1/15/2020

HEALTH
EDUCATION
(NEDHLT1)

BRYAN C. ROBLES, MSN, RN

@brydgr8 brydgr08

COURSE • NEDHLT1 includes discussions on health

DESCRIPTION education concepts, principles, theories, and
strategies as they apply in clinical and
classroom situations.

@brydgr8
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COURSE • Discuss the evolution of health education and the

OBJECTIVES teaching role of nursing;
• Define health education, differentiate types of
health education, explain the importance and
various dimensions of health education;
At the end of the
• Discuss the change process and the various
discussion, the
factors that affect change;
student nurses will
• Discuss the various strategies in the management
be able to:
of change;
• Recognize trends affecting healthcare system in
general and nursing practice in particular. @brydgr8
brydgr08

I. Historical Foundations for the Teaching Role of

the Nurse
A. Historical Development in Health Education
B. The Change Process
C. Social, Political, and Economical Trends
Affecting Health Care
COURSE II. Perspective on Teaching and Learning
CONTENT A. Concepts of Teaching and Learning
B. Hallmarks of Effective Teacher in Nursing
C. Role of Nurse as Health Educator

III. Teaching and Learning Process

A. Barriers of Teaching and Obstacles in
Learning
B. Learning Theories to Health Care Practice
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HISTORICAL DEVELOPMENT
IN HEALTH EDUCATION
@brydgr8
brydgr08

• HISTORICAL DEVELOPMENT ON HEALTH

EDUCATION
• MID-1800s
• Nursing was first acknowledged as a unique discipline
• Teaching has been recognized as an important healthcare
initiative
• Florence Nightingale—developed the first school of
nursing
• EARLY 1900s
• Health Education→prevention of disease and in the
maintenance of health
• Patient Teaching—independent nursing function @brydgr8
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• 1918
• Health teaching—scope of nursing practice (National
League of Nursing)
• 1950
• NLN had identified course content dealing with teaching
• American Nurses Association (ANA) promulgated that
patient teaching is an integral aspect of nursing practice.
• International Council of Nurses (ICN) endorsed
education for health as an essential requisite of nursing
care delivery. @brydgr8
brydgr08

• 1993
• Joint Commission on Accreditation of Hospital
Organizations (JCAHO) delineated nursing standards for
patient education.
• 1998
• Pew Health Professions Commission recommended set
of competencies that deal with the teaching role of health
professionals.
• 21st CENTURY
• Institute for Healthcare Improvement announced the “5
Million Lives Campaign”.
@brydgr8
• Sullivan Alliance; Healthy People 2000, 2010, 2020
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Health-oriented Patient
Education (HOPE)
FACILITATOR of
CHANGE

Prevention-oriented
Patient Education
(POPE)
EXPERT
ADVISOR/TEACHER

Disease-oriented
Patient Education
(DOPE)
WISE HEALER

@brydgr8
THE PARADIGM SHIFT OF THE ROLE OF THE NURSE AS EDUCATOR brydgr08

1. Who is the founder of modern nursing?

2. When does health teaching was considered
important function within the scope of nursing?
MEMORY CHECK 3. When and what organization delineated
standards for patient education?
4. What is the objective of 5 Million Lives
Campaign?
5. What is JCAHO?
@brydgr8
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HEALTH EDUCATION @brydgr8

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• HEALTH EDUCATION
—is a process with intellectual, psychological, and social
dimensions relating to activities that increase the abilities of
people to make informed decisions affecting their personal,
family, and community wellbeing. The process based on
scientific principles, facilitates learning and behavior change in
both health personnel and consumers, including children and
youth (Joint Committee for Health Education).

@brydgr8
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PURPOSES
• A means of propagating health promotion and disease
prevention.
• May be used to modify or continue health behaviors if
necessary.
• Provides health information and services.
• Emphasizes on good health habits and practices.
• A means to communicate vital information to the
public.
• It is also a form of advocacy.
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TYPES
Information Service Environment

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1. Substantive or Circular Dimension

2. Procedural or Methodological Dimension
3. Environmental or Social Dimension
▪ Physical Factors

DIMENSIONS a. Classroom
b. Laboratory
c. Home-based and hospital set-ups
d. Community

@brydgr8
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4. Human Relations Dimension

▪ Individuals Involved in Nursing Care Practice
a. Learners
b. Teacher
c. Administrators
DIMENSIONS d. Group
e. Patient
f. Nursing service personnel
g. Allied health personnel

@brydgr8
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1. Behavioral Science
➢ Psychology
➢ Sociology
➢ Cultural Anthropology
ASPECTS 2. Public Health
➢ Statistics for epidemiologic information
3. Education
➢ Study and practice of teaching and learning

@brydgr8
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1. Enhance knowledge awareness

2. Promotes health, safety, and security of the
people.
3. Develop and improve community resources.
IMPORTANCE
4. Increase productivity and strength of character.
5. Disease prevention
6. Minimize Cost
7. Self-reliant behavior
@brydgr8
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1. What dimensions of health are involved in

health education that will increase to make
informed decision?
2. Name at least 2 purposes of health education?
MEMORY CHECK
3. What are the physical factors affecting the
environmental dimension of health education?
4. Why health education is important?

@brydgr8
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THE CHANGE PROCESS @brydgr8

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CHANGE is inevitable in all aspects of human life.

GUIDELINES
1. Perceive the need for change.
2. Initiate group interaction.
3. Implement change one at a time.
4. Evaluate overall results of the change process and
make further adjustments.

@brydgr8
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MANAGING CHANGE
• Empirical-Rational Strategy
• Normative or Re-educative Strategy
• Power-Coercive Strategy

@brydgr8
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FACTORS AFFECTING CHANGE

• Culture
• Demographics
• Socioeconomic Conditions and Environment
Circumstances
• State of Wellness and Development

@brydgr8
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MEMORY CHECK 1. How should someone manage change?

@brydgr8
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SOCIAL, POLITICAL, AND ECONOMIC @brydgr8

TREND AFFECTING HEALTH CARE brydgr08

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SOCIAL TRENDS
• Preventive Medicine
• Disease prevention and health promotion education at
communities, schools and workplaces.
• Continuing education
• Patient education/teaching
• Demographic trends: The Aging Population
• Major causes of morbidity and mortality

@brydgr8
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SOCIAL TRENDS
• Increase in the incidence of chronic and incurable conditions
• Community-based care setting
• Self-help groups

@brydgr8
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ECONOMIC TRENDS
• Growth of managed care
• Consumerism: consumer rights and responsibilities

@brydgr8
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POLITICAL TRENDS
• Healthy People 2020
• Emphasis on productivity, competitiveness in the marketplace,
and cost containment measures

@brydgr8
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CONCEPTS OF TEACHING AND @brydgr8

LEARNING brydgr08

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EDUCATION IN HEALTH CARE

• Patient Education
• Nursing Staff/Student Education

@brydgr8
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PATIENT EDUCATION
• A process of assisting people to learn health-
related behaviors (K,S,A, and V) so they can
incorporate those behaviors into everyday life.
• Goal
• From being invalid to being independent in care;
• From being dependent recipients to being
involve participants in the care process;
• From being passive listeners to active listeners
• Purpose
@brydgr8
• To increase the competence and confidence of brydgr08

clients for self-management

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PATIENT EDUCATION
• Benefits
• Increase consumer satisfactions.
• Improve quality of life.
• Ensure continuity of care.
• Decrease patient anxiety.
• Effectively reduce the incidence of complications of illness.
• Promote adherence in the performance of activities of daily
living.
• Energize and empower consumers to become actively
involved in the planning of their care @brydgr8
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NURSING STAFF/STUDENT EDUCATION

• The process of influencing the behavior of nurses by
producing changes in their K,S,A, and V.
• Goal
• Enhance their practice.

• Purpose
• To increase the competence and confidence of nurses to
function independently in providing quality care to the
consumer. @brydgr8
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NURSING STAFF/STUDENT EDUCATION

• Benefits
• Job satisfaction.
• Allow greater patient-nurse autonomy.
• Increase accountability for practice.
• Create change that really makes a difference in the lives
of others.

@brydgr8
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EDUCATION PROCESS
• A systematic, sequential, planned course of action consisting
of two major interdependent operations: teaching and
learning.

• TWO INTERDEPENDENT PLAYERS

• Teacher
• Learner

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ASSURE Model
• a six-step Instructional Systems Design (ISD), intended to help
teachers utilize technology and media in the classroom.
• a way to ensure that the learning environment is appropriate for
students.
• can be used in lesson plans to improve your own teaching and
your students’ learning while using technology.
• it is a framework that assumes passive learners will not learn
at their best; learners must be actively participating in their own
learning, interacting with their environment and peers.
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