midterms1&2 Flashcards
(132 cards)
defined as gaps in knowledge that exist between a desired level of performance and the actual level of performance (HealthCare Education Associates, 1989).
Learning needs
In other words, it is the gap between what someone knows and what someone needs or wants to know. Such gaps may arise because of a lack of knowledge, attitude, or skill.
Learning Needs
important steps in assessment of learning needs
- Identify the learner
- Choose the right setting
- Collect data about the learner
- Collect data from the learner
- Involve members of the healthcare teams
- Prioritize needs
- Determine Availability of educational resources
- Assess the demands of the organization
- Take time-management issues into account
the development of formal and informal education programs for patients and their families, nursing staff, or students must be based on accurate identification of the learner. For example, an educator may believe that all parents of children with asthma need a formal class on potential hazards in the home. This perception may be based on the educator’s interaction with a few patients and may not be true of all families.
Identify the learner
Establishing a trusting environment helps learners feel a sense of security in confiding information, believe their concerns are taken seriously and are considered important, and feel respected.
Ensuring privacy and confidentiality is recognized as essential to establishing a trusting relationship.
Choose the right setting
Once the learner is identified, the educator can determine characteristic needs of the population by exploring typical health problems or issues of interest to that population.
Subsequently, a literature search can assist the educator in identifying the type and extent of content to be included in teaching sessions as well as the educational strategies for teaching a specific population based on the analysis of needs.
collect data about the learner
Learners are usually the most important source of needs assessment data about themselves.
Allow patients and/or family members to identify what is important to them, what they perceive their needs to be, which types of social support systems are available, and which type of assistance these supports can provide.
Actively engaging learners in defining their own problems and needs motivates them to learn because they are invested in planning for a program specifically tailored to their unique circumstances.
collect data from the learner
Other health professionals likely have insight into patient or family needs or the educational needs of the nursing staff or students resulting from their frequent contacts with both consumers and caregivers.
Nurses are not the sole educators of these individuals; thus they must remember to collaborate with other members of the healthcare team for a richer assessment of learning needs.
This consideration is especially important because time for assessment is often limited. In addition to other health professionals, organizations such as the American Heart Association, the American Diabetes Association, and the American Cancer Society are excellent sources of health information
involve members of the healthcare team
Maslow’s (1970) hierarchy of human needs can help the educator prioritize so that the learner’s basic needs are attended to first and foremost before higher needs are addressed.
Prioritizing the identified needs helps the patient or staff member to set realistic and achievable learning goals. Choosing which information to cover is imperative, and nurse educators must make choices deliberately.
Without good assessment, a common mistake is to provide more information than the patient wants or needs. To avoid this problem, the nurse must discriminate between information that patients need to know versus information that is nice for them to know
prioritize needs
Criteria for prioritizing learning needs
1 . mandatory
- desirable
- possible
Needs that must be learned for survival or situations in which the learner’s life or safety is threatened. Learning needs in this category must be met immediately. The nurse who works in a hospital must learn how to do cardiopulmonary resuscitation or be able to carry out correct isolation techniques for self-protection.
mandatory
Needs that must be learned for survival or situations in which the learner’s life or safety is threatened. Learning needs in this category must be met immediately. The nurse who works in a hospital must learn how to do cardiopulmonary resuscitation or be able to carry out correct isolation techniques for self-protection.
desirable
Needs for information that is nice to know but not essential or required or situations in which the learning need is not directly related to daily activities.
possible
The educator may identify a need, but it may be useless to proceed with interventions if the proper educational resources are not available, are unrealistic to obtain, or do not match the learner’s needs.
For example, a patient who has asthma needs to learn how to use an inhaler and peak-flow meter. If the proper equipment is not available for demonstration/return demonstration at that moment, it might be better for the nurse educator to concentrate on teaching the signs and symptoms the patient might experience when having poor air exchange than it is to cancel the encounter altogether.
determine availability of educational resources
This assessment yields information that reflects the climate of the organization.
The educator should be familiar with standards of performance required in various employee categories, along with job descriptions and hospital, professional, and agency regulations.
assess the demand of the organization
Because time constraints are a major impediment to the assessment process, Rankin, Stallings, and London (2005) suggest the educator should emphasize the following important points with respect to time-management issues:
1.It is much more efficient and effective to take the time to do a good initial assessment upfront than to waste time by having to go back and uncover information that should have been obtained before beginning instruction.
2.Learners must be given time to offer their own perceptions of their learning needs if the educator expects them to take charge and become actively involved in the learning process. Learners should be asked what they want to learn first, because this step allays their fears and makes it easier for them to move on to other necessary content (McNeill, 2012).
3.Assessment can be conducted anytime and anywhere the educator has formal or informal contact with learners. Data collection does not have to be restricted to a specific, predetermined schedule.
4.Informing a patient ahead of time that the educator wishes to spend time discussing problems or needs gives the person advance notice to sort out his or her thoughts and feelings.
Minimizing interruptions and distractions during planned assessment interviews maximizes productivity
take time-management issues into account
can be defined as the time when the learner demonstrates an interest in learning the information necessary to maintain optimal health or to become more skillful in a job.
readiness to learn
occurs when the learner is receptive, willing, and able to participate in the learning process. It is the responsibility of the educator to discover through assessment exactly when patients or staff are ready to learn, what they need or want to learn, and how to adapt the content to fit each learner.
readiness to learn
To assess, the educator must first understand what needs to be taught, collect and validate that information, and then apply the same methods used previously to assess learning needs, including making observations, conducting interviews, gathering information from the learner as well as from other healthcare team members, and reviewing documentation.
readiness to learn
four types of readiness to learn
- Physical Readiness
- Emotional readiness
- Experiential readiness
- Knowledge readiness
•Ability to perform a task requires fine and/or gross motor movements, sensory acuity, adequate strength, flexibility, coordination, and endurance.
Creating a stimulating and accepting environment by using instructional tools to match learners’ physical and sensory abilities encourages readiness to learn.
measures ability
•affect the extent to which the learner can master the behavioral changes in the cognitive, affective, and psychomotor domains.
Psychomotor skills, once acquired, are usually retained better and longer than learning in the other domains (Greer, Hitt, Sitterly, & Slebodnick, 1972). Once ingrained, psychomotor, cognitive, and affective behaviors become habitual and may be difficult to alter.
complexity of task
Research suggests that women are generally more receptive to medical care and take fewer risks with their health than do men (Ashton, 1999; Bertakis, Rahman, Helms, Callahan, & Robbins, 2000; Harris, Jenkins, & Glaser, 2006; Rosen, Tsai, & Downs, 2003; Stein & Nyamathi, 2000).
•This difference may arise because women traditionally have taken on the role of caregivers and, therefore, are more open to health promotion teaching.
•Men, by comparison, tend to be less receptive to healthcare interventions and are more likely to be risk takers. A good deal of this behavior is thought to be socially induced.
gender
influences a person’s ability to perform at cognitive, affective, and psychomotor levels. In particular, it affects patients’ ability to concentrate and retain information (Kessels, 2003; Sandi & Pinelo-Nava, 2007; Stephenson, 2006).
anxiety level