DEVELOPING A HEALTH EDUCATION PLAN TOPIC LEARNING OUTCOMES ◾ Formulate health education plan for the client’s specific learning needs. ◾ Differentiate goals and objectives. ◾ Distinguish the three domains of learning. ◾ Write behavioral objectives correctly. ◾ Develop a health education plan for a specific client. ◾ Use teaching methods appropriate for the instruction of clients. ◾ Recognize the role of the nurse educator in developing objectives for planning, implementation and evaluation of teaching and learning. Elements Objectives Strategies and Methodologies Resources Evaluation EDUCATION ◾ Is an interactive process of imparting knowledge through sharing, explaining, clarifying and synthesizing the substantive content of the learning process in order to arrive at a positive judgment and well-developed wisdom and behavior (Kozier) ◾ An application of several teaching and learning principles which compromise a body of knowledge and research findings ultimately meant to result in the formation of expected behavior of an individual (Heidgerken) TEACHING ◾ Is the process of providing learning materials. Activities, situations, and experiences that enable the clients or learners to acquire knowledge, attitudes, values and skills in order to facilitate self-reliant behavior. PATIENT TEACHING ◾ Is a basic function of nursing, the concept of patient teaching is perceived as a legal and moral requirement of licensed nursing personnel and defined as a system of activities intended to produce learning and change in client health behavior (Nursing Fundamentals) EDUCATION PROCESS ◾ Is a systematic, sequential, logical, scientifically based, planned course of action consisting of teaching and learning (Bastable) ◾ A cycle that involves a teacher and a learner ◾ a teaching-learning process occurs before the lesson starts and continues after the last lesson ends. STEPS IN EDUCATION PROCESS 1. Assessment: Process which provides the nurse educator with information regarding the learner’s knowledge and skills needed to efficiently and effectively transfer knowledge and skills to the learners Refers to gathering of data about the learner’s demographic profile, skills and abilities needed in identifying the most appropriate teaching strategy 2. Planning Organized written presentation of what the learner needs to learn and how the nurse educator will initiate the teaching process Includes culturally-relevant skills, learning goals, type of teaching-learning setting, timeline and specific sets of learners activities STEPS IN EDUCATION PROCESS 3. Implementation and Application of the Teaching Plan Includes procedures or techniques and strategies which the teacher will use in implementing the plan. The point where theoretical and practical aspects of teaching-learning process meet as the teacher applies the plan 4.Evaluation The measurement of the teachinglearning performance of both the teacher and the learner It is objective and constructive in relation to creating effective change in the behavior of the teacher and learner in terms of input, process, and output DIFFERENCE BETWEEN THE EDUCATION PROCESS A N D NURSING PROCESS ◾ Nursing process focuses on planning and implementation of care based on assessment and diagnosis of the physical and psychosocial needs of a patient ◾ Education process focuses on planning and implementation of teaching based on assessment and prioritization of the learner’s needs, readiness to learn and learning styles THE PLANNING SEQUENCE I. Developing a course outline or syllabus ◾ Syllabus – is a plan of the entire course, a course outline and program of study that an educator prepares before the actual health education course begins. ◾ It is more extensive and detailed than teaching plan ◾ Contents of syllabus: ◾ Course code ◾ Course title ◾ Credits ◾ Course description ◾ Course requirements ◾ Name of the instructor ◾ Methods to be used ◾ Course objectives ◾ Outline of topics ◾ Textbook and reference materials ◾ Methods of evaluation II. Formulate the Objectives III. Selecting content ◾ Factors to be considered: 1. The course objectives serve as the compass which will guide the teacher with the topics, subtopics, approaches and strategies as well as the course requirements and materials to be used. 2. Time to be allotted for each topic 3. Avoid cramming too much information and details 4. Give time for questions or interactive discussions IV. Selecting teaching methods ◾ Factors affecting the choice of teaching methods: 1. The method will depend on the objectives and type of learning 2. Methodology is influenced by course content 3. Teaching strategy depend on the abilities and interests of the teacher 4. Take into consideration the learning needs and learning styles of the students when choosing teaching methods and strategies 5. Teaching methods depends also on the number of students in class V. Choosing a textbook/references VI. Conducting the class STEPS IN WRITING A HEALTH EDUCATION PLAN 1. Assess the learning needs 1. What are the characteristics and learning capabilities of the learner or client? 2. What needs have been identified and prioritized in terms of health promotion, risk reduction and health problems? 3. What knowledge does he or she already have in relation to the subject matter? 4. Is the client motivated to change unhealthy behaviors? ELEMENTS 1. Course objectives: State clearly the desired outcome; objectives must be student centered and focused on terminal behavior desired to be achieved 2. Related to previous work The plan should relate each class session to the previous work of the course which serves as a basis for coherence, consistency and continuity in presenting the subject matter 3. Selection and organization of the subject matter OBJECTIVES ◾ TYPES OF OBJECTIVES: ◾ Educational objectives: used to identify the intended outcomes of the education process, whether referring to an aspect of a program or a total program of study, that guide the design of curriculum units. ◾ Instructional objectives: describe the teaching activities, specific content areas, and resources used to facilitate effective instruction ◾ Behavioral objectives: also known as “Learning objectives” use of the modifier behavioral or learning objectives to denote that this type of objective is action oriented rather than content oriented, learner centered rather than teacher centered, and short-term outcome focused rather than process focused. ◾ Describes precisely what the learner will be able to do following a learning situation CHARACTERISTICS OF GOAL A N D OBJECTIVE ◾ Goal: Is the final outcome to be achieved at the end of the teaching and learning process Commonly referred as learning outcomes Broad in nature,long-term target Desired outcomes of learning that realistically can be achieved usually in few days, weeks or months. Considered as multidimensional because a number of objectives are subsumed into the overall goal ◾ Objective: Specific, single, concrete, one dimensional behavior Short-term and should be achieved at the end of one teaching session, or shortly after several teaching sessions Intended result of instruction WRITING BEHAVIORAL OBJECTIVES A N D GOALS ◾ Characteristics: 1. Performance: describes what the learner is expected to be able to do to demonstrate the kinds of behaviors the teacher will accept as evidence that objectives has been achieved. 2. Condition: describes the situations under which the behavior will be observed or the performance will be expected to occur 3.Criterion: describes how well,with what accuracy,or within what time frame the learner must be able to perform the behavior so as to be considered competent ◾ Key questions: 1. What should the learner be able to do? 2. Under which condition should the learner be able to do it? 3. How well must the learner be able to do it? Behavioral objectives are statements that communicate who will do what under which conditions and how well, how much, or when (Cummings, 1994) ABCD Rule (Smaldino, Lowther, and Russell, 2012) ◾ A – Audience (who) ◾ B – Behavior (what) ◾ C – Condition (under which circumstance) ◾ D – Degree (How well, to what extent, within what time frame) EXAMPLE ◾ After 20-minute teaching session on relaxation techniques,Mrs. Cruz will be able to identify three distinct techniques for lowering her stress level The Four-Part Method of Objective Writing Condition (circumstance or Audience (Identify who is testing situation) the learner) Behavior (Learner performance) Degree (Criterion reflecting quality or quantity of mastery) Using a model The students Will demonstrate The correct procedure for NGT insertion After watching a video The caregiver Will select High-protein foods for the patient with 100% accuracy Following health teaching The patient Will list At least three importance of good nutrition Writing SMART OBJECTIVES SPECIFIC Be specific about what is to be achieved MEASURABLE Quantify or qualify objectives by including numeric, cost, or percentage amounts of the degree/level of mastery expected ATTAINABLE Write attainable objectives REALISTIC Resources must be available and accessible to achieve objectives TIMELY Date when the objectives will be achieved A N A LYS IS OF C O M P E T E N C I E S BY D O M A I N S A N D LEVEL OF L E A R N I N G ◾ Taxonomy : Is a classification, categorization or arrangement of things based on their relationship with one another ◾ Taxonomy of Educational Objectives: Is a tool for the systematic classification of behavioral objectives: cognitive, affective, psychomotor WHAT IS COMPETENCY? ◾ A combination of skills, knowledge and attitude that enables an individual to perform a task to the standards required for successful job performance. ◾ Deals with "what is expected in the workplace." ◾ Emphasis on performing an actual job and not gaining knowledge or skills for their own sake. BLOOM’S DOMAINS OF LEARNING/COMPETENCIES Cognitive: Mental skills (Knowledge) Affective: Growth in feelings (Attitude) •Created in 1954 Psychomotor: Manual/physical skills (Skills) Known as the thinking domain Involves acquiring information and addressing the development of the learner’s intellectual abilities, mental capacities,understanding and thinking processes Known as the feeling domain Involves an increasing internalization or commitment to feelings expressed as emotions, interests, beliefs, attitudes, values, and appreciation Known as the skills domain Involves acquiring fine and gross motor abilities . Chapter 10 Bastable, S BLOOM’S REVISED T A X O N O M Y Comprehending the meaning Higher Ordered Skills (HOTS) Lower Ordered Skills (LOTS) 31 MBM TRAINING SERVICES HTTP://MBMTRAIN IN G.CO M COGNITIVE DOMAIN WHY IS BLOOM’S TAXONOMY IMPORTANT? 1. All learning involves prior elements and stages ◾ Before we can understand a concept, we have to remember it ◾ Before we can apply the concept, we must understand it,etc. 2. Importance of analyzing prior knowledge 3. Focus on outcome, not tools 4. Knowledge based economy requires higher ordered thinking skills Competence Skills Demonstrated Knowledge The recall of specific information Comprehensio n Application Understanding of what was read Analysis Comparison and contrast of the content to personal experiences Synthesis Organization of thoughts, ideas, and information from the content Evaluation Judgment and evaluation of characters, actions, outcomes, etc., for personal reflection and understanding Converting abstract content to concrete situations KNOWLEDGE/REMEMBERING MEMORIZATION ◾ Observation and recall of information ◾ Knowledge of dates, events,places ◾ Knowledge of major ideas ◾ Mastery of subject matter KNOWLEDGE/REMEMBERING MEMORIZATION ◾ Arrange ◾ Name ◾ Define ◾ Order ◾ Describe ◾ Quote ◾ Duplicate ◾ Identify ◾ Label ◾ List ◾ Memorize ◾ Recall ◾ Recognize ◾ Relate ◾ Repeat ◾ Reproduce COMPREHENSION/UNDERSTANDING UNDERSTANDING ◾ Understand information ◾ Grasp meaning ◾ Translate knowledge into new content ◾ Interpret facts, compare, contrast ◾ Order, group, infer causes ◾ Predict consequences COMPREHENSION/UNDERSTANDING UNDERSTANDING ◾ Classify ◾ Describe ◾ Discuss ◾ Explain ◾ Express ◾ Identify ◾ Indicate ◾ Locate ◾ Recognize ◾ Report ◾ Restate ◾ Review ◾ Select ◾ Translate APPLICATION /APPLYING USING ◾ Use information ◾ Use methods, concepts, theories in new situations ◾ Solve problems using required skills or knowledge APPLICATION /APPLYING USING ◾ Apply ◾ Operate ◾ Choose ◾ Practice ◾ Demonstrate ◾ Schedule ◾ Dramatize ◾ Sketch ◾ Employ ◾ Solve ◾ Illustrate ◾ Use ◾ Interpret ◾ Write ANALYSIS/ANALYZING TAKING APART ◾ Recognition of patterns ◾ Organization of parts ◾ Discovery of hidden meanings ◾ Identification of components ANALYSIS/ANALYZING TAKING APART ◾ Analyze ◾ Differentiate ◾ Appraise ◾ Discriminate ◾ Calculate ◾ Distinguish ◾ Categorize ◾ Examine ◾ Compare ◾ Experiment ◾ Contrast ◾ Question ◾ Criticize ◾ Test EVALUATION/EVALUATING JUDGING ◾ Compare and discriminate between ideas ◾ Assess value of theories, presentations ◾ Make choices based on reasoned argument ◾ Verify value of evidence ◾ Recognize subjectivity EVALUATION/EVALUATING JUDGING ◾ Appraise ◾ Judge ◾ Argue ◾ Predict ◾ Assess ◾ Rate ◾ Attach ◾ Select ◾ Choose ◾ Support ◾ Compare ◾ Value ◾ Defend ◾ Evaluate ◾ Estimate ◾ Explain SYNTHESIS /CREATING PUTTING TOGETHER ◾ Use old ideas to create new ones ◾ Generalize from given facts ◾ Relate knowledge from several areas ◾ Predict, draw conclusions SYNTHESIS /CREATING THE ORGANIZATION OF THOUGHTS, IDEAS, AND INFORMATION FROM THE CONTENT ◾ List the events of the story in sequence. ◾ Do you know any other stories about little girls or boys who escaped from danger? ◾ Make a diorama of the bears’ house and the forest. ◾ Make a puppet out of one of the characters.Using the puppet,act out his/her part of the story. SYNTHESIS /CREATING PUTTING TOGETHER ◾ Arrange ◾ Formulate ◾ Assemble ◾ Manage ◾ Collect ◾ Organize ◾ Compose ◾ Plan ◾ Construct ◾ Prepare ◾ Create ◾ Propose ◾ Design ◾ Set up ◾ Develop ◾ Write T A X O N O M Y OF E D U C A T I O N A L OBJECTIVES: AFFECTIVE DOMAIN Characterization by value or value concept T A X O N O M Y OF E D U C A T I O N A L OBJECTIVES: AFFECTIVE DOMAIN 1. 2. Receiving 3. Valuing a. Differentiate a. Assist, help,support b. Separate b. Specify, relinquish c. Select c. Argue, debate d. Combine e. Accept a. Discuss, compare Responding b. Organize, define, formulate a. Follow b. Approve c. Discuss 4. 5. Organization Characterization a. Manage, resolve, resist ◾ Teaching methods most commonly used Affective questioning Case study Role playing Simulation Group discussion T A X O N O M Y OF E D U C A T I O N A L OBJECTIVES: PSYCHOMOTOR DOMAIN DEVELOPMENT OF TEACHING PLANS ◾ Teaching plan is a blueprint to achieve the goal and the objectives that have been developed ◾ Major reasons why teaching plan is developed: a. To direct the teacher to look at the relationship between each of the steps of the teaching process to make sure that there is a logical approach to teaching b. To communicate in writing exactly what is being taught, how it is being taught and evaluated, and the time allotted to meet each of the behavioral objectives. c. To legally document that an individual plan for each learner is in place and is being properly implemented. BASIC ELEMENTS OF TEACHING PLAN 1. Purpose (the why of the educational session) 2. Statement of the overall goal 3. List of objectives 4. An outline of the content to be covered in the teaching session 5. Instructional method(s) used for teaching the related content 6. Time allotted for the teaching of each objective 7. Instructional resources (materials/tools and equipment) needed 8. Method(s) used to evaluate learning CONSIDERATIONS WHEN FORMULATING A TEACHING PLAN 1. There should be internal consistency within the plan. 2. A decision needs to be made about what domains should be included. 3. The content, methods of teaching,, time allocation, resources and methods of evaluation should be parallel with each objective and be appropriate in accomplishing the domain of learning 4. The educator needs to be conscious and realistic in developing certain elements of a teaching plan 5. The content outline depends on the complexity of the objective and how it relates to the goal CONSIDERATIONS WHEN FORMULATING A TEACHING PLAN 6. The method/s of teaching should be appropriate for the information being taught, the learners, and the setting 7. The amount of time of each teaching objective also must be specified (A teaching session should be no more than 15 – 20 minutes in length and certainly no more than 30 minutes 8. The resources should match the content and support the teaching method/s 9. The method/s of evaluation should relate the domains of each objective and validate whether the goal has been met REFERENCES Main Reference: ◾ Bastable,Susan B.2019. Nurse as Educator principle ofTeaching and Learning for Nursing Practice 5th edition. Jones and Barlett Learning,LLC :Burlington Massachusettes Additional Resources: ◾ Castro,Cecilia E.2011. Health Education for Nursing and Other Allied Professions (withTeaching Strategies and Principles ofTeaching and Learning)Text-Workbook 1st edition.Educational Publishing House: Manila ◾ Tan,Crestita B.2017.The Nurse as Health Educator Concepts,principles and Strategies inTeachingText andWorkbook 2nd edition. APD Educational Publishing House: Manila