NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY CHAPTER 1 AND 2: HEALTH HEALTH ➢ “Heal” = HAEL means WHOLE (Body, mind & spirit) ➢ “Theory of Holism” - Whole person and his/her integrity, soundness, or well-being and that the person functions as a complete entity DIMENSIONS OF HEALTH Broader Dimensions 1. Societal health – the link between health and the way a society is structured. 2. Environmental health – refers to the physical environment where people live. Individual Dimensions 1. PHYSICAL – being fit and not being ill. 2. SOCIAL – support system available. How you relate to society with other people and in times of crisis or problems you have a support system that is available. 3. MENTAL – sense of purpose or belief of own’s worth. 4. EMOTIONAL – expression of self and develop and sustain a relationship. 5. SEXUAL – expression of one’s sexuality. 6. SPIRITUAL – supreme being; practice moral beliefs and principles. “HEALTH IS A STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING AND NOT MERELY ABSENCE OF DISEASE AND INFIRMITY.” – WORLD HEALTH ORGANIZATION “Being healthy means being able to function well physically and mentally and to express the full range of one’s potentialities within the environment in which one is living “ - DUBOS AND DUNN MODERN CONCEPT OF HEALTH “OLOF” OPTIMUM LEVEL OF FUNCTIONING of individuals, families & communities. HEALTH EDUCATION to promote, maintain and enhance one’s health, prevent illness, disability and premature death through the adoption of health behavior, attitudes and perspectives. “Is the translation of what is known about health into desirable individual and community behavior by means of education process.” - WILLSON GROUT “Is the sum of experiences which favorably influence the habits, attitudes and knowledge” - DR. WOMAN WOOD PURPOSES OF HEALTH EDUCATION • Aims to positively influence the health behavior and health perspectives of individuals and communities for them to develop self-efficiency to adopt health lifestyle resulting to healthy communities. • 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 which is an integral aspect of culture, media and technology. • A means to communicate vital information to the public. • A form of advocacy. IMPORTANCE OF HEALTH EDUCATION • EMPOWERS PEOPLE TO DECIDE FOR THEMSELVES what options to choose to enhance their quality of life. • ENHANCES THE QUALITY OF LIFE by promoting healthy lifestyle. • CREATES AWARENESS regarding the importance of preventive and promotive care thereby avoiding or reducing the costs involved in medical treatment of hospitalization. • EQUIPS PEOPLE with → Knowledge and competencies → To prevent illness, maintain health or apply first aid measures. CHARACTERISTICS OF EFFECTIVE HEALTH EDUCATION → DIRECTED AT PEOPLE who are directly involved with health-related situations and issues. → Lessons are REPEATED AND REINFORCED. → Lessons are ADAPTABLE. → ENTERTAINING AND ATTRACTS ATTENTION. (Brochures) → Uses CLEAR AND SIMPLE LANGUAGE with local expressions. → PROVIDES OPPORTUNITIES for dialogue, discussion, and learner participation and feedback. → USES DEMONSTRATION to show the benefits of adopting practices. PRINCIPLES AND THEORIES IN TEACHING AND LEARNING • TEACHING – “sharing of information and experiences to meet intended learner outcomes in the cognitive (affecting the feeling), affective, and psychomotor domains according to an education.” – Bastable, 2019 • LEARNING - “Is relatively permanent change in mental processing, emotional functioning and/or behavior as a result of experience.” -Bastable, 2003 - Lasting or permanent change in behavior as a result of experience which is primarily determined or influenced by the environment where the person is situated. LEARNING THEORIES – is a coherent framework and set of integrated constructs and principles that describe, explain or predict how people learn, how learning occurs and what motivates people to learn and change. CONTRIBUTION OF LEARNING THEORIES 1. Helped us understand the process of teaching and learning or how individual acquire knowledge. 2. Theories have helped the health professionals to: a. Employ sound methods and rationales in their health education efforts involving patients/clients. b. Staff training and education and in carrying out health education promotion programs. 3. To understand the nature of the learner, the health professional needs to know: a. Basic principles involved in the development and maturation of the individual NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY HUMAN DEVELOPMENT - is the dynamic process of change that occurs in the physical, psychological, social, spiritual and emotional constitution and make-up of an individual which starts from the time of conception to death. (From womb to tomb). - It is also the scientific study of the changes that occur in people as they age or grow older in years. CHANGES IN HUMAN DEVELOPMENT • Growth – QUANTITATIVE (involves measurements), increase in size of body parts; acquisition of more knowledge. • Development – QUALITATIVE. Gradual changes in character; evidenced by intellectual, emotional and physiological capabilities. 2 MAJOR PROCESSES IN GROWTH AND DEVELOPMENT 1. Learning ➢ Any relatively permanent change in behavior brought through experience. 2. Maturation ➢ Bodily changes which are genetically determined by results of heredity or the traits a person inherits from parents. LEARNING THEORIES 1. Behaviorist Theories of Learning 2. Cognitive Theories of Learning 3. Social Learning ❖ BEHAVIORIST - equated with STIMULUS-RESPONSE theories. (kahit anong stimuli and reinforcement, laging may learning responses) - Behavior is learned and that learning is most influenced through manipulation of the environment. JOHN B WATSON - the proponent of behaviorist theories - Emphasizes the importance of observable behavior in the study of human beings. - Defined behavior as muscle movement associated with the STIMULUS-RESPONSE Psychology - He postulated that behavior results from a series of conditional reflexes and that all emotions and thoughts are a product of behavior LEARNING - a result of the condition or stimuli in the environment and the learner’s response that follow. “S-R MODEL of LEARNING” ENVIRONMENT - STIMULI in the environment are altered or the effects of a response is changed/manipulated. - TO BRING ABOUT THE INTENDED CHANGE. - FOR BEHAVIOR TO BE APPLIED OR TRANSFERRED: Through practice or formation of habits. BEHAVIORAL LEARNING IS BASED ON: ❖ RESPONDENT CONDITIONING A. CLASSICAL/PAVLONIAN - a process which influences the acquisition of new responses to environmental stimuli. • Neutral stimulus (NS) - Elicits an Unconditioned response (UCR) through repeated pairings with an Unconditional stimulus (UCS) = NS, even without the UCS = elicits the same UCR. B. SYSTEMATIC DESENSITIZATION ➢ repeated and gradual exposure to fear-reducing stimulus under relaxed and nonthreatening circumstances = SENSE OF SECURITY, no harm to come. ➢ We make ourselves use to it ➢ USED BY PSYCHOLOGIST TO REDUCE FEAR. EX. We can desensitize ourselves to the summer heat by turning off the air conditioning, or become desensitized to the cold by walking barefoot in the snow C. STIMULUS GENERALIZATION ➢ apply to other similar stimuli what was initially learned. ➢ Discrimination learning develops later when varied experiences eventually enable the individual to differentiate among similar stimuli. EX. if a child was taught how to use the potty on only one toilet, his ability to go potty on different toilet in another environment would demonstrate stimulus generalization. D. SPONTANEOUS RECOVERY ➢ applied in relapse prevention programs (RPP) (yung na learn mo tapos na unlearn mo then you learned it again- Ish Badayos, 2022) ➢ Although a response may appear to extinguished, it may “recover” and reappear at any time (even year later). Especially when stimulus conditions are similar to those in initial learning experience. NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY ➢ Learned responses may eventually if the occurrence of a CS is not accompanied by the UCS for a long period of time or interval. ➢ It helps us understand why it is so difficult to completely eliminate unhealthy habits and addictive behavior such as smoking, alcoholism or drug abuse ❖ OPERANT CONDITIONING - Developed by B.F Burhuss Frederick Skinner - Focuses on the behavior of the organism and the reinforcement that follows after the response REINFORCEMENT → events that strengthen responses. → “Responses closely followed by satisfaction will become firmly attached to the situation and therefore likely to reinforce. THORNDIKE’S LAW OF EFFECT → When specific responses are reinforced on a proper schedule, the behaviors can be increased or decreased → EX. A mouse sees if it presses a lever and food comes out, it will press more often. REWARD OR PRAISE → encourage or motivated → May assist in the transfer of learning → Control of reward preferable under control of punishment EMPLOYING POSITIVE REINFORCEMENT ✓ Verbal ways ✓ Non-verbal ways ✓ Citing in class or Publishing CLASSIFICATION OF EDUCATION REINFORCERS • PERSONAL ACTIVITIES (opportunity to engage in special projects, extra time off) • RECOGNITION (praise, certificate of accomplishment, pat on the back) • TANGIBLE REWARDS (grades, food, prizes, citation) • SCHOOL RESPONSIBILITIES (opportunities for increased self-management) • STATUS INDICATORS (appointment as peer tutor, having own space) • INCENTIVE FEEDBACK (Increase knowledge of exam scores, knowledge of individual contributions) Note: REINFORCEMENT should be appropriate or directly linked to the learning tasks and student’s accomplishment. NEGATIVE REINFORCEMENT = PUNSIHMENT such as ignoring the behavior 1. ESCAPE CONDITIONING- as the unpleasant stimulus is applied, the individual response in some way that causes uncomfortable behavior to cease. 2. AVOIDANCE CONDITIONING the unpleasant stimulus is anticipated rather than being applied directly. NONREINFORCEMENT ➢ Skinner maintained that the simplest way to extinguish response is not to provide any reinforcement. ➢ EXAMPLE: Offensive jokes by a classmate maybe handled by showing no reaction after such several experiences, the joke teller, who more than likely wants attention may curtail his abrasive behavior. NOTE. A desirable behavior that is ignored may lessen as well. If reinforcement is in ineffective, then punishment maybe employed. → Under the punishment conditions, the individual cannot escape or avoid the unpleasant stimulus. → Punishment must be consistent at the “highest” reasonable level. → → Punishment should not be prolonged or brining up old grievances or a complaining about misbehavior at every opportunity. There should be a “time out” CARDINAL RULE “PUNISH the behavior, not the PERSON.” COGNITIVE THEORIES OF LEARNING - It stresses that mental processes or cognition occurs between the stimulus and the response. COGNITIVE ➢ Dwell on the ability to solve problems rather than responding to stimuli. COGNITION ➢ More than knowledge acquisition ➢ Transfer of learning occurs when the learner mediates or acts on the information, he/she gets or applies it in certain situations. NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY INVOLVES INTELLIGENCE WHICH IS THE ABILITY TO SOLVE PROBLEMS OR FASHION PRODUCTS INVOLVES THE INDIVIDUALS: • Cognitive process of perception • Thinking skills • Memory WAYS OF PROCESSING AND STRUCTURING INFORMATION LIKE: ❖ Perceiving the information ❖ Interpreting it based on what is already known ❖ Reorganizing the information to come up with new insight ❖ Stress the importance of what goes on INSIDE the learner PERSPECTIVES OF THE COGNITIVE LEARNING THEORY 1. GESTALT → Emphasized the importance of PERCEPTION in learning which focuses on the configuration or organization of a pattern or stimulus. → A principal assumption is that each person perceives, interprets, and responds to any situation in his/her own way. PRINCIPLES ➢ What individuals PAY ATTENTION TO OR WHAT THEY IGNORE may be affected by factors like needs, personal motives, past experiences, and the particular structure ➢ PSYCHOLOGICAL ORGANIZATION - Is directly toward simplicity, equilibrium, and regularity simple and clear explanation of disease condition. ➢ PERCEPTION IS SELECTIVE - No one can attend or pay attention to all the surrounding stimuli at the same time. IMPLICATIONS ✓ Help health educator on how he/she approaches any learning situation with an individual or group. ✓ One approach may be effective to a particular client but may not work with another 2. INFORMATION-PROCESSING → Emphasizes the thinking process like: • Thought • Reasoning • Way information is encountered and sorted • Memory functioning Useful for assessing problems in acquiring, remembering, and recalling information. INFORMATION-PROCESSING MODEL OF MEMORY 1ST STAGE: PAYING ATTENTION → Attention is the key to learning, if not attentive, explain at another time when one is receptive and attentive. 2nd STAGE: INFORMATIONS → Is important to consider the client’s preferred mode of sensory processing (visual, auditory, or motor manipulation) 3rd STAGE: INFORMATION IS TRANSFORMED AND INCORPORATED → Encoded briefly into short term memory, later disregarded, or forgotten or stored. → Strategies for storage are imagery, association, rehearsal, and chunking. 4th STAGE: ACTION OR RESPONSE → Based on how information was processed and stored. STRATEGIES 1. Have learners indicate how they believe they learn (Metacognition) 2. Ask them to describe what they are thinking as they are learning 3. Evaluate learner’s mistake 4. Give them close attention to their inability to remember or demonstrate information NOTE: FORGETTING IN RETRIEVING INFORMATION FROM LONG TERM MEMORY IS A MAJOR STUMBLING BLOCK IN LEARNING WHICH MAY OCCUR BECAUSE: • The information has faded from lack of use • Other information interferes with retrieval (what comes before or after learning session may compound storage and retrieval) Individuals are motivated to forget for a variety of conscious or unconscious reasons 3. COGNITIVE DEVELOPMENT ➢ Focuses on qualitative changes in perceiving, thinking, and reasoning as individuals mature and grow. PRINCIPAL ASSUMPTION: Learning is a DEVELOPMENTAL, SEQUENTIAL, AND ACTIVE PROCESS that transpires as the child interacts with the environment, makes “discoveries” about how the world operates, and interprets these discoveries in keeping with what she /he knows. ➢ COGNITIONS are based on how events are conceptualized, organized and represented within each person’s schema- a framework that is partially dependent on the individual’s stage of cognitive stage of development and readiness to learn NINE EVENTS THAT ACTIVATE EFFECTIVE LEARNING WITH CORRESPONDING COGNITIVE PROCESSESS (Robert Gagne, 1995) 1. Gain the learners attention (reception) 2. Inform the learners of the objectives and expectations (expectancy) 3. Stimulate the learner’s recall of prior learning (retrieval) 4. Present information (selective perception) 5. Provide guidance to facilitate learner’s understanding (systematic encoding) 6. Have the learner demonstrate the knowledge and skills (responding) NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY 7. Give feedback to the learner (reinforcement) 8. Assess the learner’s performance (retrieval) 9. Work to enhance retention and transfer through application and varied practice (generalization) JEAN PIAGET ➢ Best known cognitive development theorist ➢ His observation of children’s perception and thought processes at different ages contributed much to the recognition of: ✓ unique ways that youngster reasons ✓ the changes in their ability to conceptualized ✓ limitations in understanding, communicating, and performing FOUR SEQUENTIAL STAGES OF COGNITIVE DEVELOPMENT 1. Sensorimotor (infancy) - Infants explore their environment and attempt to coordinate sensory information with motor skills - Learning depends on what is experienced in the beginning which can be learned through visual pursuits. 2. Preoperational stage (early childhood 3-6 years old) - Able to mentally represent the environment, regard the world from their own egocentric perspective and come to grips with symbolism Ex. pretending a stick is a sword or that a broom is a horse during play. 3. Concrete Operational stage (6-12 years old Elementary) - Able to attend to more than one dimension at a time, conceptualize relationship and operate on the environment 4. Formal Operation stage (12-18 years –Adolescence) - Teenagers begin to think abstractly, able to deal with the future and can see alternatives and criticize WHAT DO COGNITIVE THEORIST SAY ABOUT ADULT LEARNING? • Although the cognitive stages develop consequentially, some adult never reach the formal operations stage. They learn better from explicitly concrete approaches to health education • Adult developmental psychologist and gerontologist have proposed advanced stages of reasoning in adulthood beyond formal operations. • Older adults may demonstrate an advance level reasoning derived from their wisdom and life experience, or they may reflect lower stages of thinking due to lack of education, disease, depression, extraordinary stress or medications SIGNIFICANT BENEFIT TO HEALTH CARE → Encouragement of a recognition and appreciation of the individuality and rich diversity in how people learn and process experiences → Explain behavior and their changes as a product of interaction between cognitive, behavioral, and environmental determinants. → → Emphasize the importance of environmental or situational determinants of behavior and their continuing interaction. → Assumes that all actual behavior patterns must be learn through TRADITIONAL LEARNING (by reinforcement) and OBSERVATIONAL LEARNING (by modeling) BEHAVIOR → is shaped by people’s expectations; these expectations are formed from experience and by watching persons. “ENVIRONMENTAL CONDITIONS SHAPE BEHAVIOR THROUGH LEARNING AND THE PERSON’S BEHAVIOR IN RETURN, SHAPES THE ENVIRONMENT” – ALBERT BANDURA ALBERT BANDURA - There are 3 determinants how behavior occur ✓ ANTECEDENTS- behavior based on the past as we have seen it ✓ CONSEQUENCES- behavior is influenced by its results ✓ COGNITIVE- behavior is based on how we are motivated ROLE MODELING ➢ is the central concept of the theory much of the learning occurs by observation- watching other people and discerning what happens to them VICARIOUS REINFORCEMENT ➢ involves viewing other people’s emotion and determining whether role models are rewarded or punished for their behavior 1. 2. 3. 4. - - FOUR OPERATIONS INVOLVED IN MODELING ATTENTIONAL PHASE Observation of role model “what a person can do and what he/she can attend to” This is why so many students copy the dress, hairstyle, and mannerisms of pop culture stars. RETENTIONAL PHASE “How experience is encoded or retained in memory” Processing and representation in memory involve storage and retrieval of what was observed REPRODUCTION PHASE Memory Guides performance of model’s action Learner copies the observed behavior MOTIVATIONAL PHASE Influenced by vicarious reinforcement and punishment covert cognitive activity, consequences of behavior and self- reinforcement and punishment Focuses on whether the learner is motivated to perform a certain type of behavior NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY • help motivate the learner (de Young, 2003) 1. USE SEVERAL SENSES • Students in medical courses are made to imitate the procedures that are demonstrated by the instructors (rolemodeling) • They are graded according to the skills they exhibited a degree of comprehension of the rationale behind the steps • It is expected that by imitating, learners would be able to retain 70% of the lesson • Application of the skills and knowledge in the actual care of patients in the hospital; learners will hve 90% retention CHAPTER 3: LEARNING PRINCIPLES LEARNING • • • relatively permanent change in mental processing, emotional functioning, and/or behavior as a result of experience (bastable, 2003) lasting or permanent change in behavior as a result of experience which primarily determined or influenced by the environment where the person is situated it is a complex process which involves changes in mental processing, development of emotional functioning a social transactional skills which develop and evolve from birth to death ENVIRONMENTAL FACTORS AFFECT LEARNING 1. Society and culture 2. Structure or pattern of stimuli 3. Effectiveness or credibility of role models and reinforcements 4. Feedback (correct & incorrect responses) 5. Opportunities to process and apply learning to a new situation 6. Type, nature and level of motivation EXPERIENCES FACILITATE OR HINDER LEARNING • teacher’s selection of learning theories and structuring or type of learning experience • teacher’s knowledge of the nature of the learner, materials to be learned • teacher’s knowledge of the: • nature of the learner • materials to be learned • teaching methods • communication skills • ability to motivate the learner • teacher’s ability to relate new knowledge to previous experiences, values self-perception and learner’s readiness to learn COMMON PRINCIPLES OF LEARNING 2. ACTIVELY INVOLVE THE PATIENTS OR CLIENTS IN THE LEARNING PROCESS • Use interactice methods involving the participation of the learners • Example: Role-playing, case studies, buzz sessions, Q & A format, small group discussion, demonstration, and RD 3. PROVIDE AN ENVIRONMENT CONDUCIVE TO LEARNING • Always consider the comfort and convenience of the learner 4. ASSESS THE EXTENT TO WHICH THE LEARNER IS READY TO LEARN • Readiness to learn is affected by factors such as: ▪ emotional (anxiety, fear & depression) ▪ physical (pain, visual, or auditory impairment, anesthesia) 5. DETERMINE THE RELEVANCE OF THE INFORMATION • anything that is perceived by the learner to be important or useful will be easier to learn and retain 6. REPEAT THE INFORMATION • Continuous repetition of information enhances learning • applying the information to a different situation help in the learning process 7. GENERALIZE THE INFORMATION • Applications of the information to a number of situations NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY 8. MAKE LEARNING A PLEASANT EXPERIENCE • Teacher must o give frequent encouragement o recognize accomplishment; and o give positive feedback 9. BEGIN WITH WHAT IS KNOWN; MOVING TOWARD THE UNKNOWN • present information in an organized manner • start your presentation with information that the learner already knows or is familiar with 10. PRESENT INFORMATION AT AN APPROPRIATE RATE • Pace in which information is presented • too fast or too slow LEARNING TO BE RELATIVELY PERMANENT 1. ORGANIZE LEARNING EXPERIENCE - meaningful & pleasurable 2. PRACTICE OR REHEARSE NEW INFORMATION mentally or physically 3. APPLY REINFORCEMENT (rewards/ recognition) - make learner know learning has occurred 4. ASSESS or EVALUATE - use evaluation feedback to revise, motif, revitalize or revamp the learning experience CHAPTER 4: SIX HALLMARKS OF GOOD OR EFFECTIVE TEACHING IN NURSING (JACOBSEN) D. Conveys respect to the students E. allows learner to freely express themselves and ask questions F. Accessible for conference and consultations G. Conveys a sense of warmth THREE BASIC APPROACHES BY WHICH INSTRUCTOR CAN INCREASE SELF ESTEEM AND REDUCED ANXIETY ARE THROUGH: A. empathic listening - seeing the world through his/her own eyes B. accepting the learners as they are C. communicating honestly with your students (ex. expectations, responsibilities) NOTE: in the performance of the duties and responsibilities as a mentor, the teacher is guided by the principle of " in loco parentis" 3. DESIRABLE PERSONAL CHARACTERISTICS OF THE TEACHER WHICH INCLUDES: • charisma or personal magnetism, • enthusiasm • cheerfulness CHARACTERISTICS OF AN EFFECTIVE TEACHER: • Positive expectations • Enthusiasm • Effective classroom manager • Organization • Ability to design lessons and activities • Rapport with students • self control • patience • flexibility, sense of humor • good speaking voice • self confidence • willingness to admit error or lack of knowledge 1. PROFESSIONAL COMPETENCE is evidenced by: • caring attitude (Kotzabassaki 1997 and Fanbrother, 1996) A. Thorough knowledge o (Subject matter and proper demonstration of skills) 4. TEACHING PRACTICES WHICH INCLUDES: - mechanics - methods - skills in the classroom and clinical practice - thorough knowledge of the subject matter - presents the materials in clear, interesting, logical, and organized manner B. Reading, researching, undertaking continuing professional education, and has clinical practice and Expertise 2. POSSESSION OF SKILLFUL INTERPERSONAL SKILLS WITH STUDENT rated as the MOST IMPORTANT The teacher: A. takes personal interest in the welfare of the student B. FAIR and JUST C. sensitive to their feelings and problems 5. EVALUATION PRACTICES WHICH INCLUDE: - clearly communicating expectations - providing timely feedback on student progress - correcting the students tactfully - being fair in the evaluation processes - giving test that are pertinent to the subject matter and assignments NCM 202 – HEALTH EDUCATION TEACHER: PROF. LEAH ZAMORA TOPIC: PRELIMS COVERAGE TRANSCRIBED BY: AVILA, CADUNGOG, CHAVEZ, GUMANIT, OROZCO, UY 6. AVAILABILITY TO STUDENTS ESPECIALLY IN THE: - laboratory, clinical, and other skills application area which are mostly marked by stressful and/or critical situations BARRIERS TO EDUCATION AND OBSTACLES TO LEARNING BARRIERS TO EDUCATION (factors hindering, preventing, the nurse’s ability to deliver educational services to the patient/family members FACTORS: 1. Lack of time to teach (greatest barrier) due to: a. Short period of confinement b. Very demanding schedules of nurses c. Very demanding responsibilities 2. Lack of preparation of nurses to teach a. Lack of knowledge on principles of teaching and learning b. Nurse’s don’t feel competent or confident (d/t inadequate preparation for their roles as a nurse educators) 3. Personal characteristics of nurse as a teacher influence outcome of the teaching-learning process 4. Low priority given to pt. And staff education by administration and supervisory personnel 5. Lack of space and privacy in various environmental settings 6. Absence of third party reimbursement to support patient education programs relegates teaching and learning to less than high priority status 7. Some nurses and physicians questions the effectiveness of pt. Education as a means to improve health outcome 8. Content need to be standardized, teaching responsibilities need to be clear, and lines of communication must be strengthened among healthcare providers 9. inadequate time to record/document patient teaching OBSTACLES IN LEARNING (factors that negatively affect the ability of the learner to attend and process information) FACTORS: 1. Stress of acute and chronic illness, anxiety, sensory deficits, low literacy among patients can result to diminished learners motivation and learning 2. Negative influences of the hospital environment itself resulting to loss of control, lack privacy, and social isolation 3. Lack of time to learn d/t rapid patient discharge can discourage or frustrate the learner 4. Personal characteristics of the learner (readiness to learn, motivation and compliance, developmental stage characteristics and learning styles) 5. Extent of behavioral changes needed can overwhelm the learner and discourage him/her 6. Lack of support and positive reinforcement from the nurse and significant others 7. Denial of learning needs, resentment of 8. Supervisory authority, and lack of willingness to take responsibility (locks of control) Inconvenience, complexity, inaccessibility, fragmentation, and dehumanization of the healthcare system