Quality Education for a Healthier Scotland

Multidisciplinary

Role of the Facilitator in Supporting Learning

Quality Education for a Healthier Scotland

Multidisciplinary

Learning outcomes

Discuss how adults learn

Describe factors that motivate adults to learn

Describe the role of the facilitator

Quality Education for a Healthier Scotland

Multidisciplinary

Creating a Climate to Learn

• Learning takes place when parents are ready physiologically and psychologically.

• Depends on what is being taught• Comfort – too heavily pregnant is a barrier to

effective learning• Motivation• Good Teaching

Quality Education for a Healthier Scotland

Multidisciplinary

Adult Learners

• Are in a continuing process of growth, not at the start of a process

• Bring with them experience and values• Value learning that is pertinent to their lives• Bring expectations about the learning process• Have competing interests• Prefer a problem centred approach to learning over

subject centred• Already have their own set of patterns of learning

Quality Education for a Healthier Scotland

Multidisciplinary

How do you learn?

Quality Education for a Healthier Scotland

MultidisciplinaryLearning Styles•Autonomous•Self directed•Goal orientated•Practical•Relevancy orientated•Problem solvers•Life experiences

Quality Education for a Healthier Scotland

Multidisciplinary

Kolb experiential learning cycle

Quality Education for a Healthier Scotland

Multidisciplinary

Quality Education for a Healthier Scotland

Multidisciplinary

What makes a good teacher?

• Knows subject • Understands/Respects everyone as an individual • Uses different teaching styles to accommodate

different learners.• Has a sense of humour• Is kind and patient • Doesn’t give up-believes in everyone• Sets a good example• Helps those with difficulties

Quality Education for a Healthier Scotland

MultidisciplinaryAttention Span and Need for Variety

20 mins is the average attention span

Thereafter it rapidly declines

If teaching pregnant women, it is important to acknowledge that Pregnancy amnesia reduces attention span considerably and affects women’s ability to concentrate and to remember what they have heard.

Quality Education for a Healthier Scotland

Multidisciplinary

We Remember

10% of what we read

20% of what we hear

30% of what we see

50% of what we see and hear

80% of what we say

90% of what we say and do

Quality Education for a Healthier Scotland

MultidisciplinaryTest Your Memory

Photograph CatBook FriendComputer ChairParent education DictionaryExercise PoliticsPaper RescueSwimming AgendaHouse LeafletStar AromatherapyNational Pregnancy

Quality Education for a Healthier Scotland

Multidisciplinary

45 Seconds!

Quality Education for a Healthier Scotland

Multidisciplinary

Information in Pregnancy

The importance of ‘informed choice’ is recognised as fundamental to good practice and as an integral part of clinical governance in maternity care

(Changing Childbirth Department of health 1993)

Quality Education for a Healthier Scotland

MultidisciplinaryWhat Information Do Pregnant Women Want?

Women come to classes primarily to learn about labour and giving birth.

They also have a parenting agenda.Women want to know what effect childbirth has on their

personal relationships. Women are also interested in baby care, coping with a

new baby at home and breastfeeding.

Hillan 1992, McIness 2004, O’Meara 1993, Nolan 1997, Parr 1998).

Quality Education for a Healthier Scotland

Multidisciplinary

Schneider 2001

“All women said the information on labour, birth and pain relief was relevant and helpful. Most were disappointed that they received so little information on baby care and coping with an infant in the early days … they wanted more information about infant care …patterns of behaviour … and how they may feel physically and emotionally …”

Quality Education for a Healthier Scotland

Multidisciplinary

What Information Do Men Want?

• Labour and especially how they could help.

• Whether they or their partners will struggle to cope with the responsibility of becoming a parent.

• Whether they and their partners will be good enough parents.

• Whether their partners might get lonely or bored at home. The effect of parenthood on their work.

• About the baby –feeding, sleeping and changing the baby • .

Quality Education for a Healthier Scotland

Multidisciplinary

What goes wrong?

• Parent education is often seen as a low priority

• Lack of training and support• Link between provision of information and

care received.• Philosophy and approach

Quality Education for a Healthier Scotland

Multidisciplinary

How to make it right

• Education on clinical care.• Predetermined learning outcomes.• Advice or information.• Maintaining or challenging the status quo.• Charismatic teaching or persuasion.• Patchwork classes.• Parent-centred classes.

Quality Education for a Healthier Scotland

Multidisciplinary

Sources of Information in Pregnancy

• Family & friends• Books, magazines, leaflets• Television • Internet• Midwives• Doctors & other health professionalsFenwick et al (2005)

Quality Education for a Healthier Scotland

MultidisciplinaryWays of Giving Information

•Discussion•Written material•Demonstration•Peer Instruction •Lecture•Debate•Modelling•Visualisation•Rehearsal•Video/DVD

But….. We remember

10% of what we read

20% of what we hear

30% of what we see

50% of what we see and hear

80% of what we say

90% of what we say and do

Quality Education for a Healthier Scotland

MultidisciplinaryBarriers to Providing Information

• Time constraints• Language and literacy barriers• Anxiety/ stress• Failure to assess individual needs• Informed compliance rather than informed choice

(Stapleton et al 2002)

Quality Education for a Healthier Scotland

Multidisciplinary

Any Questions?

Quality Education for a Healthier Scotland

MultidisciplinarySummary

• Adults bring a lot of experience to their learning and there are many differing styles that can be used to support learning

• Adults attending parent education classes want to learn

• The role of the facilitator is important