Unit 2 Flashcards

(32 cards)

1
Q

What are some barriers to providing education as a teacher?

A
  • Lack of time
  • low priority status of client education
  • lack of confidence and competence
  • questionable effectiveness of client education
  • documentation difficulties
  • absence of third-party reimbursement
  • negative influence of environment (lack of space and privacy, noise)
  • lack of motivation and skill
    *all of these factors interfering with the health professional’s ability to teach
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2
Q

What are some barriers to learning as a patient?

A
  • Lack of time (rapid discharge or episodic care)
  • stress of illness
  • readiness to learn issues (motivation and adherence)
  • complexity, fragmentation, and inconvenience of healthcare system
  • denial of learning needs
  • lack of support from health professionals or significant others
  • extent of needed behaviour changes
  • negative influence of environment
  • literacy problems

all these factors interfering with ability of learner to process information

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3
Q

What is the low end of the education spectrum?

A

telling patient about their medication. Prep for how to teach this learned in school and practiced so many times it will become rout. Is quick and follow up is often completed by other staff, which makes charting essential

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4
Q

What is the middle of the education spectrum?

A

Discharge care plan teaching. reviewing this with the patient, potentially over a few sessions to ensure understanding

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5
Q

What is the High end of the spectrum?

A

clinical nurse educator, public health nurse. The job of teaching

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6
Q

What are the four steps of the education process?

A

Assessment
Planning
Implementation
Evaluation

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7
Q

What is the assessment stage?

A

Determine learning needs, readiness to learn

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8
Q

What is the planning stage?

A

Teaching plan based on mutually developed goals

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9
Q

What is the implementation stage?

A

Perform the act of teaching

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10
Q

What is the evaluation stage?

A

Determine behaviour changes in knowledge, attitudes, skills

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11
Q

What are the points for intentionally delivering health education

A
  • RN is responsible to ensure the client receives the information (CRNS)
  • Health status can interfere in processing information
  • Clients have multiple barriers to learning pain, fear, separation
  • RN teaching styles can create a barrier
  • People have different preferences for learning
  • Designed to accommodate educational, cultural diversity and individual abilities
  • Interpret and adapt information based on the learner’s situation/needs
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12
Q

What are three examples of theoretical models

A

Social learning theory (Bandura)
Adult learning principle (Malcolm Knowles)
Neuropsychological (right/left brain)

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13
Q

What does the term “ingestion to digestion” mean in learning

A
  • information is received then broken down (like food)
  • info is separated, stored or discarded based on if the body will need it or use it
  • personal values and beliefs help interpret the information
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14
Q

What are the four essential elements of clinical communication

A
  1. communication problems in medical practices are important and common
  2. Patients feel anxiety and dissatisfaction related to uncertainty and lack of information, explanation, and feedback
  3. Professionals often misperceive the amount and type of information the patient wants to receive
  4. Psychological distress is less when patients perceive they have received adequate information
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15
Q

What is patient and family centered care

A

This philosophy adopted by the health authority is to be threaded through everything they do

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16
Q

Patients and Families experience better care when:

A
  • acknowledge people as experts on their own lives
  • encourage open and honest conversations
  • support patients to understand their options and make decisions about their care
  • look for ways to improve care based in the needs of each patient
17
Q

What are three impacts of communication

A
  • explaining and understanding concerns decreases anxiety levels
  • When patients participate, their levels of satisfaction, compliance, and treatment outcomes increase
  • improved quality of communication is related to positive health outcomes
18
Q

What does VARK stand for

A

V = Visual
A = Aural/Audio (listen)
R = Written word (read)
K = Kinesthetic (hands on)

19
Q

What are three additional aspects to VARK
(LSS)

A

Logical
Social
Solitary

20
Q

What points help with the application of learning styles

A
  • people process information differently
  • deliberate choices regarding designing materials
  • preferred approaches to different learning tasks
  • caution applied when considering styles - reading/capabilities to learn, education and cultural background and rates of learning are equally important
21
Q

Is using a mixed approach a good tool to teach all people

A

yes, as all people are typically a blend of all these styles

22
Q

What are some good questions to ask to determine a person’s learning style

A

“Do you prefer group sessions of 1:1 instruction”
“How do you learn best”
“Is this style working for you?”
the goal is to ensure that each client is provided the opportunity to learn in their best or most comfortable way

23
Q

What is the universal design for learning

A

UDL is defined as “a framework to improve and optimize teaching and learning for all people based on scientific insights into how humans learn”

24
Q

What considerations are needed for diversity?

A

Neurodiversity
Culture
Gender
Socioeconomic

25
What is the significance of culture on learning
- different understandings of health and illness - right to access and understand health information in a language and literacy level they understand - interactions with providers - information/patient education materials - navigating facilities and systems of care (referrals to specialists)
26
Recognizing culture influences health care increases:
- accessibility to healthcare and overall health literacy - informed decision making
27
What is cultural awareness
- first step to enhance health literacy and reduce inequities - developing sensitivity/awareness to differences - not assigning judgement to cultural differences
28
What is cultural reflection
- Provider realizes importance of culture when providing information - and the importance of culturally supportive environment - provider actively creates environment where individuals feel culturally safe and without risk
29
What is awareness in action
Practitioner creates language appropriate written materials - involve health navigators/interpreters in health information exchange
30
What is cultural competency
- focus is on skill of Practitioner not on the client - Integrating and transforming your own health knowledge based on knowledge found in other cultures - reduce long standing inequities - improves access, quality of service, outcomes - risk - do's and don'ts can lead to assumptions based on traits or attributes
31
What is cultural safety
- shift perspective to what matters for the CLIENT - "good nursing care" with a thorough assessment - mutual recognition, mutual respect for differences - recognizes power differentials and addresses them - OUTCOME of culturally competent care
32