PPN101 Week 9 Teaching and Learning 2023 (1).pptx

Teachin g& Learnin g PPN101 Week 9 2023 PPN101 Learning Objectives 1. 2. 3. 4. 5. 6. Explore the goals of client centered education. Discuss client centered learning and L.E.A.R.N.S (RNAO) Describe the 3 learning domains Examine the Transtheoretical Model of Change. Describe the role of the nurs...

Teachin g& Learnin g PPN101 Week 9 2023 PPN101 Learning Objectives 1. 2. 3. 4. 5. 6. Explore the goals of client centered education. Discuss client centered learning and L.E.A.R.N.S (RNAO) Describe the 3 learning domains Examine the Transtheoretical Model of Change. Describe the role of the nurse in health teaching. Discuss factors affecting a client’s readiness and ability to learn. 7. Examine the characteristics of different learning styles according to developmental stage and in terms of cultural diversity. 8. Relate the teaching process to the nursing process and clinical Judgement model. 9. Analyze health literacy and its impact on health PPN101 “You cannot teach a man anything, you can only help him discover it within himself” Galileo PPN101 “Tell me and I forget, Teach me and I may remember, Involve me and I learn”. -Benjamin Franklin (www.uml.edu, 2012) PPN101 CNA (2017)Code of Ethics States that patients have the right to make informed decisions about their care. The information that the patient needs to make such decisions must be accurate, complete, and relevant to their needs. Nurses should anticipate patient needs for information based on their overall condition( physical, mental, emotional spiritual), identified risks and interprofessional treatment plans P&P, 2024, p.331 PPN101 • Is a focused form of instructional dialogue used in client centered relationships. Health Teaching • The purpose is to provide clients and families with knowledge and life skills needed to make good decisions, slow or prevent progression of mortality and promote highest possible quality of life. (Mallette & Yonge, 2022, p. 307) PPN101 What do nurses teach? • List and write down as many things as you can think of that nurses teach to their clients. PPN101 Role of Nurse in Teaching and Learning • The role of the nurse in patient education is multifaceted. • It involves creating and adapting the environment to facilitate learning , using a patient centred approach in assessing the learning needs of the patient, and using the most appropriate educational strategy Picture:https:// blog.carlow.edu/ (P&P, 2024,p.331) PPN101 • Engaging clients as active participants in the learning process-individual approach Discuss the goals of Client Centered Education • Ensuring that health teaching interventions are supportive of the client’s preferences and values in order to achieve positive clinical outcomes. • Introduce participatory strategies, which build on client’s personal strengths • Collaborative learning environments allows nurses to offer sufficient information, specific instruction and emotional support to clients • The teacher must start where the learner is, while supporting the learners natural desire to learn. (Mallette & Yonge, 2022, p. 308) PPN101 PPN101 RNAO L.E.A.R.N.S Facilitating client centred learning is based on the foundation of four pillars which includes: 1. Client Centred Care 2. Promoting Health Literacy 3. Building Knowledge and Skills 4. Supporting SelfManagement Strategies PPN101 L.E.A.R.N.S. Listen Establish relationship Adopt intentional approach Reinforce health literacy Name People struggle with health information for many reasons. new knowledge Strengthen selfmanagement 12 PPN101 14 Goals/ Outcomes of Client Education • Maintaining and Promoting Health and Preventing Illness: • Health Restoration: • Coping with impaired functioning (P&P,2024, p.330) (Picture:ONSVoice.com) PPN101 3 Learning Domains Learning domains are interrelated Cognitive • Understanding the content • Is a prerequisite for changing attitudes and developing the mastery of psychomotor skills Affective • Changing attitudes and promoting acceptance Psychomotor • hands on skills development (Mallette & Yonge, 2022 p. 310; Potter & Perry, 2024 ,p.332) PPN101 Describ e the role of the nurse in health teachin g Nurses act as • Guides – coach on actions to improve overall health • Information providers- how patients can learn to better care for themselves • Resource support- connect clients to appropriate community supports • Knowledgeable emotional supporthelp clients minimize the impact of temporary setbacks (Mallette & Yonge, 2022, p. 314) PPN101 Examine the Transtheoretical Model of Change. Model is used to explore a person’s motivational readiness to intentionally change health habits. Stages of Change i. Pre-contemplation- Does not think there is a problem ii. Contemplation- Thinks there may be a problem iii. Preparation- Recognizes problem and willing to change iv. Action- engages in concrete action to change v. Maintenance- perseveres with positive behavioral change 291; P&P, 2024,p.330) (Mallette & Yonge, 2022, p. PPN101 Visual • Learns best by seeing • Likes to watch demonstrations, looks around; examines situation • Organizes thoughts by writing them down, needs detail Learning Styles Auditory • Learns best with verbal instructions, likes to talk things through • Detail is not as important • Talks about situation and pros and cons Kinetic (Mallette & Yonge, 2022, p.316: Potter & Perry, 2024, p.332) • Learns best by doing, hands-on involvement, needs action and likes to touch, feel • Loses interest with detailed instructions • Tries things out PPN101 Discuss factors affecting a client’s readiness and ability to learn ✔︎Level of Anxiety (Emotional Capability ) ✔Ability to Learn (Intellectual Capability) ✔Physical Capability ❑ pain, nausea ❑ Comorbid health problems ✔ Crisis and life transitions can IMPROVE learning ✔Level of Social Support ✔Health Literacy ✔Developmental Stage ✔Culture ✔Self Awareness ✔Social Determinants of Health (Mallette & Yonge, 2022, p 316-321; Potter & Perry, 2014,p.328) PPN101 Culture & Developmental Stage :Learning styles and Health Literacy •In what way does culture influence learning? •How does developmental stage influence learning? •Does culture influence what we learn? How so? How we learn? •How do nurses integrate the culture of their clients into the teaching/learning process? (Mallette & Yonge, 2022, p318-9) PPN101 PPN101 P&P,2024, p.330 Comparison of NP, Tanner’s Clinical Judgement Model and the Teaching Processes NURSING PROCESS (P&P, 333) Tanner’s Clinical Judgement Model (2006) (Alfaro-LeFevre, p.82, P&P p.296) TEACHING PROCESSES (P&P, p.333-40) ASSESSMENT Collects Data Detecting/Noticing Clues Gather data about Preferred learning style Learning Readiness Ability to learn Health literacy NURSING DIAGNOSIS Identifies appropriate nursing diagnosis based on assessment Analyzing, synthesizing and Interpreting data Identify client’s needs based on 3 domains of learning PLANNING Develop individualized care plans through collaboration Responding, considering actions and setting priorities Family involvement Consider Learning needs Create a plan (SMART) Collaborate IMPLEMENTATION Perform Nursing care Involve client Responding, reflecting and making adjustments Building logical information flow Involve client and family EVALUATION Identify success in meeting outcomes/goals Reflecting and repeating ADPIE as indicated Determine outcomes: Were they achieved? PPN101 Health Literacy PPN101 First, we must understand LITERACY. • What is Literacy? A definition of literacy: The ability to use printed and written information in society – to achieve one’s goals, and to develop one’s knowledge and potential. Key points: ► The term low literacy skills is now used to represent almost 9 million adult Canadians who have serious problems with reading, writing and math. 4 out of 10 Canadians have less than adequate literacy skills. ► Living in an “information culture” requires higher levels of literacy than at any previous time in human history. Adult Literacy and Life Skills (ALL) survey, Organization for Economic Co-operation and Development, Human Resources Development Canada and Statistics, 2005. Health Literacy (A&B,2022 p. 317) What is Health Literacy? Health literacy is defined by The Centers for Disease Control and Prevention as: “The degree to which an individual has the capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions”. It includes knowing how to describe symptoms, where to find help for health issues, how to understand medical information and how to safely manage the use of medication. https://www.youtube.com/watch?v=YTxmRkpiEUU How will it influence your health teaching and client learning?? What can you do to promote understanding? PPN101 Discuss the importance of health literacy The WHO (2009) defines Health literacy as “ the cognitive and social skills which determine the motivation and ability of individuals to gain access to understand and use information in ways that promote and maintain good health”. If the client cannot understand what is being taught, learning does not take place. https://www.youtube.com/watch?v=BG-iY-em7mk& t=43s (Mallette & Yonge, 2022) PPN101 • Estimated that 6 in 10 Canadian adults do not have the skills needed to adequately manage their health and health-care needs. Health Literacy • The fact that there are more people with low levels of health literacy (60%) than there are with low levels of literacy (48%) noting there is a difference between the two the two types of literacy. (Public Health Ontario , 2017) PPN101 Health Literacy • In order to master health-literacy tasks, adults are usually required to use their prose literacy, document literacy and numeracy skills simultaneously. • health literacy involves more than the ability to read or understand numbers. Context matters, as does the ability to find, understand, evaluate and communicate health-related information. (Canadian Council for Learning, 2008) • Often associated with medication nonadherence, understanding of outcomes of medication PPN101 Test your health literacy Can you correctly answer this example question? “Imagine your child is 10 years old and weighs 85 pounds. According to the chart below, how many 80 mg tablets of Tempra can you administer to your child in a 24-hour period PPN101 Compare the original UHN consent form to the revised Consent Form in terms of Health Literacy PPN101 Next Week: Canadian Healthcare System PPN101 •(picture: HospitalNews)