Fundamentals of Nursing: Teaching and Counseling Flashcards


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1

The basic purpose of teaching and counseling is to...

- Help patients and families develop the self-care abilities (knowledge, attitude, skills) they need to maximize their functioning and quality of life (or to have a dignified death).

2

Teaching provides

- The knowledge that patients need to make informed health care decisions and to implement a plan of care

3

Counseling provides

- The resources and support that patients need to participate actively in self-care and to facilitate their coping with their circumstances.

4

Aims of teaching and counseling

1) Maintaining and promoting health
2) Preventing illness
3) Restoring health
4) Facilitating coping
5) Promoting outcomes

5

To maximize effectiveness of patient teaching, remember the acronym TEACH...

T: Tune into the patient

E: Edit patient information

A: Act on every teaching moment

C: Clarify often

H: Honor the patient as a partner in the education process

6

Steps in Teaching/Learning Process

1. Assess Learning Needs and Learning Readiness

2. Diagnose the Patient's Learning Needs

3. Develop Learning Outcomes

4. Develop a Teaching Plan

5. Implement Teaching Plan and Strategies

6. Evaluate Learning

7

Factors that affect client learning include:

- Age and Developmental level

- Family/Caregiver support

- Financial resources

- Cultural influences/Language deficits

- Health literacy (ability to obtain, read, understand, and act on health information)

8

Domains of learning
Cognitive:- Involves the storing and recalling of new knowledge in the brain

Ex.. Pt describes how salt intake affects blood pressureDomains of learning Psychomotor:- Learning a physical skill involving the integration of mental and muscular activity

Ex.. Pt demonstrates how to change dressings using clean techniqueDomains of learning
Affective:- Includes changes in attitudes, values, and feelings

Ex.. Pt expresses renewed self-confidence after physical therapyFive rights of

- Involves the storing and recalling of new knowledge in the brain

Ex.. Pt describes how salt intake affects blood pressure

9

Domains of learning Psychomotor:

- Learning a physical skill involving the integration of mental and muscular activity

Ex.. Pt demonstrates how to change dressings using clean technique

10

Domains of learning
Affective:

- Includes changes in attitudes, values, and feelings

Ex.. Pt expresses renewed self-confidence after physical therapy

11

Five rights of teaching

- Right time
- Right context
- Right goal
- Right content
- Right method

12

Barriers to effective teaching/learning for the nurse/teacher include:

- Limited time
- Limited opportunity
- Lack of space/privacy
- Teaching is not viewed as a priority
- Lack of care coordination

13

Barriers to effective teaching/learning for the learner/patient include:

- Personal stress
- Illness/Physical condition
- Level of literacy
- Lack of support
- Lack of willingness to learn/take responsibility

14

Assessment parameters for teaching include:

- Learning needs, knowledge level, literacy level

- Health beliefs/practices

- Physical and emotional readiness

- Ability to see, hear, grasp

- Learning style

- Time constraints

- Available resources

15

A Nursing diagnosis for teaching/learning is:

- Deficient knowledge

- often used for a teaching plan

- should be used if nurse believes lack of knowledge is the primary problem

- If client is unable to learn this is NOT a learning deficit

(Examples of inability to learn would be anxiety, cognitive development, feelings of powerlessness)

16

A nursing diagnosis for teaching/learning is:

- Readiness for enhanced knowledge

- Pt expressed a desire to improve their learning/understanding

- Nursing intervention would be include developing a plan for learning or facilitating learning

- Assist the client to identify their learning goals and measurable outcomes

- Determine their motivation and expectations for learning

17

Contractual agreement is...

- A pact between two people setting out mutually agreed-on goals.

- Agreement notes the responsibilities of both the teach and learner, emphasizing the importance of the mutual commitment

18

Teaching Goals are...

- Broad in scope and set down what is expected as the final outcome of the teaching and learning process

19

Learning Objectives are...

- Single, specific behaviors that must be completed to accomplish the goal

20

Components of a Teaching Plan

- Teaching strategies: method used to present the content being taught

- Content: all information needed to reach your intended goal

- Scheduling and sequencing: how to organize and sequence information

- Instructional material: materials/tools used to present

21

Teaching Strategies include:

- Lecture
- Discussion
- Panel discussion
- Demonstration
- Discovery
- Role playing
- Audiovisual materials
- Printed materials
- Programmed instruction
- Web-based instruction and technology

22

Teaching plans for older adults include:

- Identify learning barriers

- Allow extra time

- Plan short teaching sessions

- Accommodate for sensory deficits

- Reduce environmental distractions

- Relate new information to familiar activities or information

23

Teach plan vs. Care plan

- In a teaching plan, the interventions are teaching strategies such as:

- Lecture, printed materials, group discussion, role playing, one-on-one instruction....

24

Evaluating the Teaching-Learning Process

Evaluate domains through combination of:
- Written/oral testing
- Oral questions/Observations
- Interviews/Client reports
- Questionnaires
- Checklists
- Client Records

25

Evaluate your own teaching by:

- Capitalizing on own strengths and improve weaknesses

- Practice

- Making revisions to teaching plan or use a different teaching strategy

- Make sure to document teaching in the patients health record

- If desired learning has not occurred, documentation should indicate updated plans to address or revise the problem