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HE (Week 1-2)
HE (Week 1-2)
PRELIMS WEEK 1
1st year, 2nd SEMESTER | S.Y 2021-2022 TRANSCRIBED BY: MARIA ALYSSA V. JIMENEZ
LECTURER: Ma’am Laicherry Y. Roman, RN, RM, LPT.
[@] One of the importance of health education is to help patients FLORENCE NIGHTINGALE
and their families and assume their responsibility to self-care
Founder of Modern Nursing
management.
Developed the first school of nursing
Set of planned educational activities using a Teaches nurses, physicians and health official about
combination of methods (teaching, counseling and the importance of proper conditions in hospital and
behavior modification) that are designed to improve homes to improve health of people
patient’s knowledge and health behaviors. Emphasize the importance of teaching patients of the
needs for adequate nutrition, fresh air, exercise and
PURPOSE OF HEALTH EDUCATION personal hygiene to improve their well-being.
To increase the competence and confidence of client HISTORICAL DEVELOPMENT OF HEALTH EDUCATION
for self-management.
1900’s
[@] One of the goal of health education is to or for the client to
achieve their independence in self-care. Primary health nurses understood the significance of
the role of the Nurse as Teachers in preventing disease
IMPORTANCE OF HEALTH AND HYGIENE and in maintain the health of society.
o Nurse Practice Acts (NPAs ) in the US
universally include teaching within the scope
of nursing practice responsibilities
o In 1993, the Joint Commission on
Accreditation of Healthcare Organization
(JCAHO) mandates for patient education
which are based on positive outcomes for
patient care.
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1918 paano niya or paano siya magiging self-sustaining or to be
independent on how to take care good of himself/herself, pag
NLE in US recognized the responsibility of nurses for uwi niya sa bahay kaya niya na gawin ang kanyang daily
the promotion of health and the prevention of illness in activities in daily living niya. For example, taking medication at
such settings as schools, homes, hospitals, and the proper time. Kapag nasa hospital at naturo na sa patient on
industries. how to properly administer or take ang kanyang home meds,
pagdating sa bahay aalahanin na lang or tatandaan ng patient
1978
ang instructions nang nurse kung paano properly niya itatake
AHA established the rights of patients to receive yung certain medications or prescribe medications sa kanya at
complete and current information concerning diagnosis a specific time.
and treatment
o From being passive listeners to active listeners.
1933 o Interactive educational approach will provide
client to explore and expand their self-care
JACHO. These standards which take the form of abilities.
mandates, are based on descriptions of positive
outcomes of patient care. [@] When we do our health education, minsan yung mga patient
natin passive listeners lang sila, hindi sila nakikicooperate,
1995 nandon lang sila nakikinig. Pero masasabi natin na reach yung
goal natin kapag naging active listener na yung patient. Paano
Pew Health Professions Commission, influenced by yun? Kung nung una naghealth teaching ka at nakikinig lang sila
the dramatic changes currently surrounding at hindi siya sumasagot or di siya naki-eengage with the
healthcare, published a broad set of competencies that discussion. Pero after, sa mga sumunod na health teaching mo,
it believes will mark the success of the health nakita mo na nakuha mo yung idea or nakuha mo yung interest
professions in the twenty-first century. ng patient. It will help the client or it may promote client’s
engagement with the health teaching. From being passive
listener, okay lang sige nurse magsalita ka dyan makikinig lang
ako to being active listener, makiki-engage na siya, ask
questions when you asked something, the client will be able to
answer your questions or kapag nagdemo ka yung client mo ay
kaya na gawin ang return demonstration. That’s the meaning
from being passive listener to active listeners.
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LEARNING 5. Advocate – protects the welfare of the patient when
needed
Definition:
ASSURE MODEL
Change in behavior (KSA) that can be observed or
measured and that occur at any time or in any place
resulting from exposure to environmental stimuli
An action by which KSA are consciously or
unconsciously acquired that behavior is altered in
someway
- Not how much the nurse imparts but how much the
person learn
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NCMA 112: HEALTH EDUCATION
PRELIMS WEEK 2
1st year, 2nd SEMESTER | S.Y 2021-2022 TRANSCRIBED BY: MARIA ALYSSA V. JIMENEZ
LECTURER: Ma’am Laicherry Y. Roman, RN, RM, LPT.
LEARNING THEORIES
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conditions and the association formed in the learning DISADVANTAGES:
process.
o Example: Respondent conditioning is used to This is teacher centered model in which learners
extinguish chemotherapy patient’s assume are assumed to be relatively passive and
anticipatory nausea and vomiting easily manipulated
Systematic desensitization is a technique based on It focuses on extrinsic reward and external incentives
respondent conditioning that is used by psychologists reinforces and promotes materialism rather self-
to reduce fear and anxiety in their clients initiative
The assumption is that fear of a particular stimulus or Based on animal studies, result not applicable to
situation is learned human behavior
It can also be unlearned or extinguished Clients changed behavior may deteriorate overtime
With this approach, fearful individuals are first taught
REINFORCEMENT
relaxation techniques. While they are in state of
relaxation, the fear-producing stimulus is gradually Rein forcer – a stimulus or event applied after a
introduced at a nonthreatening level so that anxiety and response that strengthens the probability that the
emotions are not aroused. response will be performed again.
OPERANT CONDITIONING [@] When specific responses reinforce on a proper schedule
behavior can be either increase or decrease.
B.F Skinner is regarded as the father of Operant
Conditioning, but his work was based on Thorndike’s o According to Skinner (1974), using positive
(1898) law of effect reinforcement (i.e., Reward) greatly enhances
It focuses on the behavior of the organism and the the likelihood that a response will be
reinforcement that occurs after response repeated. In similar circumstances.
According to this principle, behavior that is followed by Positive reinforcement is the
unpleasant consequences is less likely to be repeated. application of a pleasant stimulus;
It was coined by behaviorist B.F Skinner. He believes giving positive reinforcement (i.e.,
that internal though and motivations could not be used reward) greatly enhances the
to explain. likelihood that a response will be
He suggested at the external observable causes of repeated in similar circumstances.
human behavior. Example: A patient moans and
Skinner used the term operant to any “active behavior groans as he attempts to get up and
that operates upon the environment” walk for the first time after an
operation, praise and
encouragement (reward) for his
efforts at walking (response) will
improve the chances that he will
continue struggling toward the
independence.
Escape Conditioning
ADVANTAGES:
as an unpleasant stimulus is being applied, the
This theory is simple and easy to use. individual responds in some way that causes the
It encourages clear objective analysis of observable uncomfortable stimulation to cease.
environment stimulus conditions, learners’ responses o Example: When a member of the healthcare
and the effect of reinforcement on people’s action team is being chased in front of the group by
being late and missing meetings, she says
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something humorous. The head of the team
stops criticizing her and laughs
[@] Because the use humor allow the team member to escape
at a essence situation chances are that she will employ humor
again to alleviate a stressful environment encounter and thereby
deflect attention from her problem preview
Avoidance Conditioning
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example iron deficiency anemia it means mababa ang TO AID LEARNING AT THE INPUT STAGE:
hemoglobin level ng blood. So, pwede yes that related siya pero
ang low blood pressure ang cause nito it is specifically because Break materials into small parts (MNEMONICS)
of anemia, there are another factors na pwede mangyari yun. Relate new materials to something familiar
After mo mag conduct ng health education what causes low Put it into context for learners
blood pressure and what is the difference between that two.
The Implications:
METACOGNITION
Nursing and other health professional education
Her understanding of her way of learning programs would do well to exhibit and encourage
To promote transfer of learning, the learner must empathy and emotional intelligence in working with
mediate or act on the information on some way patients, family, and staff and to attend to the dynamics
of self-regulation as way to promote positive personal
Cognitive learning theory includes several well-known growth and effective leadership.
perspectives: Research indicates that the development of these
Gestalt attributes in self and patients is associated with a
Information Processing greater likelihood of healthy behavior, psychological
Human Development well-being, optimism, and meaningful social
o Sensorimotor interactions
o Preoperational
BENEFITS OF COGNITIVE THEORY
o Concrete Operations
o Formal Operations Boosts confidence
Social Constructivism Enhances Comprehension
Improves problem-solving skills
PERSPECTIVE OF COGNITIVE THEORY
Encourage continuous learning
GESTALT PERSPECTIVE
JEAN PIAGET
Emphasize the importance of perception in learning
Children take in or incorporate information as they
and lays the groundwork for various other cognitive
interact people with environment
perspectives that followed
Configuration – patterned organized of cognitive They either make their experiences fit with what they
already know (assimilation) or change their
elements
o Example: The whole is greater than the sum perceptions and interpretations in keeping with the new
information (accommodation)
of its parts
LEVVYGOTSKY
[@] So the gestalt perspective believes and it’s not how you do
it it’s the output. Laging output tinitignan, for example, they are Emphasizes the significance of language, social
going to cook adobo at meron silang different ways on how they interaction and adult guidance in learning process
gonna cook the adobo or other menus meron sila different ways.
Clear, well designed instruction that is carefully
In gestalt perspective, it doesn’t matter on how you do it or ano
structured to advance each person’s thinking and
yung process lagi siya nagfofocus what is the output o kung ano
learning
ang magiging output.
Children learn more effectively by discovery and
INFORMATION PROCESSING putting pieces together on their own
Explains the way that information is handled once it Explained the zone of proximal development in regards to
enters the senses and how it is organized and stored language and thought.
Instead of focus on behavior, the focus is on mental 1. He places more emphasis on culture affecting shaping
process that are responsible for behavior and its cognitive development – this contradicts Piaget’s view
meaning of universal stages and content of development.
(Vygotsky does not refer to stages in the way that
Piaget does).
2. He places considerably more emphasis on social
factors contributing to cognitive development
3. He places more and different emphasis on the role of
language in cognitive development
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COGNITIVE LEARNING THEORY SELF-EFFICICAY THEORY
Role Modeling
Vicarious Reinforcement
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APPLICATION OF THEORY sense sila of accomplishment or para mafeel nila na tama ang
kanilang ginagawa. It is very important especially for a child,
Social learning theory has been applied extensively to kapag meron silang task na nagawa we need to give a feedback
the understanding of aggression (Bandura, 1973) and or to praise about doing a great job. That is example of Socail
psychological disorders, particularly in the context of Persuasion.
behavior modification (Bandura, 1969)
It is also the theoretical foundation for the technique of Physiological Cues. (Bandura 1997) states, “it is not
behavior modeling which is widely used in training the intensity of emotional and physical reactions
programs. In recent years, Bandura has focused his that is important but rather how they are perceived
work on the concept of self-efficacy in a variety of and interpreted.
contexts. (e.g., Bandura 1997).
[@] Also, Bandura mentioned that the most effective source in
ALBERT BANDURA’S BOBO DOLL EXPIREMENT efficacy information is the previous or past performance or
experienced of accomplishment. Self-efficacy proves that it is
useful in predicting of behavior of the person.
ACCORDING TO BANDURA:
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