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Health Education

- The act of providing information and  Procedural Dimension


learning experiences for purpose of - Teaching method and learner activities
behavioral change and improved for used
health of the client
- The acquisition of knowledge through  Environmental Dimension
exchange of information from teacher to
learners -physical and social factors in the teaching-
learning situation
According to Joint Committee

 Health education is a process with  Human Relations


intellectual psychological, and social - Persons involved in the nursing care
dimension relating to the activities that practice that influence the effectiveness
increase the ability of people to make of the teaching and learning process.
informed decision.
ASPECTS OF HE
PURPOSE
 Behavioral Sciences
- A mean of propagating health promotion  Public Health
and disease prevention  Education
- May be used to modify or continue
health behaviors AIMS OF HEALTH CARE EDUCATION
- Provides Health info and services
- Emphasize good health practices as an  Provides guidance and instruction to
integral part of culture, media, and help all individuals to attain physical
technology. fitness.
- Disseminates information of vital public  Promote personal hygiene,
importance environmental sanitation.
- It is a form of advocacy  Helps individual live healthful lives.
 Develop productive individuals,
THE PROCESS OF HE
THE CHANGE PROCESS
 Physical Health
- promote the ability of the body to  Perceived the need for change
function well  Initiate group interaction
 Emotional Health  Implement change one step at a time
- the ability of an individual to cope with  Evaluate the overall process and make
stress and strain as on faces the further adjustment
challenges of life
STRATEGIES IN MANAGING CHANGE
 Mental Health
- the ability of an individual to make 1. Thinking-Practices Strategy
correct judgement to cope with - Assumes that learners are rational being
situations 2. Interest and Commitment Strategy
 Social Health - Learners act consistently with their
- the ability of an individual to relate with social-cultural norms
others 3. Power and Self Discipline Strategy
 Spiritual health - Learners are coerced to comply with
- recognize the supernatural aspects of instructions
divine healing
FACTORS AFFECTING CHANGE
TYPES OF HEALTH EDUCATION
 Culture
 Information on human biology and  Demographics
hygiene  Socioeconomic conditions and
 Health services directing use of environmental circumstances
resources  State of wellness and development
 Health Education to create a friendly
environment MANAGING CHANGE

DIMENSION OF HE PROCESS  Empirical-national strategy


 According to personal beliefs, interest
 Substantive Dimension and motivation
- What is taught and what is learned
 Normative or re-educative strategy -nursing provides interaction and
 Willingness to change for purpose integration among activities
 Interpersonal
 Power coercive strategy - ensures that nurses is client-centered
 Comply to authoritative figure rather that task-centered
 Goal-directed
Education -nurses and client worked together to
identify specific goals related to wellness
 Interactive process of imparting
and illness prevention
knowledge through sharing, explaining,
 Universally applicable
clarifying, and synthesizing the
substantive content of the learning -practice nursing to well or sick people,
process in order to developed wisdom young or old, regardless of race, and
and behavior etc.

Learning

 It’s the acquisition of knowledge of all


kinds such as abilities, habits, attitudes,
and etc.

Teaching

 The process of providing learning


materials, activities, and experience that
enable the client to acquire knowledge ,
values, and skill in order to facilitate self-
reliant behavior

Patient-Teaching

 Dynamic interaction between nurses as


teacher and the patient as the learners.

Health

 A sense of being physically fit, mentally


stable, and socially comfortable
 It encompasses more than the state of
being free of disease

The Education Process

 A systemic, sequential, logical, planned


course of action consisting of teaching
and learning

Roles and responsibilities of the Nurse as


Health Educator in Teaching Patients

Teaching is not a matter of chance, it's a matter


of choice. It is not something you are destined or
CHARACTERISTICS obliged to do but something you have chosen to
do. Blessed are the teachers far they are God’s
 Systematic gift to everyone.
-an ordered sequence of precise and
accurate activities ~ William Jennings Bryan
 Dynamic
Nurse Educator 10. Develop and maintain health education
libraries to provide resources for staff
1. The primary source of knowledge of and community agencies
learners in nursing
11. Develops, prepares and coordinates
2. The primary catalyst for the learning grant applications and grant-related
process activities to obtain funding for health
3. A role model for nursing students education programs and related work

4. An active facilitator, who demonstrates 12. Document activities, records information


and teaches patient care to nursing such as number of programs completed,
students in the classroom and clinical nursing actions implemented and
settings individual assisted

5. A source of healthcare information and 13. Maintains databases, mailing list,


patient care to clients of care telephone networks and other
information to facilitate the functioning of
6. Is diligent-keeps abreast of health education program
developments in his or her field through
continuing education, reading of nursing Patient Teaching
journals, and active participation in ● Process of influencing patient behavior
workshops and seminars and producing changes in knowledge,
Functions of a Health Educator attitudes and skills necessary in
maintaining or improving health.
1. Collaborates with health specialists and
civic groups in assessing community Purposes of Patient Teaching
health needs and availability of 1. Increase client's awareness and
resources and services and in knowledge of their health status
developing goals for meeting health
needs of clients 2. Increase client satisfaction

2. Designs and conducts evaluation and 3. Improve quality of life


diagnostic studies to assess the quality
and performance of health education 4. Ensure continuity of care
programs 5. Decrease patient anxiety
3. Develops and implements health 6. Increase self-reliant behavior
education and promotion of program
7. Reduce effectively the incidence of
4. Develops operational plans and policies complications of illness
necessary to achieve health education
objectives and services 8. Promote adherence to health care
treatment plans
5. Develop, conducts, or coordinates
health needs assessment and other 9. Maximize independence in the
public heath surveys performance of activities of daily living

6. Prepares and distributes health 10. Energize and empower consumers to


education materials become actively involved in the planning
of their care
7. Provide guidance to agencies and
organizations in the assessment of Principles of Patient Teaching
health education needs and in the
● Assess teaching needs of the client
development and delivery of health
education programs ● Assist what the client knows and begin
from what she knows
8. Provides program information to the
public by preparing and issuing press ● Nurse should consider language
releases, conducting media campaigns barriers, literacy, ethnic, or cultural
and or maintaining program -related background, age and emotional status
websites of the patient.
9. Promotes and maintains cooperative The Role of the Nurse in Client Teaching
working relationship with agencies and
organizations interested in public health ● Health teaching is an essential role of
today's nurses
● Nurse applies the principles of teaching ● Peaceful and calm environment
and learning to change the behavior of provides privacy, reduces distractions
clients and their family members and minimizes interruptions

● Nurses motivate clients and their ● Begin interactions by introducing oneself


families to take charge of and make and nurse's role
responsible decisions about their own
health care. ● Therapeutic communication should be
focused and directed towards meeting
Factors that Influence Client’s Learning the needs of clients

● Stage of Development (ability to learn) ● Communicate more powerful messages


to the client through non-verbal
● Cultural values (norms, traditions and behaviors rather than spoken words
cultural beliefs are considered)
- Eye movements and facial expressions
● Language used (ability to understand) can confirm, or contradict what is said
● Physical environment (consider privacy - Repetitive hand gestures such as
and confidentiality of information) tapping the fingers or twirling hair may
● Previous experiences indicate frustration. Body posture,
stance and gait can convey energy,
● Knowledge and skill of the teacher depression or discomfort
Principles of Client Teaching and Learning - Voice tone, pitch, rate and volume may
indicate joy, anger or fear
● Assess teaching needs of the client
- Grooming also conveys messages
● Assess readiness of the client to learn
about the nurses' sel! image
and the relevance of the content must
be considered - Talking to a young child may require that
the nurse sit or squat to get to the child's
● Assess what the client knows and begin
level
from what she knows
● Active listening requires that the nurse
● The nurse should consider language
attend to what is being said as well as to
barriers, literacy, ethnic, or cultural
the non-verbal clues
background, age and emotional status
of the - Eye contact signals readiness to interact
● Interactive discussions increases - Calm and relaxed posture, upper portion
learning of the body inclined toward the client
● Demonstrate tasks to be done for active - Encouraging non-verbal (nodding,
practice. Repetition increases retention smiling and leaning closer)
and promotes a feeling of competence.
- Touch can be a powerful response
● Praises and positive feedback motivates
learning - Clarifying communication

● Role modeling is an effective method for Therapeutic Techniques


demonstrating behavior Acceptance
● Conflicts and frustrations impede ● Acceptance acknowledges a client's
learning emotions or message and affirms they
● Structured teaching and presentation of have been heard It can be enough to
simple tasks must be done before simply make eye contact and say, "I
complex tasks hear what you are saying."

● A variety of teaching methods necessary ● Client: "I hate taking all this medicine. It
to illustrate concepts and maintain makes me feel numb."
interest of clients ● Nurse (making eye contact): "Yes,
● Present information in small segments understand."
over a period of time for better retention Clarification
and appreciation
● It ask the client to further define what
Guidelines for Therapeutic Communication they are communicating. Similar to
active listening, asking for clarification
when a client says something confusing Paraphrasing
or ambiguous is important.
● Paraphrasing rephrases the client's
● Client: "I feel useless to everyone and words and key ideas to clarify their
everything.” message and encourage additional
communication.
● Nurse: "I'm not sure I understand what
you mean by useless. Can you give an ● Client: "I've been way too busy today.”
example of a time you felt useless?"
● Nurse: "Participating in the support
Focusing groups today has kept you busy.”

● Focusing on a specific statement made Presenting Reality


by a client that seems particularly
important prompts them to discuss it ● Presenting reality restructures the
further. client's distorted thoughts with valid
information.
● Client: "I grew up with five brothers and
sisters. We didn't have much money, so ● Client: "I can't go in that room; there are
my mom was always working and never spiders on the walls.
home. We had to fend for ourselves, ● Nurse: "I see no evidence of spiders on
and there was never any food in the the walls.”
house."
Restating
● Nurse: "It sounds as if you experienced
some stressful conditions growing up." ● Restating uses different word choices
for the same content stated by the client
Exploring to encourage elaboration.
● Exploring gathers more information ● Client. "The nurses hate me here."
about what the client is communicating.
● Nurse: "You feel as though the nurses
● Client: "I had to lie when I found out a dislike you?"
dark secret about my sister."
Reflecting
● Nurse: "If you feel comfortable doing so,
tell me more about the situation and ● Reflecting asks clients what they think
your sister’s dark secret." they should do, encourages them to be
accountable for their own actions, and
Giving Recognition helps them come up with solutions.
● Giving recognition acknowledges and ● Client: "Do you think I should do this
validates the client's positive health new, treatment or not?"
behaviors. Recognition acknowledges a
patient's behavior and highlights it ● Nurse: "What do you think the pros and
without giving an overt compliment. cons are for the new treatment plan?"

● Nurse: "I noticed you took all of your Providing Silence


medications.”
● Providing silence allows quiet time for
Open-Ended Questions/ Offering General self-reflection by the client.
Leads
● The nurse does not verbally respond
● Using open questions or offering general after a client makes a statement,
leads provides keywords to "open" the although they may nod or use other
discussion while also seeking more nonverbal communication to
information. demonstrate active listening and
validation of the client's message.
● Giving patients a broad opening such as
"What's on your mind today?" or "What Making Observations
would you like to talk about?" is a good
● Observations about the appearance,
way to encourage clients to discuss
demeanor, or behavior of patients can
what's on their mind.
help draw attention to areas that might
● Client: "I'm unsure of what to do next." pose a problem for them.

● Nurse: "Tell me more about your ● Nurse: "You look tired today."
concerns.”
● Client: "I haven't been getting much ● Promotes continuity of care
sleep lately because of so many racing
thoughts in my head at night.” ● Facilitates reinforcement

Offering Self/Providing Presence Good documentation

● Offering self provides support by being  Initial assessment and reassessment of


present. Inpatient care can be lonely pertinent data
and stressful at times. When nurses
 Nursing diagnoses and patient learning
provide presence and spend time with needs
their clients, it shows clients they value
them and are witting to give them time  Interventions provided
and attention.
 Patient response and outcomes of care
● Offering to simply sit with clients for a
few minutes is a powerful way to create  Discharge plan of care
a caring connection.
 Ability of the patient and family to
Encouraging Comparisons manage their own needs after discharge

● Encouraging comparisons helps clients Admission Assessment


reflect on previous situations in which
 Pt. profile and history
they have coped effectively. In this
manner, nurses can help clients  Functional ability
discover solutions to their problems.
 Pt readiness, language and physical
● Nurse: "It must have been difficult when capability
you through a divorce. How did you
cope with that?”  Potential problem
● Client: "I walked my dog outside a lot." Problem List
● Nurse: "It sounds as though walking  Actual and Potential health problems
your dog outside helps you cope with
stress and feel better?"  Medical and nursing diagnosis

Offering Hope  Indicate when resolved

● Offering hope encourages a client to Care Plan or Critical Pathway


persevere and be resilient.
 Assessment
● Nurse: "I remember you shared with me
how well you coped with difficult  Medical/nsg diagnosis
situations in the past.”  Patient goal
Summarizing  Interventions
● Summarizing demonstrates active
 Desired outcomes
listening to clients and allows the nurse
to verify information. Flow sheets
● Client: "I don't like to take my  Observation/findings /patient response
medications because they make me outside normal limits
tired, and I gain a lot of weight."
 Charting by exceptions
● Nurse: "You haven't been taking your
medications this month because of the  Pt. teaching-pt understanding on what is
side effects of fatigue and weight gain. taught
Is that correct?"
Progress Notes
Characteristics
 Patient progress
● Covers all aspect of patient care
 Evaluation of pt responses
● Critical for communication among team
members  Pt teaching

● Provides legal record  Needs/ problems

● Supports quality assurance efforts  Plan of care


Discharge Summary fairness in grading tests and grades pertinent to
the subject matter.
 Written reports as source of information
for other health care providers QUALITIES OF AN EFFECTIVE NURSE
EDUCATOR
HALLMARKS OF GOOD TEACHING
PERSONAL QUALITIES
Good teaching
1. Respects her student's maturity and sense
- is a basic consideration of effective learning. of responsibility.
Today's modern teacher of nursing must
possess a system of principles and critical  Shows respect for his or her students by
thinking skills to guide her teaching practices. coming to class on time and prepared.
 Speaks politely and gently.
CHARACTERISTICS OF AN EFFECTIVE
 Avoids useless repetitions and
TEACHER IN NURSING
interspersion of irrelevant topics when
1. Professional Competence lecturing.
 Gives her students freedom to choose
- Competence refers to the teacher's adherence their own topic of interest when selecting
to personal and professional standard of a term paper within the area of medical-
excellence and self-development through surgical nursing, maternal and child
continuous education, skills enhancement and nursing, among others.
keeping one updated with current trends and
issues. 2 Psychologically secure in her own abilities.

- The teacher possesses mastery of the subject  Confident with the accuracy of her
matter in terms of knowledge, skills and values knowledge and skills.
in order to teach students efficiently and  Does not minimize, exaggerate or deny
effectively. his or her grasp of the subject matter or
her experiences in the field.
2. Interpersonal Relationship with Students  Does not resort to the use of
- The teacher's ability to relate well with students identification, rationalization or any other
and her personal interest in the learners. Her obvious defense mechanism to
sensitivity to their feelings and problems, respect camouflage any weakness.
for their rights, and fairness will make learning a 3. Has a sense of humor.
pleasant experience for both the teacher and
students. • Expresses appropriate emotions with levity
when the same is appropriate to the subject
3. Personal Characteristics matter discussed.
- The teacher's personal magnetism motivates 4. Has a well-balanced personality.
students' interest to learn, her enthusiasm to
teach the subject matter and self-control a • Knows when to laugh or be serious.
personal discipline of complying with the rules
and standards of teaching. • Has the ability to make her teaching truly
meaningful to her students.
- The teacher is patient in dealing with problems
and conflict in teaching, possesses flexibility in • Is enthusiastic in teaching the subject matter.
handling the subject matter, time schedules and 5. Is tolerant and fair to all her students.
students. She has a sense of humor to enliven
the discussions and to capture students' interest 6. Shows no partiality and is available to
and a caring attitude that helps foster healthy listen to students' problems.
relationship with learners.
7. Approachable, kind and patient.
4. Teaching Practices
8. Sincere in her efforts of educating the
The teacher's ability and skill in utilizing young and has passion for both nursing and
appropriate methods and techniques in the the learners.
classroom and clinical teaching that sustains
9. Has leadership abilities.
students' interest and desire to learn.

5. Evaluation Practices 10. The image of an ideal nurse with interest


in each student.
- The teacher has a clear communication of
PROFESSIONAL QUALITIES
expectancies, timely feedback on student's
progress; correcting of students' errors tactfully, 1. Teaches lessons that stimulate students to
think and learn
• Presents meaningful and relevant ideas based  The teacher must relate concepts with
on readings, researches, experiences or practical situations for clearer view of
personal encounter in nursing situations. the subject matter.
 Facilitates the students' use of
• Is abreast with current trends and issues in
knowledge acquired in class relative to
nursing practice.
nursing care of patients in their related
Must have a collage of information to serve as learning experiences.
sources of knowledge in teaching students.
6. Possesses mastery of the subject matter.
• Capable of sharing her own relevant
 The teacher must have adequate
experiences in the field of nursing.
sources of information such as journals,
• Personal and professional experience is books, internet sources necessary to
necessary in order for the teacher to convey provide an in depth analysis of concepts
messages or transfer these to the learners. or events discussed.
 The teacher has knowledge of past,
• Intellectually and emotionally expressive. present and future trends and issues of
• Speaks clearly and precisely. nursing such as medical-surgical
nursing or maternal and child nursing,
• Speaks the language at the level of students' among others.
understanding.
7. Speaks clearly, audibly and fluently.
2. Gives clear and concise assignments
• The teacher has excellent written and oral
 Assignments are verbally explained for communication skills.
clarity of instruction and technicalities.
• Able to speak English fluently and has broad
 Assignments are written on the
vocabulary knowledge.
whiteboard for student reference; their
aims and objectives, style or format, • Use her voice appropriately and moderately for
resources and benefits can give the audible understanding.
students in terms of knowledge, skills
and values. 8. Shows professional decorum, well-
 Specific requirements which the paper groomed, properly dressed and poised.
has to meet are spelled out simply but
 Observes proper posture whether
completely on the board.
standing or sitting, well. groomed and
 Clearly indicates the specific time frame
properly dressed, and wears clean,
for completion and submission. shiny shoes.
3. Encourages student feedback on assigned  Observes proper hygiene, tidy and
lessons and activities done presentable and is comfortable in her
manner of teaching.
 Welcomes students' questions,
clarification, reflection, opinions, and 9. Shows broad interests aside from
input and analyzes them in the context teaching.
of the aims and objectives of prescribed
 Besides mastery of the subject matter,
requirements.
the teacher should also be familiar with
4. Presents a well-organized subject matter fine arts and other fields of learning, to
for students' easy understanding. elicit his or her ability to connect or
relate one subject matter to another.
 Content of subject matter must be good
and clear enough for students to see the 10. Evaluates objectively student's
difference in their learning behavior from performance.
the past and the present. In this way,
 The teacher has a structured and
students can rationalize what was
objective basis to evaluate student
learned, using the inductive or deductive
performance based on prescribed
approach.
criteria and competencies desired for
 The nurse educator should prepare prior
each course оr learning experiences.
to class session the necessary materials
needed for students understanding such ESSENTIAL TEACHING SKILLS
as diagrams, charts or PowerPoint
presentations. The following are the essential teaching skills:

5. Provides her students with relevant 1. Skills in Planning and Preparing the
clinical learning experience. Lessons
A nurse educator must be capable in the  The pace and flow of the lesson is well-
choices of educational aims and learning adjusted and maintained at an
outcomes intended for the lesson and how best appropriate level throughout the lesson.
to achieve these, such as the following:
4. Skills in Creating a Positive Climate in the
 The lesson plan has achievable and Classroom
realistic objectives.
 Content, methods and structure selected  Establishes and maintains positive
are appropriate for a particular group of attitude and motivation of students
students. regarding the lesson
 The lesson is planned, a continuation of  Climate is purposeful, task- oriented,
the past and relates to future lessons. relaxed, and with established sense of
order.
 Materials, resources and aids are well-
prepared and double checked before the  Students are encouraged to learn with
class begins. emphasis on high positive expectations
as conveyed by the teacher.
 All planning decisions take into account
the learning level of learners and the  Teacher-student relationships are
course content. largely based on mutual respect and
rapport.
 The lesson is designed to arouse
student interest and elicit active class  Feedback of the teacher contributes to
participation and involvement. student self- confidence and self-
esteem.
2. Skills in Presenting the Lessons  Classroom set-up is conducive to
teaching and learning such as adequate
 Lesson presentation refers to the ability space, ventilation, teacher and students
of the teacher to engage students are audibly and visibly connected, with
successfully in the learning experience multimedia facilities and away from
process attention оr successfully catch public utility distractions.
their attention:
 The teacher is confident, relaxed, self- 5. Skills in Evaluating Student Performance
assured, purposeful, and shows interest
in the lesson.  Evaluation covers both formative and
summative responses.
 The teacher's instructions and
explanations are clear.  Student's work and performance should
be evaluated in a constructive and
 The teacher uses simple words in her
objective manner and returned to
lecture for better understanding of the
students for review.
lesson.
 Encourage students' feedback on
 A variety of learning activities are used
assessments.
to stimulate students' interest.
 Keep records of students' progress for
 Students are actively involved in the
lesson and are given opportunities to future reference.
organize their own work. 6. Skills in Evaluating Teaching Performance
 The teacher shows respect and
encourages students to voice their  The teacher evaluates his or her own
opinions, ideas and contribute much to teaching practices for further
their critical thinking skills and professional improvement.
development.  Various teaching strategies are used for
different sets of lectures.
3. Skills in the Organization and Management  Continuously updates lessons.
of Learning Activities  Continuously improves her ways of
 Management and organization of teaching for better learning outcomes.
learning activities during the class  Manages stress efficiently and
should sustain students' attention, effectively.
interest and involvement in the topic of 7. Skills in the Practice of Appropriate
discussion. Authority
 Class discussion is smooth and sets a
positive mental process.  Ability to impose discipline in his or her
 Student's progress during the lesson is class.
carefully monitored, Constructive and  Able to establish her authority and
helpful feedback is given to students to maintain classroom order over her
encourage them to study harder in order students.
to foster personal progress.  Establishes clear rules and expectations
 Uses time management techniques. in regard to student behavior.
 Monitors student behavior and progress  Serving as a resource person for group
carefully. projects or to individual students;
 Takes appropriate action for  Supervising student's performance in
misbehaving students. the classroom, the laboratory in their
 Confrontations are avoided, and skillfully related learning experiences (RLE) and
defused. other settings where students may
acquire knowledge, skills and desired
ROLES AND FUNCTIONS OF THE TEACHER professional values; and
OR NURSE EDUCATOR  Evaluating all the planned teaching and
1. Instructional Roles learning activities and student outcomes
related to the courses assigned.
The instructional role of the teacher consists of
the following tasks: 2. Faculty Roles

 Planning and organizing courses. This is Besides classroom teaching, a nurse educator
done through the following: also assumes faculty roles such as the following:
 choice of learning outcomes  Chairman, secretary, or member of one
 substantive content or more committees.
 teaching and learning activities for all  Counselor of students in academic or
types of educational setting non-academic matters.
 correlating these with other courses in  Researcher, as a principal investigator
the curriculum. or member of a research team.
Example: Differentiate "needs and problems of a  Resource person to groups inside or
client and cite specific examples. outside the institution, other schools and
health agencies.
 Creating and maintaining desirable  Representative to professional nursing
group climate. This is essential in organizations and other agencies.
creating a classroom climate conducive  As public relations agent, she interprets
to effective teaching and learning. the objectives and the policies of her
institution and helps in the recruitment,
Example: For each RLE group discuss and
or support groups.
differentiate between client needs and problems.
3. individual Roles
 Adapting teaching and preparation of
instructional materials to varying A faculty members assumes personal roles such
interests, needs and abilities of that he or she is a member of a:
students. This addresses the issue of
individual differences and levels of  Family;
student understanding.  Church;
 Community; and
Example: Present video, slides or PowerPoint  Country as a citizen.
depicting a client with needs and problems.

 Motivating and challenging students to


pursue and to sustain learning activities.
This should lead them towards
acceptance of responsibility for their
own learning and foster critical thinking
in analyzing nursing situations.

Example: Each RLE group presents their own


interpretation and analysis of a certain film and
reconcile with the teacher's presentation of
clients' needs and problems.

 Teaching involves a series of complex


activities:
 Supplying needed information or telling
students where these information may
be obtained;
 Explaining, clarifying and interpreting;
 Demonstrating and explaining a
procedure, process or exhibiting
materials;

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