Student PPN101 Week 9 Teaching and Learning 2024 PDF

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

Teachin g& Learnin g PPN101 Week 9 2023 PPN101 2023 Learning Objectives 1. Explore the goals of client centered education. 2. Discuss client centered learning and L.E.A.R.N.S (RNAO) 3. Describe the 3 learning domains 4. Examine the Transtheoretical Model of Change. 5. Describe the role of the nurse in health teaching. 6. 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 2023 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, e-version PPN101 p.331  Is a focused form of instructional dialogue used in client centered relationships. Health The purpose is to provide clients and families with knowledge and life skills needed to make good Teaching decisions, slow or prevent progression of illness and promote highest possible quality of life. (Mallette & Yonge, 2022, p. 307) PPN101 2023  Outcomes of Client Education Maintaining and Promoting Health and Preventing Illness Health Restoration Coping with impaired functioning (P&P, 2024, p.330) PPN101 2023 (Picture:ONSVoice.com)  Three Learning Domains PPN101 2023 Cognitive Affective Psychomotor Understanding the Changing attitudes hands on skills content and promoting development A prerequisite for acceptance changing attitudes and developing the mastery of psychomotor skills (Mallette & Yonge, 2022 p. 310; Potter & Perry, 2024 ,p.332 )  Nurses act as: Guides – coach on actions to improve overall health Describe Information providers- how patients can learn to better care for the role of themselves the nurse Resource support- connect clients in health to appropriate community supports Knowledgeable emotional support- teaching help clients minimize the impact of temporary setbacks (Mallette & Yonge, 2022, p. 314) PPN101 2023 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 using the most appropriate Picture:https:// educational strategy blog.carlow.edu/ (P&P, 2024,p.331) PPN101 2023 Explore Engaging clients as active participants in the learning process the Ensuring that health teaching interventions are supportive of the goals of client’s preferences and values in order to achieve positive clinical outcomes. client Introduce participatory strategies, which build on client’s personal strengths centere Collaborative learning environments allows nurses to offer sufficient d information, specific instruction and emotional support to clients educati The teacher must start where the learner is, while supporting the learner’s natural desire to learn. on (Mallette & Yonge, 2022, p. 308) PPN101 2023 Facilitating Client-Centered Learning PPN101 2023 RNAO L.E.A.R.N.S Facilitating client centred learning is based on the foundation of four pillars which include: 1. Client Centred Care 2. Promoting Health Literacy 3. Building Knowledge and Skills 4. Supporting Self Management Strategies PPN101 2023  L.E.A.R.N.S. Listen Establish relationship Adopt intentional approach Reinforce health literacy Name People struggle with new knowledge health information for many reasons. Strengthen self- management PPN101 2023 PPN101 2023 Comparison of NP, Clinical Judgement Model and Teaching Processes CLINICAL JUDGEMENT TEACHING PROCESSES NURSING PROCESS MODEL (P&P, p.331) (NCSBN, 2020) ASSESSMENT Recognizes Clues Gather data about Collects Data Preferred learning style Learning Readiness Ability to learn Health literacy NURSING DIAGNOSIS Analyzing Clues Identify client’s needs based on 3 Identifies appropriate nursing diagnosis Prioritize Hypothesis domains of learning based on assessment PLANNING Generate Solutions Family involvement Develop individualized care plans through Consider Learning needs collaboration Create a plan (SMART) Collaborate IMPLEMENTATION Take Action Building logical information flow Perform nursing care, Involve client Involve client and family EVALUATION Evaluate Outcomes Determine outcomes: Identify success in meeting Were they achieved? outcomes/goals PPN101 2023  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 PPN101 2023  Level of Anxiety Discuss Ability to Learn Physical factors  pain, nausea affecting a  Comorbid health problems  Crisis and life transitions can client’s IMPROVE learning readiness Level of Social Support Health Literacy and ability to Developmental Level learn Culture Self Awareness (Arnold and Boggs, 2020, pp 293-299) PPN101 2023 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; e-version p.327  Visual: Learns best by seeing Likes demonstrations Writes things down to organize thoughts Needs detail, examines situation Auditory Learnin Learns best with verbal instructions Talks things through g Styles Detail is not as important Talk about pros & cons Kinesthetic (Kinetic) Learns best by doing Hands-on Needs action, likes to touch, feel Loses interest with detailed instructions Tries things out PPN101 2023  Health Literacy PPN101 2023  A The ability to use printed and definition written information in society – to of literacy: achieve one’s goals, and to develop one’s knowledge and potential. 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 Adult Literacy and Life Skills (ALL) survey, Organization for Economic Co-operation and Development, Human Resources Development Canada and Statistics, 2005. of literacy than at any previous time in human history. PPN101 2023 Literacy Skills Prose: Knowledge and skills needed to understand and use information from written texts Document: Knowledge and skills needed to find and use information in various formats, e.g., schedules, maps, tables and charts Numeracy: Knowledge and skills needed to do arithmetic and understand numbers in printed materials Problem solving: Process of solving problems by using goal-directed thinking and action, without having a routine to follow (Laforet, 2020) Health Literacy 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. (A&B,2022 p. 317) 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 2023  The WHO (2009) defines Health literacy as “ the Discuss the cognitive and social skills which determine the importance motivation and ability of individuals to gain access of health to understand and use information in ways that promote and maintain literacy good health”. If the client cannot understand what is being taught, learning does not take place. (Arnold & Boggs, 2020) PPN101 2023 Health Literacy Health literacy has three main pillars: Capacity to obtain health information (where to find help), Ability to understand the information gathered Ability to apply health information. Picture:graceresourceministries.org/ All three pillars are essential to achieve health literacy goals. (Laforet, 2020)  Estimated that 6 in 10 Canadian adults do not have the skills needed to adequately manage their health and health-care needs. There are more people with low levels of health literacy (60%) Health than there are with low levels Literacy of literacy (48%), noting there is a difference between the two the two types of literacy. (Public Health Ontario , 2017) PPN101 2023 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 2023 “Tell me and I forget, Teach me and I may remember, Involve me and I learn”. -Benjamin Franklin (www.uml.edu, 2012) PPN101 2023 Next Week: Canadian Healthcare System PPN101 2023 (picture: HospitalNews)