Health education: Is a process that informs, motivates, & helps to adopt & maintain healthy practices & life styles, advocates environmental changes as needed to facilitate this goal. H.E is very vital to understand the h. care requirements for promotion, maintenance, & restoration of health. It is an approach for teaching people to deal with past, present & future h. problems, increasing coping abilities & assumes responsibilities for health. H.E may be provided for many needs: diabetic members, young couples with their first babies& others. Nature of learning It is a process resulting in some modification of relatively permanent of the behavior, e.g. way of thinking, felling. Three domains of learning we should know. Cognitive domain Deals with the recall or recognition of knowledge & developing the intellectual abilities & skills. 1st we should assess the cognition abilities of the learner. Teaching above or below client’s level of understanding may lead to frustration. Affective domain It describes changes in attitudes, values & appreciation. Nurses influence what people think, value & feel. Listen carefully to detect clues to feelings. Some cultural groups eat no beef or pork. Nurses may need praise to change people attitudes also people need a lot of support & encouragement. Psychomotor domain Includes the performance of skills that require integration of mental & muscular ability. (Injection, B.p.) Three conditions must be met Having the necessary ability. Having the ability to carry- out the skills. Opportunities to practice. Demonstrate the skills in person, or with a video or pictures, practice & correct the errors. For effective H.E. three domains must be used. Teaching strategies must be based on an assessment of learner’s needs, abilities, beliefs…etc. H.E. aims at adoption of new ideas & practice. Stages of changing Stage of awareness: person comes to know the new idea or practice, having general information & knows little. Stage of interest: person seeks more information, willing to listen& learn. Stage of evaluation: person weighs the usefulness & the importance of the practice. Either to try or reject the practice. Trial stage: put the education in to practice he may need more information. Adoption: the person decides that new practice is good & adopts it. It is process may be reached at any stage. Factors influencing learning Client’s readiness: interests, concerns, & educational background are important e.g. use simple, factual materials to teach the low grade school woman. All participants should feel free to express ideas. & feel accepted. Client participation: the degree of participation influences the amount of client learning involving. Senior citizens attended a class on nutrition & aging who encouraged by the nurse to present problems & solutions for food purchasing. Subject’s relevance to client: more relevant subject that more readily learned. Useful to their own purpose. Client’s satisfaction: client must feel satisfaction & the sense of progress. This all happen through the nurse support & encouragement. Client application: learning is reinforced through application & it should be through their daily life. Client tries under supervision. Transferring of learn is vital in prevention & health promotion. E.g. teaching family to use a septic technique in caring for the wound may transfer the same principle to prevent infection in daily life. Teaching process Interaction: communication→Relationship→develop questioning techniques. Assessment & diagnosis: determine client’s present health status. To identify the learning needs, by using the surveys, interviews. & others. Planning: prioritize the learning needs. Setting goals & objectives Establishing agreed goals & objectives mutually. It should be well written to enhance evaluation. Planning teaching – learning activities Written plan & should include the following: Subject. Audience. Date, time & place. Goal statements & specific objectives. Activities to accomplish the objectives. Teaching learning methods. Assignments: reading, presentations, papers, demonstrations. Course outlines topics & dates. Evaluation method & criteria: results of pre-& post testing. 5. Implementing teaching: carrying- out the planned activities. Evaluation: All goals & objectives determination whether met or not & why. Partially met & how to explore the out come. Teaching- learning approaches Teaching is carried out at three levels: individual, group & general public through mass media, combination of approach can be used. Individual Teaching One-to-one teaching, it is ideal to assess the learner skills, promote sharing, tailoring of teaching plan, suitable for many conditions. E.g. initial diabetic teaching, skill training. Advantages: Active role of the learner, give motivation & flexibility. Response to the learner’s problems & needs is possible. Teacher can help the learner to build problem solving skills. Disadvantages: Family’s lack of sharing & support, time consuming. Group Teaching Carried out with several patients or family members 2-3 clients may be able to offer some of the advantages. Medium 6-30 clients. Used for prenatal care, large group 30 and more. For lectures & films. Advantages: Economical of time & resources, helps clients learn from one another, fosters attitude development. Disadvantages Lack of individual attention, teaching content may not address specific needs, not appropriate for skill training, not applicable with pt. that is physiologically or emotionally unstable. Mass Media Approach T.V, Radio & others. They less effective in changing human behavior, one way communication, raising general level of knowledge. Teaching methods & techniques Either using one or a combination of methods some of them are lectures, discussion, demonstration. Teaching Aids / tools Used to enhance teaching- learning process. It can effectively promote the levels of learning. (Cognitive, affective, & psychomotor) the health care professional should be available to discuss, demonstrate, & clarify the concepts introduced by the aids. Content for teaching Human biology, nutrition, family health care, & others