Strategies in Health Education (1)

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    Education process is a systematic,sequential, planned course of actionconsisting of two major interdependentoperations; Teaching and Learning.

    TEACHING - is a deliberate intervention that

    involves the planning and implementation ofinstructional activities and experiences tomeet intended learner outcomes according toa teaching plan.

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    Instruction is a component of teaching thatinvolves the communicating of informationabout a specific skill in the cognitive,psychomotor, or affective domain

    Teaching & Instruction is:

    FormalStructuredOrganized activitiesProduces learning

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    Learning - is defined as a change in behaviour(knowledge, skills, attitudes) that can occurat any time or in any place as a result ofexposure to environmental stimuli.

    Patient Education is a process of assisting

    people to learn health related behaviours(knowledge, skills, attitudes, values) so thatthey can incorporate those behaviours intoeveryday life.

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    Staff Educationis a process of influencing thebehavior of nurses by producing changes in

    their skills, attitudes, knowledge, and values

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    Mid- 1800snursing was recognized as uniquediscipline. Teaching has been recognized as

    an important health care initiative assumedby the nurses.

    Early 1900 public health nurses in the USbegan to understood the importance ofeducation in theprevention of disease andmaintenance of health

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    1918 NLNE (National League for NursingEducation)observed the importance of healthteaching as a function within the scope of

    nursing practice.

    1950 NLNE identified the course content dealingwith teaching skills, developmental andeducational psychology, and principles ofeducational process of teaching and learning asareas in the curriculum common to all nursingschools.

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    Today state nurse practice acts (NPAs)universally include teaching within the scope

    of nursing practice.

    Nurse Educators role evolved from:Disease-oriented approach to Prevention-

    oriented approachWise healer to expert advisor/teacher to

    facilitator of change.

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    Growth of managed care, shifts in payercoverage, & reimbursement issues for

    provision of health care

    Health providers are beginning to recognizethe economic and social values in practicingpreventive medicine through healtheducation.

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    Political emphasis is on productivity,competitiveness in the marketplace, and cost-containment measures to restrain health

    services expenses.

    The focus of nursing practice is now on patienteducation.

    Consumers are demanding increased knowledgeand skills about how to care for themselves andhow to prevent disease.

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    Demographic trends are requiring anemphasis to be placed on self-reliance and

    maintenance of a healthy status over anextended lifespan.

    Causes of morbidity and mortality are nowrecognized as lifestyle-related andpreventable through educationalintervention.

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    Increase in the incidence of chronic andincurable conditions leads the people tobecome informed participants to managetheir own illnesses.

    Advanced technology

    Earlier hospital discharge

    Increased number of self-help groups

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    Research must be conducted on the benefits ofpatient education as it relates to:

    Potential of increasing the quality of lifeLeading a disability-free lifeDecreasing the costs of healthcare; andManaging independently at home through

    anticipatory teaching approach.

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    Research must be conducted on the benefits ofteaching methods & tools using the ff.:

    Computer-assisted instructionDistance learningVideo and audiotapes for home use Internet access to health education

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    Research must be conducted to examine theeffects of the factors below that may interferewith the teaching-learning process:

    Environmental stimuli Readiness to learn Learning style Learners motivation Learners compliance & comprehension The ability to apply knowledge and skills once

    they are acquired.

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    AUTONOMY VERACITY

    NONMALIFEASANCE CONFIDENTIALITY BENEFICENCE JUSTICE

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    The patients right to adequate informationregarding his or her physical condition,

    medications, risks, and access to informationregarding alternative treatments is

    specifically spelled out in the Patients bill

    of Rights

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    Health teaching should be properlydocumented in the patients record.Unfortunately, this is probably the most undocumented skill because nurses

    do not recognize the scope and depth of the teaching they do.