Teaching and Learning The Nurse as Educator NUR 3825 Fall 2004 Christopher W. Blackwell, Ph.D., ARNP With Content Developed by: Diane Wink, EdD, FNP, ARNP Characteristics of Good Teachers •Enthusiasm •Clarity •Preparation/ • Organization •Ability to stimulate the learner •Love of knowledge The Teaching-Learning Plan •Assessing learner •Knowledge level •Developmental characteristics •Preferred sensory channel •Motivation •Readiness to learn •Anxiety level •Health status The Teaching-Learning Plan •Assessing the learner •Cultural considerations •Literacy level Language Reading level Vocabulary Style (pictures, bullets, print size) Assessing the Learner - Activity •Identify a group you will teach this Fall and a topic you will teach •Identify characteristics - age, gender, knowledge of topic, reason for class •How will you assess learning needs and readiness to learn? •How will you determine the best approaches to teaching this content to this group? The Teaching-Learning Plan •Learner objectives •Three domains Cognitive Psychomotor Affective •Specific, with action verbs which reflect LEARNER goals not TEACHER goals The Teaching-Learning Plan •Teacher Objectives: NOT good!! •This class will: •Present information on low fat/low calorie foods •Teach two benefits of a low fat/low calorie diet The Teaching-Learning Plan •Good LEARNER objectives: •At the completion of this class participants will be able to: •Chose two low fat/low calorie choices from a fast food menu •Describe two benefits of a low fat/low calorie diet The Role of the Nurse •The majority of patient education is provided by the Nurse. •Nurses are ethically-bound to educate clients. •Nurse’s attitudes, values, emotions, and knowledge influence the educational approach taken. •Return demonstration by the client is most effective. Nursing Process: Assessment - Expectations of Learning - Learning Needs -Motivation to Learn -Ability to Learn -Teaching Environment -Resources for Learning Nursing Process: Diagnosis - Ineffective Health Maintenance -Health-Seeking Behaviors -Impaired Home Maintenance -Deficient Knowledge •Ineffective Therapeutic Regimen Management •Ineffective Community Therapeutic Regimen Management •Ineffective Family Therapeutic Regimen Management •Noncompliance. Nursing Process: Planning & Writing Objectives •Knowledge •observation and recall of info •knowledge of dates, events, places •knowledge of major ideas •mastery of subject matter •Verbs: list, define, tell, describe, identify, show, label, collect, examine, tabulate, quote, name, who, when, where, etc. Nursing Process: Planning & Writing Objectives •Comprehension •Words: summarize, describe, interpret, contrast, predict, associate, distinguish, estimate, differentiate, discuss, extend Nursing Process: Planning & Writing Objectives •Application •use information •use methods, concepts, theories in new situations •solve problems using required skills or knowledge •Verbs: apply, demonstrate, calculate, complete, illustrate, show, solve, examine, modify, relate, change, classify, experiment, discover Nursing Process: Planning & Writing Objectives •Analysis •seeing patterns •organization of parts •recognition of hidden meanings •identification of components •Verbs: analyze, separate, order, explain, connect, classify, arrange, divide, compare, select, explain, infer Nursing Process: Planning & Writing Objectives •Evaluation •compare and contrast between ideas •assess value of theories, presentations •make choices based on reasoned argument •verify value of evidence •recognize subjectivity Nursing Process: Planning & Writing Objectives •Evaluation: Determine outcomes, draw conclusions •Verbs: assess, decide, rank, grade, test, measure, recommend, convince, select, judge, explain, discriminate, support, conclude, compare, summarize Nursing Process: Planning & Writing Objectives •Psychomotor Domain •Verbs: Adapts, arranges, assembles, begins, calculates, calibrates, changes, constructs, creates, demonstrates, dismantles, manipulates, measures, moves, organizes, proceeds, rearranges, reacts, shows, starts, works Nursing Process: Planning & Writing Objectives •Affective Domain •Verbs: Alters, answers, attends, chooses, complies, conforms, completes, defends, differentiates, discusses, displays, follows, helps, initiates, joins, justifies, modifies, participates responds, shares, uses, verifies Nursing Process: Planning & Writing Objectives •Write one learner objective for your planned class. Nursing Process: Planning & Writing Objectives •Developmental Considerations: -Infant: Keep routines consistent and allow infant to touch (Trust vs. Mistrust) -Toddler: Use play; for example, listen to the doll’s heart (Autonomy vs. Shame and Doubt). -Preschooler: Use role playing and imitation (Initiative vs. Guilt). -School-Age: OK to teach psychomotor skills (Industry vs. Inferiority). Nursing Process: Planning & Writing Objectives •Developmental Considerations: -Adolescent: Use problem solving and allow autonomy in decision-making (Self-Identity vs. Role Diffusion). -Young/Middle Adult: Encourage independent learning and understanding of health problems (Intimacy vs. Isolation/ Generativity vs. Stagnation). -Older Adult: Consider perception abilities and involve the adult in discussions (Integrity vs. Despair). Nursing Process: Implementation •Teaching Approaches: -Telling -Selling -Participating -Entrusting -Reinforcing Content •What you plan to present to achieve your objectives. •Problems with high fat diets •Problems with high calorie diets •How to tell the fat and calorie content of fast food The Teaching-Learning Plan •Teaching Strategies: - Talking (lecture) - Discussion - Questioning - Demonstration - Practice - Role Playing The Teaching-Learning Plan •Teaching Tools: - Audiovisual Equipment Posters Video/DVD Flip chart - Models and demonstration objects - Handouts The Teaching-Learning Plan •Teaching tools •Microphone •Translator •Room set up •Light and other environmental factors The Teaching-Learning Plan •Teaching tools •Be sure all tools are appropriate for culture, age, gender, reading level, language, sophistication of audience The Teaching-Learning Plan •Helpful tools: •Reading level can be appraised using Word The Teaching-Learning Plan •Helpful tools: •Translation can be done using the web •http://world.altavista.com/ The Teaching-Learning Plan •List the content you want to include in your class •List two strategies you will use to present your content •Identify two tools you will use to facilitate learning Nursing Process: Evaluation •Evaluating Outcomes •Did the learner achieve the learning objectives? –Quiz –Questions to group –Questionnaire –Demonstration The Teaching-Learning Plan •How will you evaluate learner outcomes in your class?