Teaching Teaching assignment assignment

tutorialtutorialAssociated documents to Associated documents to review:review:

Teaching worksheet sampleTeaching worksheet sample

Teaching worksheet templateTeaching worksheet template

NR 33 lab assignment

Learning OutcomesLearning Outcomes

1.1. Review the components of the teaching Review the components of the teaching process.process.

2.2. Compare the teaching process to the Compare the teaching process to the nursing process.nursing process.

3.3. List the client education critical elements List the client education critical elements for performance in the nursing lab.for performance in the nursing lab.

4.4. Identify the components of the teaching Identify the components of the teaching projectproject

5.5. Explain the assignment expectations in a Explain the assignment expectations in a stepwise approach. stepwise approach.

Teaching process in Client Teaching process in Client educationeducation

AssessmentAssessment Identification of learning needs utilizing a Identification of learning needs utilizing a

focused assessment focused assessment to identify the presence of to identify the presence of concerns that needs to be addressed and to exclude concerns that needs to be addressed and to exclude the presence of the presence of barriers to learning barriers to learning

PlanningPlanning Development of Development of learning outcomes learning outcomes and the selection and the selection

and and design of appropriate content design of appropriate content to achieve themto achieve them ImplementationImplementation

Provision of a teaching plan to the Provision of a teaching plan to the intended audienceintended audience

EvaluationEvaluation Collection of data to determine the client’s progress Collection of data to determine the client’s progress

toward achieving learning outcomes.toward achieving learning outcomes.

Teaching Process vs. Teaching Process vs. Nursing processNursing process

Nursing ProcessNursing Process AssessmentAssessment: collection : collection

and organization of and organization of subjective/objective datasubjective/objective data

PlanningPlanning: analysis of data : analysis of data to draw diagnostic to draw diagnostic conclusions and conclusions and development of outcomes development of outcomes and actions to treat and actions to treat diagnosesdiagnoses

ImplementationImplementation: : provision and provision and documentation of care documentation of care planned in the care planplanned in the care plan

Evaluation:Evaluation: collection of collection of data measuring outcomes data measuring outcomes identified.identified.

assessment planni

ngimplementation evaluatio

n

Teaching process

Client Education Critical Client Education Critical Elements in Nursing LabElements in Nursing Lab

Develops client scenario for teaching topic.Develops client scenario for teaching topic. Identifies learning needs.Identifies learning needs. Lists objectives/expected outcomes.Lists objectives/expected outcomes. Identifies methodology and tools.Identifies methodology and tools. Develops content outline.Develops content outline. Implements plan via demonstration.Implements plan via demonstration. Evaluates client's understanding of information Evaluates client's understanding of information

presented.presented. Documents client's understanding of learning Documents client's understanding of learning

needs and/or objectives. needs and/or objectives. Completes all critical elements within a 12 Completes all critical elements within a 12

minute timeframeminute timeframe

Components of the teaching Components of the teaching projectproject

Patient teaching worksheetPatient teaching worksheet To be completed on the assigned teaching To be completed on the assigned teaching

topic and submitted for review to the lab topic and submitted for review to the lab instructor.instructor.

Base your work on the Base your work on the teaching exampleteaching example Patient teaching presentationPatient teaching presentation

Role-play of the actual teaching topic Role-play of the actual teaching topic assigned in the nursing lab. assigned in the nursing lab.

To be performed on the assigned lab date To be performed on the assigned lab date using a lab partner as a client. using a lab partner as a client.

Creating the teaching Creating the teaching scenarioscenario

Key features of an excellent Key features of an excellent scenarioscenario Includes the appropriate topical Includes the appropriate topical

informationinformation

Has the focused assessment data indicating Has the focused assessment data indicating a learning need included in the scenario.a learning need included in the scenario.

Has excluded the presence of barriers to Has excluded the presence of barriers to learning learning

Creating the teaching Creating the teaching scenarioscenario

Appropriate topical informationAppropriate topical information realistic prescription for medication, procedure or realistic prescription for medication, procedure or

treatmenttreatment Focused assessment data indicating a learning Focused assessment data indicating a learning

need need indicates that the client has verbalized a lack of indicates that the client has verbalized a lack of

understanding of the medication, procedure, or understanding of the medication, procedure, or treatment it is newly prescribed and the client lacks treatment it is newly prescribed and the client lacks familiarity with it.familiarity with it.

Exclusion of barriers to learning Exclusion of barriers to learning Indicates that the client is ready and willing to Indicates that the client is ready and willing to

learnlearn

Assessment of client’s Assessment of client’s learning needslearning needs

Client’s attributesClient’s attributes Cognitive, psychomotor skillsCognitive, psychomotor skills Desire to learn/affective skillsDesire to learn/affective skills Presence of barriers to learningPresence of barriers to learning

Client’s needsClient’s needs Prescribed therapyPrescribed therapy Adaptation to level of illness preventionAdaptation to level of illness prevention

Nursing DiagnosisNursing Diagnosis Selects a teaching diagnosis correctlySelects a teaching diagnosis correctly

Health seeking behaviors Health seeking behaviors Ineffective therapeutic regimen managemenIneffective therapeutic regimen managemen

tt Uses alternative nursing diagnoses Uses alternative nursing diagnoses

correctlycorrectly AnxietyAnxiety

Uses PES format correctlyUses PES format correctly Creates a risk for statement regarding Creates a risk for statement regarding

ineffective therapeutic regimen ineffective therapeutic regimen management if the client is newly prescribed management if the client is newly prescribed or diagnosed.or diagnosed.

OutcomesOutcomes

The outcome is a statement that reflects The outcome is a statement that reflects a concrete measurable event and a concrete measurable event and timing that reflects learning that would timing that reflects learning that would be accomplished by the end of the be accomplished by the end of the counseling session.counseling session. The statements include:The statements include:

a return demonstration for the performance of a a return demonstration for the performance of a treatment, medication or procedure treatment, medication or procedure

A verbalization of understanding for an A verbalization of understanding for an explanation of a treatment, medication or explanation of a treatment, medication or procedure procedure

Methodology/toolsMethodology/tools

The methodology is complete, relevant The methodology is complete, relevant and appropriate for the client situationand appropriate for the client situation Verbal explanation, Demonstration, Verbal explanation, Demonstration,

MultimediaMultimedia The tools listed are complete, relevant The tools listed are complete, relevant

and appropriate for the client situation.and appropriate for the client situation. The tools are the equipment needed to The tools are the equipment needed to

complete the teaching plancomplete the teaching plan The student would use a syringe, alcohol swab, The student would use a syringe, alcohol swab,

medication vial, injection pad, brochure about medication vial, injection pad, brochure about the injection procedurethe injection procedure

Content outlineContent outline

The content outline is a table of the The content outline is a table of the relevant objectives and correlated relevant objectives and correlated content that is necessary to achieve content that is necessary to achieve the outcome.the outcome. Use the relevant Use the relevant content maps content maps to guide to guide

objective development.objective development.

Method of evaluationMethod of evaluation

The method of evaluation would The method of evaluation would accurately determine if the client will accurately determine if the client will be able to achieve the outcome.be able to achieve the outcome. The methods are derived from the The methods are derived from the

outcome statement and are generally as outcome statement and are generally as follows:follows: Verbal query to ascertain level of Verbal query to ascertain level of

understandingunderstanding Direct observation of a procedure or skill that Direct observation of a procedure or skill that

is supposed to be demonstrated upon requestis supposed to be demonstrated upon request

DocumentationDocumentation

The documentation included the The documentation included the focused assessment data indicating focused assessment data indicating the learning need, the teaching the learning need, the teaching provided and the clients response.provided and the clients response. If you set up your narrative first as a If you set up your narrative first as a

focus note (DAR), you will have focus note (DAR), you will have identified the pertinent information identified the pertinent information required.required.

Summary of key pointsSummary of key points1.1. The patient teaching project requires that you submit a The patient teaching project requires that you submit a

patient teaching worksheet on your assigned topic patient teaching worksheet on your assigned topic before lab 5 in the nursing lab schedule.before lab 5 in the nursing lab schedule.

2.2. The final component of the teaching project is a role The final component of the teaching project is a role play scheduled during the nursing lab wherein you will play scheduled during the nursing lab wherein you will be required to present the actual teaching as if you be required to present the actual teaching as if you were providing the teaching to a client in a real were providing the teaching to a client in a real situation.situation.

3.3. In order to successfully complete the assignment the In order to successfully complete the assignment the student should review the components of the teaching student should review the components of the teaching process; assessment, planning, implementation and process; assessment, planning, implementation and evaluation as it related to the nursing process..evaluation as it related to the nursing process..

4.4. The student should review and analyze the critical The student should review and analyze the critical elements client education for performance in the elements client education for performance in the nursing lab and compare their individual performance nursing lab and compare their individual performance to the teaching example and recommendation provided to the teaching example and recommendation provided in this presentation.in this presentation.

Web resourcesWeb resources Review the following articles on patient education Review the following articles on patient education by by

Maureen Habel, RN, MA :Maureen Habel, RN, MA : Patient Education: Empowering Patients and FamiliesPatient Education: Empowering Patients and Families Patient Education: Empowering Patients and Families Patient Education: Empowering Patients and Families

(Part 2)(Part 2) How To Be an Effective Patient Teacher (Part 1 of this How To Be an Effective Patient Teacher (Part 1 of this

chapter)chapter) Getting Your Message Across: Patient Teaching, Part 4 Getting Your Message Across: Patient Teaching, Part 4 Getting Your Message Across: Patient Teaching, Part 5 Getting Your Message Across: Patient Teaching, Part 5 Review web-based patient teaching resourcesReview web-based patient teaching resources Review the health care literacy initiative websiteReview the health care literacy initiative website Review health care literacy presentation at Review health care literacy presentation at

http://www.askme3.org/PFCHC/professional_presentation.http://www.askme3.org/PFCHC/professional_presentation.pptppt

AppendixAppendix

Glossary of termsGlossary of terms Focused assessmentFocused assessment

Organized collection of subjective and objective data that Organized collection of subjective and objective data that supports a learning need. supports a learning need.

Barriers to learningBarriers to learning Personal, interpersonal or situational factors that would Personal, interpersonal or situational factors that would

interfere with learning materialinterfere with learning material Design of appropriate contentDesign of appropriate content

Utilization of teaching methods ( ex: verbal instruction, Utilization of teaching methods ( ex: verbal instruction, written explanations, visual tools, multimedia, games) written explanations, visual tools, multimedia, games) that is content & client appropriate. that is content & client appropriate.

Learning outcomes or objectivesLearning outcomes or objectives Sequenced statements that indicate the desired learning Sequenced statements that indicate the desired learning

the client will achieve at the end of the counseling the client will achieve at the end of the counseling session. session.

Intended audienceIntended audience Client, family, caregivers and community based on the Client, family, caregivers and community based on the

initial assessmentinitial assessment

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Health Seeking BehaviorsHealth Seeking Behaviors

DefinitionDefinition Focused Focused assessmentassessment

The state in which an The state in which an individual in stable health individual in stable health actively seeks ways to alter actively seeks ways to alter personal health habits personal health habits and/or the environment to and/or the environment to move toward a higher level move toward a higher level of wellness. (Stable health is of wellness. (Stable health is defined as a condition in defined as a condition in which the client's well-being which the client's well-being is maximized; signs and is maximized; signs and symptoms of disease, if symptoms of disease, if present, are controlled; and present, are controlled; and disabilities follow a disabilities follow a predictable, nonacute route. predictable, nonacute route.

Expressed or Expressed or observed desire to observed desire to seek information seek information for health for health promotion promotion

Source: Carpenito, Handbook of diagnosis(2006)

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Ineffective Therapeutic Ineffective Therapeutic Regimen ManagementRegimen ManagementDefinitionDefinition Focused assessmentFocused assessment

A pattern in which A pattern in which the individual the individual experiences or is at experiences or is at risk to experience risk to experience difficulty difficulty integrating into integrating into daily living a daily living a program for program for treatment of illness treatment of illness and the sequelae of and the sequelae of illness and illness and reduction of risk reduction of risk situations (e.g., situations (e.g., unsafe, pollution). unsafe, pollution).

Verbalized desire to Verbalized desire to manage the treatment manage the treatment of illness and of illness and prevention of sequelaeprevention of sequelae

Verbalized difficulty Verbalized difficulty with with regulation/integration regulation/integration of one or more of one or more prescribed regimens prescribed regimens for treatment of illness for treatment of illness and its effects or for and its effects or for prevention of prevention of complicationscomplications

Source: Carpenito, Handbook of diagnosis(2006)

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AnxietyAnxiety

DefinitionDefinition Focused assessmentFocused assessment

The state in which The state in which an individual or an individual or group experiences group experiences feelings of feelings of uneasiness uneasiness (apprehension) and (apprehension) and activation of the activation of the autonomic nervous autonomic nervous system in response system in response to a vague, to a vague, nonspecific threat. nonspecific threat.

Manifested by Manifested by symptoms from three symptoms from three categories: categories: physiologic, emotional, physiologic, emotional, and cognitive; and cognitive; symptoms vary symptoms vary according to the level according to the level of anxiety. of anxiety.

Source: Carpenito, Handbook of diagnosis(2006)