Chapter i Health Education Perspective

8/3/2019 Chapter i Health Education Perspective

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The course includes discussions onhealth education concepts, principles,theories and strategies as they apply in theclinical and classroom situations.

It provides critical thinking activities forstudents to apply concepts of learning andteaching and appreciate the nurse’s role as

an educator in various settings. It further provides experience to develop

beginning skills in designing and applying

a teaching plan.

Subject Description:



At the end of the course, the students willbe able to:

1. Apply principles, theories and strategiesof health education in assisting clients topromote and maintain their health.

2. Develop an instructional design to meetthe learning needs of clients.

Course Objective:



Quizzes

Seat works

Recitations

Assignments

Projects

Micro teaching

Requirements



HEALTH EDUCATIONPERSPECTIVE



At a

glance…





Caregiver

Communicator

Client AdvocateCounselor

Change Agent

Leader

Case Manager

ResearchConsumer

Administrator

Teacher



Education is always a part of nursing

care in all levels of clienteles in anygiven setting.

The current trends in health care are

making it imperative that patientsand their families be prepared toassume responsibility for self-care

management.

Hence, nurses should be

accountable for the delivery of high-





The patient / his family should be

able to learn knowledge and skills

for independent care; orNurses / nursing students should

have up – to – date knowledge

and skills needed to competentlyand confidently render care



CHAPTER I

- Learning Objectives -



To shed information on the historicalevolution of teaching in nursing

To discuss the current trends in healthcare and patient teaching as the majorfunction of a nurse

To address continuous professionaleducation to ensure ongoing

competencies in the profession To allow the students to know the

purposes / benefits of health teaching



Historical Foundations for

the Teaching Role of Nurses



Mid – 1800s – nursing was first acknowledged as a unique discipline;

teaching has been recognized as an

important healthcare role

Focus of teaching: not only on the care of

the sick, but educating other nurses forprofessional practice.



Founder (Nursing); ultimateeducator

Devoted a large portion of hercareer in educating those involvedin the delivery of health care(nurses, doctors, health officials)

Proper conditions in hospitals,homes

Nutrition, fresh air, exercise &hygiene

FLORENCE NIGHTINGALE



Early 1900s

PHN clearlyunderstood thesignificance of education in theprevention of disease and inthe maintenanceof health

Decades after…

Patient teachinghas beenrecognized as anindependent nursing function



Early 1918… Nat’l League of

Nursing Education (U.S.) National League for Nursing

Observed the importance of health teaching

as a function within the scope of nursingpractice

Recognized the responsibility of RNs in the

promotion of health and prevention of illnesses

Schools, homes, hospitals, industries



1938… Nat’l League of

Nursing Education (U.S.)

Declared that a nurse is

fundamentally a teacher and a

change agent of health

regardless of the setting inwhich practice occurred



1950 – NLNE

Identified course content as areas in the

curriculum common to all nursing

schools Teaching skills

Developmental

Educational psychology

Principles of educational process of

teaching and learning



American Nurses Association

Promulgated statements on the

functions, standards and qualifications

for nursing practice

PATIENT TEACHING = integral part of

the profession



International Council for

Nurses

Endorsed education for heath as an

essential requisite of nursing care

delivery



Nurse Practice Acts (NPAs)

Include teaching within the scope of

practice responsibilities

Nurses are expected to provideinstruction to consumers to assist them

to maintain optimal levels of wellness,

prevent disease, manage illness and develop skills to give supportive care to

family members



The teaching of patients and

families is the means to accomplishthe professional goals of providing

cost-effective, safe and high-quality

care

J i t C i i



Joint Commission on Accreditation of Healthcare

Organizations - JCAHO Delineated the nursing standards for

patient education; to be met through

teaching activities by nurses and thepatient – family oriented

To include an interdisciplinary team

approach in the provision of patient education as well as evidence that patients

and their significant others understand

what they’ve been taught



According to the JCAHO…

Providers must consider the

literacy level, educational background, language skills and

culture of every client during

the education process



American Hospital

AssociationPatient’s Bill of Rights, 1970 Clients should be able to receive

complete and current information

Diagnosis

Treatment Prognosis



1995 – Pew HealthProfessions Commission

Published a broad set of

competencies that it believes will

mark the success of the health

professions in the 21st century

1998 Patient and staff education

Role of nurse = educator

8 th C i i ’



1998 – the Commission’s

Recommendations

Provision of clinicallycompetent and

coordinated careto the public

Involvement of

patient & families in thedecision -

making processregarding health

interventions

Provision of education andcounseling onethical issues



Expansion of

public accessto effective

care

Ensure cost-

effective &appropriatecare for theconsumer

Provision for prevention of

illness and promotion of

healthylifestyle





SALIENT CHANGES…

Disease – orientedapproach

Prevention– orientedapproach

FOCUS:Promotion &maintenance

of health



Integration of HE into acomprehensiveplan of care

From:

DOPE

toPOPE

From:

POPEto

HOPE



Metamorphosis in the following:

Healer

role

Advisor /

teacher

Facilitator

of change

Empowermentof patients

Training thetrainer(CPE)



ISSUES AND TRENDSIMPACTING ON HEALTH CARE

a. Socialb. Economicc. Political

N ti l h lth l & bj ti



• National health goals & objectives

• Effective health education programs /healthy lifestyles

•

Cost–

effective health care / moreproductive life

Health carereform

activities

•

Greater outcomes on issues of reimbursementShifts of payercoverage

• Through the practice of preventive medicine

• Through health education

Recognition of economic &social values



• Productivity, competitiveness,cost – containment measures to

restrain health service expenses

PoliticalEmphasis

• In schools

• Communities

• Workplaces

Expansion of

preventive &promotionefforts

• Through CPE = potential answerto competency & malpracticeissues

Malpractice /competency

issues



• Definition of RNs role, BOK,scope of practice, professional

expertise

Role of Nurses= PE

• Demand in knowledge, skills by

consumers• Awareness – building in consumers

Rise inConsumerism /Patient’s rights

• Lifespan is up-scaling

• Dealing with degenerative diseases(Baby Boomers)

Demographictrends



• Recognition of the causes(lifestyle – related)

•

Prevented through HE

Mortality /Morbidity

• Increased

• Informed participation in dealing the M /M

Chronic &

Incurableconditions

• Increases the complexity of care andtreatment

• Inpatient to outpatient status

• Life – saving devices

Advancedtechnology



• Earlier

• Forcing families to be self-

reliant

HospitalDischarge

• Better understanding of the

treatment plans =independence

HE =

IncreasedCompliance

• Upsurge in public interest

• Advocacy

Self – helpgroups



Since nurses are the

healthcare providers whohave the most continuous

contact with clients, weare the source of the most accessible information and

the most trusted of allhealth professionals.



What is the PURPOSE of



To increase the competence and confidence of clientsfor self – management

What is the PURPOSE ofPatient Education?

What is the GOAL of



Support patients through thetransition from being invalids to

being independent in care

From being dependent to beingparticipants in the care process

From being passive listeners toactive learners

What is the GOAL ofPatient Education?



Prepare the client forself care : most

important action ofnurses as caregivers





Increaseconsumer

satisfactionImprovequality of life

Ensure

continuity ofcare

Decrease

patientanxiety



Reducecomplications of

illness

Promote

adherence tohealthcare txplans

Maximize

independence inADL

Energize and

empower actively involved



Enhances jobsatisfaction

Allows greaterprofessionalautonoomy

Increasesaccountability

Creates

change difference



“Patients aremore satisfiedwith care when

they receiveadequateinformation

about how tomanage forthemselves.”



“One of the most

common citedcomplaints by

patients inlitigation cases is

that they werenot adequately

informed.”



“ As educators, we should

be able to nourish clients

as well as mentor staff. Wemust value education and

make it a priority for bothour patients and our fellow

What is our primary aim?

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Chapter i Health Education Perspective

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