BSNC 1000 - Module 3 - Capacity Building fully solved, Exams of Nursing

Download BSNC 1000 - Module 3 - Capacity Building fully solved and more Exams Nursing in PDF only on Docsity! BSNC 1000 BSNC 1000 BSNC 1000 - Module 3 - Capacity Building BSNC 1000 Patient centered approach Nurse helps patients to be active participants in their education and is better able to self-manage their needs and care with health providers across health care settings Nurses use both the art and science of nursing to provide professional care to their patients Nurses regularly communicate and collaborate with other members of the health care team to provide patient centered education to a diverse patient population. Patients need guidance regarding the selection of current and reliable resources. Knowledge is limited, beliefs change and conclusions are temporary. Goals of patient education Assist individuals, families or communities in achieving optimal health. Maintaining and promoting health and preventing illness Technology has potential to enhance health education and patient self-management Restoring Health Assess patient-family relationship before involving family in teaching plan Coping with impaired functioning Nurse teaches family to assist with health care management Teaching Interactive process that promotes learning Most effective when it addresses the learner's needs, learning style and capacity. Teacher assesses those needs by asking questions, observing the patient and determining the patient's interests. Nurse must determine what patients need to know, find time when they are ready to learn, and evaluate the impact of patient education on patient outcomes. Effective teaching depends on effective communication Motivation and social learning theory - helps educators understand learners and develop interventions that enhance motivation and learning. Self-efficacy - a social learning concept - person's perceive ability to successfully complete a task. Motivation and transtheoretical model of change - education may involve changes in behaviour. 5 stages of behaviour change - precontemplation, contemplation, preparation, action, maintenance. Patient-centred approach to patient education - standard of care that positions the patient as the focus of care delivery and as a partner in the delivery of care LEARNS model - listen to needs, establish relationships, adopt an intentional approach to learning encounters, reinforce health literacy, name new knowledge via teach-back, strengthen self-management via links to community resources. Integrating the Nursing and Teaching Process • The nursing and teaching processes are related and usually take place concurrently. • Like the nursing process, the teaching process requires assessment, nursing diagnosis, planning, implementation, and evaluation. • However, the processes are not exactly the same: the nursing process is broader learning objectives - what the learner will be able to do after successful instruction Assessment Determine the patient's health care needs Learning needs - info/skills needed to perform self-care and understand health care implications, patient experiences that influence need to learn, information that family/partners need to support patients needs. Ability to learn - can be impaired by body temp/lytes level/o2 stats/blood glucose. Strength/movement/dexterity/coordination, sensory deficits, reading level, developmental level, and cognitive function Motivation to learn - behaviour, health beliefs, ability to complete healthy behaviour, desire to learn, attitudes about health care, knowledge of info to be learned, pain/fatigue/anxiety/physical conditions, sociocultural background, learning style preference. Teaching Environment - distractions/noise, comfort of room, room facilities/available equipment. Resources for learning - willingness for family involvement, family understanding of patient's illness, family willingness/ability to participate in care, resources in the home, teaching tools. Nursing diagnosis directs a health focus that is goal directed and individualized. Health maintenance, health-seeking behaviours, self management, skill mastery, deficient knowledge. Foci is knowledge and skills. Planning After identifying a patient's learning needs and a nursing focus, develop a teaching plan with goals and expected outcomes Developing learning objectives - identifies the expected outcome of instruction and establishes learning priorities. Learning objectives - singular behaviours, observable/measurable content, timing/conditions under which objective is measured, mutual goals of nurse/patient. Setting priorities - according to immediate needs, nursing diagnoses, learning objectives, main concerns, anxiety level and the time available to teach. Timing - plan to teach when patient is most attentive, receptive and alert. Intervals and length of sessions. Organizing teaching material - key points, simple facts/concepts before complex Maintaining attention and promoting participation - engage interest, active participation is key to learning Building on existing knowledge - insulin injections that had previously been given to father Selecting teaching methods - discussions, question-answer sessions and formal lectures. Ask patients for suggestions. Selecting resources - patients' needs can be complex, refer to appropriate agencies. Writing teaching plans - should provide continuity of instruction. More specific it is, the easier to follow Implementation