Teaching/Learning and Therapeutic Communication Flashcards
(34 cards)
Why do nurses need teaching skills?
- teaching clients is part of independent nursing practice
- ANA standard in promoting health demands skill in teaching
- patients participate in healthcare decisions
- hospital stays are brief
- healthcare is expensive
***What are the three domains of learning?
Cognitive- storage and recall of information (facts about a disease)
Psychomotor- hands on skill (ex: insulin)
Affective- challenging feelings, beliefs, attitudes, and values (changing a belief about a diet)
What is the social learning theory?
explains the characteristics of the learner
What is self-efficacy?
a person’s perceived ability to successfully perform a task
What is the behavioral learning theory?
explicit identification of information to be taught and immediate reward for correct responses
What is the cognitive learning theory?
- learning is a complex mental activity
- learning is an intellectual or thinking process in which the learner structures and processes information
What is the humanism learning theory?
- focuses on the learners affective, cognitive, and attitudinal
- self-motivated, self-initiated, and self-evaluated
What are the five rights of teaching?
- right time
- right context
- right goal
- right content
- right method
poop?
poop
What are some barriers for the teacher that affect teaching? (6)
- competing demands
- conflicting schedules
- lack of space and privacy
- teaching not seen as a priority
- no third-party reimbursement for teaching
- frustration with amount of documentation needed
***What are some barriers for the learner? (11)
- illness
- fatigue
- anxiety/stress
- low literacy
- lack of time to learn
- overwhelming amount
- overwhelming complexity
- lack of support
- lack of motivation
- language barrier
- does not perceive need for information taught
What are some barriers to technology-based learning?
- lack of social interaction
- poor learner motivation
- diverse learning styles
- time issues
- technical problems
- access to the internet
***What are some examples of teaching strategies?
lecture, group/individual demo, multimedia, pamphlets, simulations, role playing, internet, mentoring, gaming, concept mapping
How do we evaluate learning? (4)
- Increased knowledge
- Direct observation
- Client reports of performance
- Change in Behavior
What is a nursing diagnosis related to lack of knowledge? When should we use it?
Deficient knowledge
- use when the lack of knowledge is the primary problem
- usually you can write a nursing order to provide informal teaching for routine things that are not extensive
What are some outcomes we try to achieve when deficient knowledge is used as a problem?
- learning contract (informal statement of understanding of what is expected of the teacher and learner)
- teaching goals (broadly set out what the final outcome should be)
- learning objectives (specific behaviors that must be completed to accomplish goal)
What are some teaching strategies?
lecture, group discussion, demo/return, one-on-one instruction, digital info, printed info, role-modeling
How can we evaluate outcomes of teaching?
- oral questions, questionnaires, checklists
- clients reports and records
- tests
What factors affect verbal communication? (9)
- vocab
- denotative vs connotative meaning
- pacing of convo
- intonation
- clarity and brevity
- timing
- relevance of info
- credibility of sender
- humor
What factors affect nonverbal communication?
- facial expression
- posture and gait
- personal appearance
- gestures
- touch
What is passive communication?
- avoids conflict
- lets others take the lead
- submissive, helpless, indecisive, apologetic, whining
What is aggressive communication?
- forces others to lose
- bossy, arrogant, opinionated, sarcastic, manipulative, intolerant, overbearing
How to use assertive communication?
- speak clearly and in a positive manner “can do” attitude
- professional composure
- question care decisions openly and honestly
- “I” statements
- focus on issue, not participants
- do not invite negative responses
- accept criticism
- use negative inquiry
- find workable compromises
What are the goals of therapeutic relationships in healthcare?
- improvement of the health of the client
- providing information about health, treatments, and care
- use of therapeutic communication
