Teaching
A system of activities intended to produce learning. Teaching process in intentionally designed to produce specific learning
Learning
A change in human disposition or capability that persists and that cannot be solely account for by growth.

Learning is represented by a change in behavior.

Attributes of Learning
• Experience that occurs inside learner • Discovery of personal meaning and relevance of ideas • Consequence of experience • Evolutionary process that builds on past learning and experiences • Process that is intellectual and emotional
Compliance
Individuals desire to learn, to act on the learning.
Andragogy
Art and Science of teaching adults
Geragogy
Art and Science of teaching older adults
Pedagogy
Art and Science of teaching children learn
Cognitive Domain
• "Thinking" domain • includes 6 intellectual abilities and thinking processes
6 Intellectual abilities and thinking processess of the Cognitive Domain
1. knowing 2.

comprehending 3. applying 4. analysis 5. synthesis 6. evaluation

Affective Domain
• "Feeling" • Divided into categories that specify the degree of a person's depth of emotional responses to tasks. • Includes emotional and social goals such as feelings, interests, attitudes and appreciations
Psychomotor Domain
• "Skill" domain • Includes fine and gorss motor abilities such as giving an injection
3 Learning Theories
1.

Behaviorism 2. Cognitivism 3. Humanism

Behaviorism Learning Theory
• Learning is based on learners behavior • Stimulus and Reponse • Positive Reinforcement Obeservation of learning and instruction
Positive Reinforcement
• Found in Behaviorism • Fosters repetition of an action • Praise and encouragement
Imitation
• Found in Behaviorism Theory • Process by which individuals copy or reproduce what they have observed
Modeling
• Found in Behaviorism Theory • Process by which a person learns by observing the behavior of others.
Nurses considerations of behaviorism
• Provide sufficient practice time including both immediate and repeat testing and return demonstration • Provide opportunities for learners to solve problems by trial and error • Select teaching strategies that avoid distracting information and that evoke desired response • Praise the learner for correct behavior and provide positive feedback • Provide role models of desired behavior
Major Behaviorists
Pavlov Skinner Bandura
Cognitivism Theory of Learning
• "Learning is a largely mental or intellectual or thinking process"
Key Factors assoc. with Cognitivism Theory
• Social, emoptional, and physical contexts in which learning occurs • Developmental readiness and individual readiness (motivation) ** If they're not in the necessary stage, they won't learn **
Nursing Considerations of the Cognitive Theory
• Provide social, emotional and physical environment conducive to learning • Encourage a positive relationship bw teacher and student (establish rapport) • Address person's readiness to learn; developmental and individual • Use multisensory teaching strategies
Humanism Theory of Learning
• Focuses on cognitive and affective qualities • Learners learn best when material is relevant to them • Autonomy and self-determination is important • Learner is an active participant allowing them to be involved in their own care
Nursing Considerations of the Humanism Learning Theory
• Convey empathy • Encourage goal setting and self-directed learning • Act as facilitator or resource person (mentor) • Expose learner to new and relevant info • Ask questions that encourage learner to seek answers on their own.
Factors Affecting Learning
• Age and Development • Motivation • Readiness • Active involvement • Relevance • Feedback • Non-judgmental support • Simple to Complex Learning • Repetition • Timing • Environment • Emotions • Physiological Events • Cultural Aspects • Psychomotor Activity
Psychomotor abilities that are important for learning
• Muscle Strength • Motor Coordination • Energy • Sensory acuity
Teaching Clients of Different Cultures
• Use teaching materials in pts native language • Incorporate pictures, visual aids, diagrams • Allow for time and encourage questioning • Use humor cautiously • Don't assume pt understands • Be sensitive to cultural beliefs and practices • Ask if they'd like family involved
Several elements in the nursing history provide clues to learning needs
• Age • Understanding and Perception of health problem • Health beliefs and practices • Cultural Factors • Econ factors • Learning Style • Support system • Readiness to learn • Motivation • Health Literacy
Nursing Diagnosis of Knowledge Deficit
• Knowledge deficit can be primary problem of etiology or etiology of the problem
Interventions of Teaching and Learning
• Choose content to be taught • Select appropriate teaching strategies • Organize learning experience
Learning outcomes of Teaching/Learning
• State specific knowledge or skill learner must achieve • State in terms of patient (client will..) • Reflect observable, measurable activity (selects low fat foods) • Specify time for outcome achievement
Teaching Strategies
• Lecture • Role playing • Discussion • Q and A • Practice • Audiovisual Aides • Modeling • Behavior Modification
Evaluating Teaching/Learning
• Teaching useless of pt doesn't get it • Evaluate whether learning took place • Evaluation done with: • direct observation of skills • oral questioning • observe pt behavior • self reports and self monitoring • process recording
Documentation should include:
• Learning needs • Desired learning outcomes/goals • Topics taught • Pt outcomes • Need for more teaching • Resources Provided