Comparison of Learning Theories

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    LearningTheories LearningProcedure Educatorstask Source ofmotivation Transfer oflearning

    1.behaviorist To changebehavior,change theenvironment

    Activeeducatormanipulatesthe stimuli

    andreinforcementto directlearning.

    drivereduction

    Practice;similarity instimulusconditions and

    responsesbetweenlearning andnew situation

    2.cognitive To change

    behavior,changecognitions

    Active

    educatorstructuresexperiencesto encouragethereorganiza-

    tion ofcognitions

    goals

    expectations

    Mental and

    physicalactivityUnderstandingLearning tolearn

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    LearningTheories

    LearningProcedure

    Educators

    taskSource ofmotivation

    Transfer oflearning

    3. Sociallearning

    To changebehavior,

    change rolemodels,perceivedreinforcement, and thelearners self-regulatingmechanism

    Activeeducator

    modelsbehavior,andattempts toinfluencelearners self-regulation

    Socialization

    experiences,role models,and self-reactiveinfluences

    Similarity ofsetting and

    role modelsbehavior

    4.Psycho-dynamic

    To changebehavior,change

    interpreta-tions andmakeunconsciousmotivationsconscious

    Educator asa reflectiveinterpreter

    makes senseof learnerspersonalityandmotivation

    Pleasureprincipleand reality

    principle

    Personalityconflict, andresistance

    associatedwith learningsituationmay act asbarrier

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    LearningTheories

    LearningProcedure

    Educators

    taskSource ofmotivation

    Transfer oflearning

    5.Humanistic To change

    behavior,changefeelings, self-concept,and needs

    Facilitative

    educatorencouragespositive self-growth,listensempha-

    thetically,allowsfreedom ofchoice, andrespectlearners.

    Needs,desire forpositive self-growth, andconfirmationof self-

    concept

    Positive or

    negativefeelingsabout selfandfreedom tolearn

    promote orinhibittransfer.

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    Behaviorist Learning Theory

    -focusing mainly on what is directly

    observable-learning as a product of stimuluscondition and the responses

    (respondent conditioning model of

    learning)-environmental stimulus conditions and

    reinforcement promote changes inresponses.

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    Cognitive Learning Theory

    -stress the importance of what goes on

    the inside the learner-used in education and counseling

    -more important are learners goals

    and expectations(information-processing model of

    memory)

    -highlights the wide variation in howlearners actively structure theirperception; confront a learning situation;and manage their emotions

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    Social Learning Theory

    -combined principle of behaviorist and

    cognitive theories-the need to identify what learners are

    perceiving and how they are interpreting

    and responding to socialsituation(healthcare environment)

    -Role modeling

    -external role models and theirperceived reinforcement along withlearners internal influences

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    Psychodynamic Learning Theory

    -emphasizes the importance of

    conscious and unconscious forces inguiding behavior.

    -internal forces such as developmentalstage, childhood experiences, emotionalconflict, and ego strength influencelearning and change

    (ego defense mechanism)

    -understanding patient and familynoncompliance, trauma and loss.

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    Humanistic Learning Theory

    -each individual is unique and that all

    individuals have a desire to grow in apositive way

    -a motivational theory

    -learners choose what to learn-the central focus is on learners

    perceptions, desires, and decisionmaking

    -fostering curiosity, initiative, andresponsibility

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    Neuropsychology and learning

    -for children and adult with

    physiological disorders ; for those withmental, emotional, and behavioralproblems

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    Example Combining the theories

    -patients undergoing painful procedures are first taughtsystematic desensitization (behaviorist)and whileexperiencing pain or discomfort are encouraged toemploy imagery, such as thinking about a favorite,beautiful place or imagining the healthy cells gobblingthe unhealthy cells (cognitive). Staff members are highlyrespectful, upbeat, and emotionally supportive of each

    patient (humanistic)and create the time and opportunityto listen to patient to discuss some of their deepest fearsand concern (psychodynamic). Waiting rooms andlounge areas for patients and their families designed tobe comfortable, friendly, and pleasant to facilitateconversation and interaction, while support groups may

    help patients and family members learn from each otherabout how to cope with illness or disability and how toregulate their emotions so that their health is not furthercompromised (social learning).

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    Behaviorist Learning Theory

    Someone without much experience with

    hospitals(NS) may visit a sick relative.While in the room, the visitor may smelloffensive odors(UCS) and feelqueasy(UCR), after that, hospitals maybecome associated with feeling anxiousand nauseated.

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    Cognitive Learning Theory

    People with chronic illnesses-- even

    different people with the same illnessare not alike, and helping any patientwith disease or disability includes

    recognizing each persons uniqueperception and subjective experience.

    Approach that is effective with oneclient may not work with another client

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    Social Learning Theory

    A more experienced nurse who

    demonstrates desirable professionalattitudes and behavior sometimes isused as a mentor for a less experiencednurse

    Psychodynamic Learning Theory

    Patients with ego strength can cope withpainful medical treatments because

    they recognize the long-term value ofenduring discomfort and pain toachieve a positive outcome

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    Humanistic Learning Theory

    Rather than inserting health education

    videos into television sets for hospitalpatients to view or routinely distributinglots of pamphlets and pages of small-print instructions, it is better establishing

    rapport and becoming emotionallyattuned to patient and their familymembers.