Educative Nursing Framework Notes

Learning Outcomes

• Educative Nursing Framework
  • Discuss the Educative Nursing Framework.
  • Apply the Educative Nursing Framework to a case.
  • Discuss health literacy and its implications for patients’ health and safety.

Teaching and Learning

• Teaching:

  • Act of imparting knowledge, skills, and information.
  • Involves planning, organizing, and presenting content to promote understanding.

• Learning:

  • Process of acquiring new knowledge, skills, behaviors, or values.
  • Internal process of understanding and internalizing information.

• Analogy: Teaching and learning are two sides of the same coin.

Educative Nursing Practice Framework

• Definition: Educative nursing practice is not a standardized formula applicable in all patient scenarios.
• Schematic Representation: Refer to Figure 15.1 in Gregory et al., 2020.

Fundamental Assumptions of the Educative Nursing Practice Framework

• Dialogical and Reciprocal: Emphasizes interaction between nurse and patient.
• Embodied Knowledge: Acknowledges the value of personal experience and understanding.
• Relational Being and Practice: Focus on the nurse-patient relationship.
• Eclectic Approach: Nurses may use various learning theories.
• Situated Process: Learning takes place within specific contexts.

Knowing in the ENP Framework

• Knowing about learning: Understanding learning theories, teaching tools, and evaluation methods.
• Knowing the profession: Familiarity with standards, competencies, and nursing roles.
• Knowing the self: Awareness of personal strengths, limitations, and biases.
• Knowing the case: Understanding pathophysiology and predicted health trajectories.
• Knowing the client: Understanding the clinical profile and past learning experiences.
• Knowing the person: Acknowledging personal history, fears, and health literacy levels.

Decision-making Process in ENP

• Cues: Identification of relevant information.
• Judgments: Making informed decisions based on cues.
• Decisions & Evaluation of Outcomes: Assessing results of the teaching process.

Patient Education on Blood Pressure Management

• Case Overview:

  • Patient: Mr. Johnson, 58-year-old man diagnosed with hypertension.
  • Task: Teach him to monitor blood pressure and understand the treatment regimen.

• Teaching Plan:

  • Usage of teach-back method.
  • Demonstration of proper technique; assessment of Mr. Johnson’s challenges.
  • Involvement of support system (e.g., wife) for enhanced learning.

Integrating Nursing and Teaching Process

• Nursing Process: Involves holistic assessment of patient health.
• Teaching Process: Focuses on the patient's learning needs and abilities.

Assessment

• Cues:

  • Learning needs, motivation to learn, medical history.

• Externals:

  • Consideration of teaching environment and available resources.

Nursing Diagnosis

• Identify domains for diagnosis:
  • Knowledge deficit, cognitive impairment, anxiety, etc.
• Determine aspects affecting the teaching process.

Planning: Learning Objectives

• Goal Setting: Establish clear, SMART objectives collaboratively with the patient.

SMART Learning Outcomes

• Example format: Action word + conditions + time frame.
  • E.g., By the end of the session, Mr. Salvador will name 5 side effects of his medication.

Implementation

• Teaching Strategies:
  • Appropriate selection of tools and methods for the teaching plan.

Attention Points during Implementation

• Considerations:
  • Address language, culture, and patient health status during teaching.

Evaluation

• Assessment of Learning:
  • Measurement of whether learning objectives were achieved.
• Documentation: Ensuring patient understanding and retention of information.

Health Literacy

• Definition:
  • The capacity to obtain, interpret, and use health information.
• Importance: Enables informed decision-making about health care.

Influencers on Health Literacy

• Social Determinants:

  • Educational, socioeconomic, and cultural backgrounds impact literacy levels.

• Nurse's Role:

  • Avoid assumptions about literacy.
  • Use plain language and confirm understanding.
  • Provide information in multiple formats.