1. Principle Of Learning and Education Course NUR 314 Chapter 1 Overview of Education in Health Care

2. Evolution of the teaching role of nurses
Health education has long been considered a standard caregiving role of the nurse.
Patient teaching is recognized as an independent nursing function.
Nursing practice has expanded to include education in the broad concepts of health and illness.

3. Evolution of the teaching role of nurses (cont’d)
American Hospital Association (AHA)
Patient’s Bill of Rights ensures that clients receive complete and current information.
Patient education was a significant part of Patient’s Bill of Rights.
The Joint Commission (TJC)
Accreditation mandates require evidence of patient education to improve outcomes.

4. Evolution of the teaching role of nurses (Cont’)
Healthy People 2000, Healthy People 2010, and Health People 2020 established educational programs.
Pew Health Professions Commission
Put forth a set of health profession competencies for the 21st century
Many of the competencies deal with teaching.

5. Evolution of the teaching role of nurses (cont’d)
In nursing, patient education has long been a major component.
Florence Nightingale was the ultimate educator.
National League of Nursing Education (NLNE), now the National League for Nursing (NLN)
Observed in 1918 that health teaching is an important function within the scope of nursing practice

6. Evolution of the teaching role of nurses (cont’d)
American Nurses Association (ANA)
Responsible for establishing standards and qualifications for practice, including patient teaching
International Council of Nurses (ICN)
Endorses health education as an essential component of nursing care delivery

7. Evolution of the teaching role of nurses (cont’d)
State Nurse Practice Acts
Universally include teaching within the scope of nursing practice
Nursing career ladders often incorporate teaching effectiveness as a measure of excellence in practice.

8. Purpose, Goals, and Benefits of Client and Staff Education
Purpose: To increase the competence and confidence of clients to manage their own self-care and of staff and students to deliver high-quality care
Benefits of education to clients:
Increases consumer satisfaction
Improves quality of life
Ensures continuity of care

9. Purpose, Goals, and Benefits (cont’d)
Decreases client anxiety
Reduces incidence of illness complications
Promotes adherence to treatment plans
Maximizes independence
Empowers consumers to become involved in planning their own care

10. Purpose, Goals, and Benefits (cont’d)
Benefits of education to staff:
Enhances job satisfaction
Improves therapeutic relationships
Increases autonomy in practice
Provides opportunity to create change that matters

11. The Education Process
Definition of Terms 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

12. The Education Process (cont’d)
Learning: A change in behavior (knowledge, attitudes, and/or skills) that can be observed or measured, and that can occur at any time or in any place as a result of exposure to environmental stimuli

13. The Education Process (cont’d)
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

14. 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 instructional methods and materials
Require learner performance
Evaluate/revise the teaching plan

15. Contemporary Role of the Nurse As Educator
Nurses act in the role of educator for a diverse audience of learners—patients and their family members, nursing students, nursing staff, and other agency personnel.
Despite the varied levels of basic nursing school preparation, legal and accreditation mandates have made the educator role integral to all nurses.

16. Contemporary Role of the Nurse As Educator
The partnership philosophy stresses the participatory nature of the teaching and learning process.
The new educational paradigm focuses on the learner learning.
Instead of the teacher teaching
The nurse becomes the “guide on the side.”

17. Contemporary Role of the Nurse As Educator
Nursing education transformation
Gap between nursing education and practice
Patient engagement
Nursing Alliance for Quality Care (NAQC) goals: Consumer-centered health care, performance measurement and public reporting, advocacy, and leadership

18. Contemporary Role of the Nurse As Educator
Quality and safety education in nursing
Robert Wood Johnson Foundation (RWJF) Quality and Safety Education in Nursing (QSEN) competencies:
Patient-centered care
Teamwork and collaboration
Evidence-based practice

19. RWJF Quality and Safety Education in Nursing competencies (cont’d):
Quality improvement
Informatics
Safety

20. Institute of Medicine (IOM)
The Future of Nursing: Leading Change, Advancing Health
Written in response to the Affordable Care Act
Describes the role of nursing in a transformed healthcare system

21. Institute of Medicine (cont’d)
The Future of Nursing recommendations:
Remove scope of practice barriers
Expand opportunities for nurses to lead in collaborative efforts
Implement nurse residency programs

22. Institute of Medicine (cont’d)
The Future of Nursing recommendations (cont’d):
Increase proportion of nurses with baccalaureate degrees to 80% by 2020
Double number of nurses with a doctorate by 2020

23. Institute of Medicine (cont’d)
The Future of Nursing recommendations (cont’d):
Prepare and enable nurses to lead change to advance health
Build infrastructure for the collection and analysis of data
Ensure that nurses engage in lifelong learning

24. Barriers to Teaching
Barriers to teaching are those factors impeding the nurse’s ability to optimally deliver educational services.

25. Major barriers to teaching include
lack of time
low-priority status given to teaching
Lack of confidence and competence
Questionable effectiveness of client education
Documentation difficulties
Absence of third party reimbursement
Negative influence of environment
Lack of motivation and skills

26. Obstacles to Learning
Obstacles to learning are those factors that negatively impact on the learner’s ability to attend to and process information.

27. Major Obstacles to Learning
lack of time
Stress of illness
Readiness to learn
complexity ,inconvenience of health care system
Denial of learning need
lack of support from health professional
Extent of needed behavior changes
Negative influence of environment
Literacy problem

28. Reference
Bastable, S. (2014): Nurse As Educator: Principles of Teaching and Learning For Nursing Practice. 3rd ed Jones and Bartlett Publishers, Sudbury.