JL

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.