Health Educ Ch.1

• Health Education


  Considered a standard care-giving role of the nurse
• Patient Teaching


  Recognized as an independent nursing function
• Nursing Practice


  Has expanded to include education in the broad concepts of health and illness
• What are the Organizations and Agencies Promulgating Standards and Mandates?

  1. NLNE

  2. ANA

  3. ICN

  4. State Nurse Practice Acts

  5. JCAHO

  6. AHA

  7. Pew Health Professions Commission
• National League of Nursing/Education

  First observed health teaching as an important function within the scope of nursing practice
• National League of Nursing/ Education


  Responsible for identifying course content for curriculum on principles of teaching and learning
• American Nurses Association


  Responsible for establishing standards and qualifications for practice, include patient teaching
• International Council of Nurses


  Endorses health education as an essential component of nursing care delivery
• State Nursing Practice Acts


  Universally includes teaching within the scope of nursing practice
• Joint Commission on Accreditation of Healthcare Organization


  Accreditation mandates require evidence of patient education to improve outcomes
• American Hospital Association


  Patient's Bill of Rights ensures that clients receive complete and current information
• Pew Health Profession Commission


  Puts forth a set of health profession competencies for the 21st century
• Pew Health Profession Commission


  Over one-half of recommendations pertain to importance of patient and staff education
• Purpose: To increase the competence of patients to manage their own self-care and of staff and students to deliver high-quality care


  What are the Purpose of Patient, Staff and Student Education
• -increase consumer satisfaction

  -improves quality of life

  -ensures continuity of care

  -reduces incidence of illness complications

  -increases compliance with treatment

  -decreases anxiety

  -maximizes independence


  What are the Benefits of education to patients:
• -enhances job satisfaction

  -improves therapeutic relationships

  -increases autonomy in practice

  -improves knowledge and skills


  What are the Benefits of education to staff
• -prepared clinical preceptors

  -continuity of teaching/learning from classroom curriculum

  -evaluation and improvement of student clinical skills


  What are the Benefits of preceptor education for nursing students
• To increase self-care responsibility of clients and to improve the quality of care delivered by nurses


  What is the goal?
• Education process


  a systematic, sequential, planned course of action on the part of both the teacher and learner to achieve the outcomes of teaching and learning
• Teaching/Instruction


  A deliberate intervention that involves sharing information and experiences to meet the intended learner outcomes
• Learning


  A change in behavior that can be observed and measured, and can occur at any time or in any place as a result of exposure to environmental stimuli
• Patient Education


  the process of helping clients learn health-related behaviors to achieve the goal of optimal health and independence in self-care
• Staff education


  the process of helping nurses acquire knowledge, attitudes, and skills to improve the delivery of quality care to the consumer
• ASSURE model


  A useful paradigm to assist nurses to organize and carry out the education process
• Analyze the learner

  State the objectives

  Select instructional methods and materials

  Use teaching materials

  Require learner performance

  Evaluate/revise the teaching/learning process


  What are the ASSURE model?
• Role of the Nurse as Educator

  Nurses act in the role of educator for a diverse audience to learners- patients and their family members, nursing students, nursing staffs, and other agency personnel
• Role of the Nurse as Educator

  Despite the varied levels of basic nursing school preparation, legal and accreditation mandates have made the educator role integral to all nurses
• -the giver of information

  -the assessor of need

  -the evaluator of learning

  -the reviser of appropriate methodology


  Nurses function in the role of educator as:
• Partnership philosophy


  Stresses the participatory nature of the teaching and learning process
• Barriers


  Factors impeding the nurse's ability to optimally deliver educational services
• Obstacles


  Factors that negatively impact on the learner's ability to attend to and process information
• Institute of medicine 2001

  Crossing the quality of chasm: A NEW HEALTH SYSTEM FOR THE 21ST CENTURY


  Focuses more broadly on how the health system can be reinvented to foster innovation and improve the delivery care
• Institute of medicine 2001

  Crossing the quality of chasm: A NEW HEALTH SYSTEM FOR THE 21ST CENTURY


  Six aims for improvement
• Institute of medicine 2001

  Crossing the quality of chasm: A NEW HEALTH SYSTEM FOR THE 21ST CENTURY


  Ten rules for Redesign
• The organization provides education that supports patient and family participation in care decisions and care processes

  Patient and Family Education
• Education and training help meet patients ongoing health needs

  Patient and Family Education
• Education methods consider the patients and family's values and preferences and allow sufficient interaction among the patient, family, and staff for learning to occur.

  Patient and Family Education
• non-research based literature


  This literature focuses on "how to do" patient teaching
• acute, short terms problems

  chronic, long terms conditions


  more attention is given to the needs of learners who have ___ than to those who have ______
• cost-effectiveness of education efforts


  further investigation is needed on the ____