Staff/Student Education.
    • The Education Process Defined.
    • The Contemporary Role of the Nurse as Educator.
    • Barriers to Teaching and Obstacles to Learning.
    • A Differentiated View of Ethics, Morality, and the Law.
    • Evolution of Ethical and Legal Principles in Health Care.
    • Application of Ethical Principles to Patient Education.
    • Legality of Patient Education and Information.
    • Economic Factors in Healthcare Education: Justice and Duty Revisited.

    Chapter 3: Applying Learning Theories to Healthcare Practice

    • Psychological Learning Theories.
    • Neuropsychology and Learning.
    • Comparison of Learning Theories.
    • Common Principles of Learning.
    • Motor Learning.

    Chapter 4: Determinants of Learning

    • Assessment of the Learner.
    • Assessing Learning Needs.
    • Methods to Assess Learning Needs.
    • Readiness to Learn.
    • Learning Styles.
    • Learning Style Models and Instruments.
    • Interpretation of the Use of Learning Style Models and Instruments.

    Chapter 5: Developmental Stages of the Learner

    • Developmental Characteristics.
    • The Developmental Stages of Childhood.
    • The Developmental Stages of Adulthood.
    • The Role of the Family in Patient Education.

    Chapter 6: Compliance, Motivation, and Health Behaviors of the Learner

    • Compliance and Adherence.
    • Motivation.
    • Selected Models and Theories.
    • Models for Health Education.
    • The Role of Nurse as Educator in Health Promotion.

    Chapter 7: Literacy in the Adult Client Population

    • Definition of Terms.
    • Scope and Incidence of the Problem.
    • Trends Associated with Literacy Problems.
    • Those at Risk.
    • Myths, Stereotypes, and Assumptions.
    • Assessment: Clues to Look For.
    • Impact of Illiteracy on Motivation and Compliance.
    • Ethical, Financial, and Legal Concerns.

    Chapter 8: Gender, Socioeconomic, and Cultural Attributes of the Learner

    • Gender Characteristics.
    • Socioeconomic Characteristics.
    • Cultural Characteristics.
    • Assessment Models for the Delivery of Culturally Sensitive Care.

    Chapter 9: Technology-Based Teaching

    • Evolution of Technology-Based Teaching.
    • Basic Concepts of Technology-Based Teaching.
    • Uses of Technology in Education.
    • Evaluation of Technology-Based Teaching.
    • Assistive Technologies.
    • State of the Evidence.
    • Summary.

    Chapter 10: Behavioral Objectives and Teaching Plans

    • Writing Behavioral Objectives.
    • Writing Teaching Plans.
    • Selecting Teaching Strategies.
    • State of the Evidence.
    • Summary.### Nursing Education and Teaching
    • The role of the nurse has evolved, and they are now expected to be educators in addition to caregivers.
    • Nurses must teach patients, families, and fellow colleagues, and prepare the next generation of nurses.
    • The art and science of teaching require special expertise, including understanding how people learn and how to communicate information effectively.

    Evolution of Nursing Practice

    • Nursing practice has significantly evolved since Florence Nightingale's era, with nurses now expected to teach members of their own discipline.
    • The scope of nursing practice has grown to include nurses teaching colleagues to render safe, high-quality care.
    • There is a growing demand for nurses to deliver high-quality care, and a critical shortage of faculty in nursing schools.
    • Consumer health literacy is a significant problem, and nurses must be prepared to teach patients to manage their own care.
    • Technological advances are increasing the complexity of healthcare, and patients must be taught to independently manage their care.

    The Role of the Nurse as Educator

    • The nurse as educator is a critical component of healthcare, and nurses must be prepared to teach patients, staff, and students.
    • Teaching patients to maintain optimal health and prevent disease and disability can reduce healthcare costs.
    • Educating staff and students to practice competently and confidently will ensure the delivery of high-quality care.

    Key Updates in Nursing Education

    • New content includes information on nursing education transformation, patient engagement, quality and safety education, interprofessional education, patient portals, and third-party reimbursement for nurses doing patient teaching.
    • The most updated references have been added to every chapter, with classic works retained.
    • Current statistics reflect changes in population trends, with new tables and figures added to visually summarize the information.

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    Description

    A comprehensive guide to the principles of teaching and learning for nursing practice, covering various strategies to meet the learning needs of students and generate enthusiasm about the topic.

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