Health care professionals require knowledge and critical thinking skills to help promote health outcome and assist in recovery. Nurses are the ones that have the most direct patient care with the patients – they are usually the first and the last person to see the patient before being discharged from their care. Not only do nurses provide basic care, they are also required to plan out the patient’s discharge planning the moment they are admitted into their care. Discharge planning includes providing nursing care that guides the patient to recovery, as well as discharge teaching to help the patient gain control and understanding into their own health. Patient education is the process of influencing the patient behaviour and producing the changes …show more content…
For this teaching session, a demonstration technique was used; since my learner is a visual and auditory learner, I thought it was best to demonstrate the hand washing procedure to Caleb to make certain he would comprehend the practice. According to Rankin et al. (2005), demonstration is useful for cognitive and psychomotor learning and used most often to teach skills and to present performance standards. During the teaching session, I explained to Caleb the steps of proper hand washing prior to demonstrating the skill to make sure he had a basic outline of the content that will be taught as well as gives them a preparation on what is to come. Second of all, I demonstrated the proper hand washing technique to Caleb which covers the visual aspect of his learning style and while demonstrating, I provided him with verbal instructions and guideline as to what I was performing. When I finished my demonstration, I asked Caleb to do a return demonstration. Return demonstration can be used to assess skills and help the learner apply knowledge (Rankin et al., 2005). As stated in Rankin et al. (2005), return demonstration are effective strategies for teaching cognitive, affective, and psychomotor behaviours; when Caleb did a return demonstration of the hand washing technique, it showed that he improved quite significantly …show more content…
Instead of an audio tape, I chose to use a video tape approach; this will allow me to analyze the technique I used so I can learn from my mistakes for future reference. A video tape approach will also give me the opportunity to evaluate the effectiveness of the learning session by viewing and critiquing Caleb’s return demonstration of proper hand washing. Discussion of teaching materials
Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). Consequently, acute care units are pressured to vacate hospital beds in response to the growing elderly population. Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). Community referrals to appropriate services at the time of hospital discharge does not often happen contributing to poorer patient outcomes and re-hospitalizations
Discharge planning is used to create a plan of care for a patient who is leaving a care setting. An evaluation is done to determine the patient’s continuing care needs once they have left the care facility. When patients are send back home or to a facility that does not require full time nursing care assistance, programs need to be put into place to ensure that the patient is receiving the proper continuation of care post discharge. Proper discharge planning can decrease the chances of a hospital readmit, help in recovery, ensure medications are prescribed and given correctly, and adequately prepare family or caregivers to assume proper post discharge care. According to the Family Caregiver Alliance, “It is important, not only for patients, but family
The nurse would identify if this was a community acquired problem, a lack of knowledge of disease process and prevention, or perhaps the result of poor socioeconomic standards. The nurse would then focus on educating the patient on proper health promotion and disease prevention so that he/she could help to prevent the patient from returning after discharge. The BSN’s advanced education that focuses on community health, advanced assessment skills, health promotion, and evidence based practice, gives the nurse the skills and confidence needed to treat the whole person in and out of the hospital setting These skills allow them to be leaders in the community and amongst their peers.
As an educator, I am a strong advocate for hands on learning. I envision my classroom with students actively learning by manipulating objects, preforming experiments, creating, presenting, teaching one another, and most importantly connecting what they learned to the real world. This type of instruction reaches students with different learning styles
Ineffective discharge teaching often leads to unnecessary admissions to the hospital resulting in negative patient outcomes and decreased patient satisfaction. This negatively impacts the well-being of the patient and creates a financial burden on institutions. As a result, this universal practice issue requires a call to action on the part of the nursing profession. Nurses can proactively assist in assuring incidents of readmission do not occur. Nurses as educators play a critical role in the successful transition of patients from hospital to home. The overall goal of discharge education is to ensure there is an exchange of critical information between the patient and nurse in which plans of care are understood and followed. The research
At the beginning of week 2 of skills lab I became a little nervous as I got checked off with hand hygiene skill. I’ve been doing hand washing for a year as long as I've been a CNA. "I can't fail this skill" i thought to my self. As I performed the skill I had to explain each step and why I was doing it. Now that is what made me a little nervous. I understand why my instructor wanted us the students to explain the procedure for the reason that communication is a big role in nursing as we will communicate with patient, family and other staff members. As I finished with preforming the skill I got checked off with the skill but I was told by my instructor that I should explain the procedure with more detail which I agree with her. I do see that
It is essential for nurses to understand which appropriate method and tools should be utilized for an individual and their families when performing discharge teaching in order for the patient education to be successful which in turn will promote proper healthy healing (Bastable, 2014). The purpose of this discussion board is to develop two objectives from my teaching plan and describe the instructional methods that will help Tina with meeting these objectives, identify which evaluation method I will utilize to help determine if the objectives were met and explain why I chose this particular evaluation method for Tina. And further discuss any potential barriers that might be expected and discuss how I plan to address these potential barriers.
Background: Week one skills lab was a hectic day in which I was taught the following sills : Bed bath , the making of an occupied and unoccupied bed , and protective restraints. As a CNA, I have perfomed these skills many times but it was nice to review them in a classroom setting.
The characteristics of my job will require focusing on the advantages and the disadvantages of one-to-one instruction and that of demonstration and return demonstration. Group discussions, team-based learning, cooperative learning, and seminars are instructional areas for which I can recommend my patients to attend. One-on-one instruction allows the exchange of information between the nurse and patient with regards to the characteristics of the patient, behavioral objectives, educator skills, and selection of appropriate teaching material (Bastable, 2014, p. 509). The communication skills are vital for nursing to create a relationship with the patient that would create an environment conducive to teach. Demonstration and return demonstration allows a nurse to show how to perform particular skills and evaluate the reacceptance of the skill by observing the patient perform it with minimal assistance (Bastable, 2014, p. 483). These instructional methods are stretched out over the course of the patient’s stay and are not the sole focus of teaching only at discharge. I take advantage of teaching moments throughout the shift to help plan for an effective final discharge instructions. This hand on approach allows teaching moments to have a positive affect on clients when presented with written material and information upon
Two priorities for patient education are safety and pain management. For safety, she needs to understand that she is NPO, which means she cannot have anything by mouth, including foods, drinks, or medications. She also needs to understand that she is not supposed to pull out her foley catheter.
Patients are struggling with their discharge plans, unable to manage their care as evidenced by complications reported after discharge (McBride & Andrews, 2013; Kangovi et al., 2012). Postoperative complications may be related to the nurse’s inability to assess a patient's comprehension of discharge instructions accurately (Ashbrook & Sehgal, 2012; Fredericks, 2010). Nurses as part of the healthcare team are responsible for effectively preparing patients for the transition to self-care in the home setting. Opportunities for practice improvement exist as nurses perform this important task. Teaching performed in the acute care setting generally consists of standardized content, rather than information based on the patient’s individual
According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to
Therefore, communication should be established between the nurse and the patient to ensure that effective communication takes place. Thus, the nurse can establish when the patient is ready to change the levels of care. The main objective of the nursing intervention in the process of discharge planning is to provide patients and families the essential knowledge, attitudes, and skills necessary to implement the discharge plan. The teaching related to continued care should not be done immediately before the discharge because the patient’s concentration ability and attention span will be hindered by the natural anxiety associated with the upcoming transition in care. Moreover, teachings done under the pressure of a deadline may not be effectively
Patient education plays a vital role in nursing, and as first year nursing students it is important to our career to develop skills in the process of teaching as well as developmental theories. To practice this teaching process, we conducted two interviews with a 19-year-old female currently in the early adulthood stage. Ghorbani, Soleimani, Zeinali and Davaji (2014) state that patient education has been shown to reduced anxiety of patients and improve the satisfaction of health care. Client education is also said to improve the quality of life, helps to reduce illness complications, maximize independence and ensures that continuity of care is present (Bastable, 2014). Although within the health care system things preventing or decreasing the effectiveness of patient education may include nurses not have the knowledge of what to teach or how to teach it and lack of time and resources (Ghorbani et al., 2014). To understand further the important of patient education we must possess a knowledge of the education process including assessment, planning, implementation, and evaluation (APIE) (Bastable & Alt, 2014). Throughout this paper, we will evaluate our use of the educational process by teaching the learner about caffeine.
Understanding cognition and how we learn is essential in the developmental stages of children. Not all students learn in the same way, understanding the cognitive process will assist in the development of the students. By modifying my approach when giving instructions I have noticed growth in current students that I am working with. Using concrete materials and giving the opportunity for students to be involved in hands-on activities on a daily basis, is essential in making new material meaningful to learners.. The knowledge gained from this topic has increased my understanding and is benefiting the children I am currently