Shared Flashcard Set

Details

N200 Final
na
104
Nursing
Undergraduate 2
01/14/2013

Additional Nursing Flashcards

 


 

Cards

Term
Three important points about teachers and teaching
Definition
Teachers are not born, it is a skill, with a sound knowledge base

If we teach the way we were taught it may or may not be a good thing,

If we do so blindly we would not know if we are effective or how to revise our plan
Term
Definition of learning theory
Definition
A coherent framework of integrated constructs

and principles that describe, explain, or predict

how people learn.
Term
What are the basic concepts/ideas behind behaviorist theories?
Definition
Concepts: stimulus conditions, reinforcement, response, drive

To change behavior, change the stimulus conditions in the environment and the reinforcement after a response
Term
Behaviorist Dynamics: Define motivation, educator, transfer
Definition
Motivation: behaviours to be reduced or incentives

Educator: active role; manipulates environmental stimuli and reinforcements to direct change

Transfer: practice and provide similarity in stimulus conditions and responses with a new situation
Term
Respondent Conditioning: When does learning occur? Describe respondent conditioning (classical conditioning)
Definition
Learning occurs as a person responds to stimulus conditions and forms associations


A neutral stimulus is paired with an unconditioned stimulus–unconditioned response connection until the neutral stimulus becomes a conditioned stimulus that elicits the conditioned response
Term
Operant conditioning: When does learning occur? How does operant conditioning work?
Definition
Learning occurs as a person responds to stimuli in the environment and is reinforced for making a particular response.


A reinforcer is applied after a response strengthens the probability that the response will be performed again under similar conditions.
Term
How to increase or decrease a behaviour using operant conditioning
Definition
To increase behavior
positive reinforcement
negative reinforcement (escape or avoidance conditioning)

To decrease behavior
nonreinforcement
punishment
Term
Cognitive Theory: concepts, and how this approach is used to change behaviour.
Definition
Concepts:
cognition= The mental action or process of acquiring knowledge and understanding through thought, experience, and the senses.

gestalt: a school of thought that looks at the human mind and behavior as a whole

perception: the conscious mental registration of a sensory stimulus

developmental stage:
information-processing, memory, social cognition,

attributions: refers to how we infer the causes of behaviors and events



To change behavior, work with the developmental stage and change cognitions, goals, expectations, equilibrium, and ways of processing information
Term
Gestalt Perspective: What are the keys to learning, and how does it occur?
Definition
Perception and the patterning of stimuli (gestalt) are the keys to learning, with each learner perceiving, interpreting, and reorganizing experiences in her/his own way


Learning occurs through the reorganization of elements to form new insights and understanding
Term
Humanistic Theory: how does learning occur
Definition
Learning occurs on the basis of a person’s motivation, derived from needs, the desire to grow in positive ways, self-concept, and subjective feelings.


Learning is facilitated by caring facilitators and a nurturing environment that encourage spontaneity, creativity, emotional expression, and positive choices.
Term
Humanist Dynamics: define motivation, educator, transfer
Definition
Motivation: needs, desire to grow, self-concept


Educator: act as facilitator who respects learner’s uniqueness and provides freedom to feel, express, and grow creatively

Transfer: positive or negative feelings and choices as well as freedom to learn, promote, or inhibit transfer
Term
Generalizations about learning: What is learning a function of? What is the relationship between stress and learning? Learning is ____, _____, and ______
Definition
Learning is a function of developmental changes

Brain processing is different for each learner

Learning is active, multifaceted and complex

Stress can interfere with or stimulate learning
Term
How to promote change: How should you relate to the learner? What should experiences be? What do you need to do to to the learner? What is the role of incentives and rewards? What is the relationship with teaching and developmental stages? Is it more effective to reward or punish? How can you use role models?
Definition
Relate to what learner knows and is familiar with

Keep experiences simple, organized, and meaningful

Motivate learner (deprivation, goals, disequilibrium, needs, tension)

May need incentives and rewards, but not alwaysRelate to what learner knows and is familiar with

Keep experiences simple, organized, and meaningful

Motivate learner (deprivation, goals, disequilibrium, needs, tension)

May need incentives and rewards, but not always

Experiences must be at the appropriate developmental level

Make learning pleasurable, not painful

Demonstrate by guidance and attractive role models
Term
How to make learning relatively permanent
Definition
Relate experiences to learner

Reinforce behavior

Rehearse and practice in variety of settings
Have learner perform and give constructive feedback

Make sure interference does not occur before, during, or after learning

Promote transfer

Have learner mediate and act on experience in some way (visualize, memory devices, discuss, talk, discuss, write, motor movement)
Term
State of the research evidence on teaching... how does research contribute to knowledge of teaching? what is a hindrance? what is beneficial?
Definition
Tests and modifies theories, methods, and assumptions

Challenges conventional wisdom and myths

Interdisciplinary focus is beneficial

Lack of resources is hindrance
Term
In what ways do the learning theories differ?
In what ways are they similar?
How can the learning theories be used in combination to change behavior and enhance learning?
Why are some theories more effective with certain individuals than with others?
Definition
for discussion
Term
Health Educator's role in learning: in which six ways does the educator play a crucial role in the learning process?
Definition
The educator plays a crucial role in the
learning process by:
assessing problems or deficits
providing information in unique ways
identifying progress made
giving feedback
reinforcing learning
evaluating learners’ abilities
Term
Nursing's unique position in teaching
Definition
Nurse is vital in giving support, encouragement, and direction during and after the process of learning.

Nurse assists in identifying optimal learning approaches and activities that can both support and challenge the patient (client).
Term
Assessment of the learner includes attending to which three determinants of learning?
Definition
Learning Needs (WHAT the learner needs to learn)

Readiness to Learn (WHEN the learner is receptive to learning)

Learning Style (HOW the learner best learns)

Haggard, 1989
Term
8 things involved in the assessment of learning needs
Definition
Identify the learner
Choose the right setting
Collect data about, and from, the learner
Involve members of the healthcare team
Prioritize needs
Determine the availability of educational resources
Assess demands of the organization
Take time-management issues into account
Term
How are teaching needs prioritized?
Definition
Mandatory: Needs that must be learned for survival when the learner’s life or safety is threatened

Desirable: Needs that are not life-dependent but are related to well-being

Possible: Needs for information that are “nice to know” but not essential or required because they are not directly related to daily activities or the particular situation of the learner
Term
7 ways to assess learning needs
Definition
Informal conversations

Structured interviews

Focus groups

Self-administered questionnaires

Tests

Observations

Patient charts
Term
PEEK - four types of readiness to learn and what is included in each.
Definition
Physical:
measures of ability
complexity of task
health status
gender
environmental

Emotional:
anxiety level
support system
motivation (e.x. kids)
risk-taking behavior
frame of mind
developmental stage

Experiential:
level of aspiration
past coping mechanisms
cultural background
locus of control
orientation

Knowledge:
present knowledge base
cognitive ability
learning disabilities
learning style
Term
Field-Independent/Field-Dependent Embedded Figures Test: what does this assume about learners? What can the educator do? What does it help to determine?
Definition
Learners have preferred styles

Educator can structure the learning task and environment

Helps determine if learners are able to ignore distractions

(name came from pilots that need to see the ground below them to orient versus pilots who did so intrinsically)
Term
Right-Brain/Left-Brain and Whole Brain thinking
Definition
Right hemisphere—emotional, visual–spatial, nonverbal hemisphere
Thinking processes using the right brain are intuitive, subjective, relational, holistic, and time free

Left hemisphere—vocal and analytical side
Thinking process using reality-based and logical thinking with verbalization
Term
Examples of Right-Brain/Left-Brain thinking
Definition
Left Brain
- Prefers talking and writing
Recognizes/remembers names
Solves problems by breaking them into parts
Conscious of time and schedules

Right Brain
Prefers drawing and manipulating objects
Recognizes/remembers faces
Solves problems by looking at the whole, looks for patterns, uses hunches
Not conscious of time and schedules
Term
Kolb Learning style inventory
Definition
Concrete Experience
Abstract Conceptualization
Active experimentation
Reflective observation
Term
Six learning style principles
Definition
Teacher’s and learner’s preference style can be identified.

Nurses need to guard against relying on teaching methods and tools which match their own preferred learning styles.

Nurses are most helpful when they assist learners in identifying and learning through the their own style preferences.

Learners should have the opportunity to learn through their preferred style.

Learners should be encouraged to diversify their style preferences.

Educators can develop specific learning activities that reinforce each modality or style.
Term
Interpretation of learning styles: relationship between styles and other factors, what are the limitations of styles?
Definition
Not only assessing styles; other equally important factors in learning should be considered ( i.e PEEK)

Styles only describe how individuals process stimuli, not how much or how well information is learned.

Familiarity with how learners do learn best helps you to chose different teaching styles, ie presentation, hands on, pencil paper, discussion, provide facts, problem solving………….(do not need an assessment tool)

Helps in analysis of why sometimes teaching not working and the need to use a variety of approaches
Term
L.E.A.R.N.S
Definition
L.E.A.R.N.S.
Listen

Establish relationship

Adopt intentional approach

Reinforce health literacy

Name new knowledge

Strengthen self-management
Term
What is this example an illustration of:

children with chronic illness often are delayed developmentally; an adolescent that suffers a traumatic event may regress developmentally.
Definition
Chronological age versus stage of development
Term
Developmental Stages of Childhood (4) and what is the definition of childhood?
Definition
Infancy and Toddlerhood

Preschooler

School-aged Child

Adolescence

Pedagogy is the art and science of helping children learn
Term
Infancy and Toddlerhood - Relevant Piaget and Erikson stages
Definition
Piaget: sensorimotor stage
Learning is through sensory experiences and through movement and manipulation of objects
Erikson: trust vs. mistrust (birth to 12 months) autonomy vs. shame and doubt (1–3 years)
Building trust and learning to control willful desires
Term
Infancy and Toddlerhood: What are the general characteristics of cognitive and psychosocial domains
Definition
General Characteristics
Cognitive
Example: responds to step-by-step commands; language skills develop rapidly during this stage


Psychosocial
Example: routines provide sense of security
Term
Preschooler: Relevant Piaget and Erikson stages
Definition
Piaget: preoperational stage
Egocentric; thinking is literal and concrete; precausal thinking


Erikson: initiative vs. guilt
Taking on tasks for the sake of being involved and on the move; learning to express feelings through play
Term
Preschooler: General characteristics of cognitive and psychosocial domains
Definition
General Characteristics
Cognitive
Example: animistic thinking; limited sense of time; egocentric;

Psychosocial
Example: separation anxiety; play is his/her work; fears bodily injuries; active imagination
Term
School-Aged Child: relevant piaget and erikson stages
Definition
Piaget: concrete operations stage
Developing logical thought processes and ability to reason; understands cause and effect
Erikson: industry vs. inferiority
Gaining a sense of responsibility and reliability; increased susceptibility to social forces outside the family unit; gaining awareness of uniqueness of special talents and qualities
Term
School-Aged Child: General cognitive and psychosocial characteristics
Definition
General Characteristics
Cognitive
Example: learns to draw conclusions and are able to understand cause and effect
Psychosocial
Example: fears failure and being left out of groups; fears illness and disability
Term
Adolescence: Relevant Piaget and Erikson stages
Definition
Piaget: formal operations stage
Abstract thought; reasoning is both inductive and deductive

Erikson: identity vs. role confusion
Struggling to establish own identity; seeking independence and autonomy
Term
Adolescence: General cognitive and psychosocial characteristics
Definition
General Characteristics
Cognitive
Example: abstract thinking; complex logical reasoning; can build on past experiences

General Characteristics (cont’d)
Psychosocial
Example: personal fable—feels invulnerable, invincible/immune to natural laws
Example: imaginary audience—intense personal preoccupation
Term
Andragogy and Adult learning principles
Definition
Andragogy: the art and science of helping adults learn
Adult Learning Principles: relates learning to immediate needs; self-directed; teacher is facilitator; learner desires active role
Term
Young Adulthood: Relevant Piaget and Erikson stages
Definition
Piaget: formal operations stage (begins in adolescence and carries through adulthood)
Abstract thought; reasoning is both inductive and deductive
Erikson: intimacy vs. isolation
Focusing on relationships and commitment to others in their personal, occupational, and social lives
Term
Young Adulthood: General cognitive and psychosocial characteristics
Definition
General Characteristics
Cognitive
Example: cognitive capacity is fully developed, but continuing to accumulate new knowledge and skills
Psychosocial
Example: autonomous; independent; stress related to the many decisions being made regarding career, marriage, parenthood and higher education
Term
Middle-Aged Adulthood: Relevant Piaget and Erikson stages
Definition
Piaget: formal operations stage
Abstract thought; reasoning is both inductive and deductive
Erikson: generativity vs. self-absorption and stagnation
Reflecting on accomplishments and determining if life changes are needed
Term
Middle-Aged Adulthood: General cognitive and psychosocial chracteristics
Definition
General Characteristics
Cognitive
Example: ability to learn remains steady throughout this stage
Psychosocial
Example: facing issues with grown children, changes in own health, and increased responsibility for own parents
Term
Older adulthood: relevant piaget and erikson stages
Definition
Piaget: formal operations stage
Abstract thought; reasoning is both inductive and deductive
Erikson: ego integrity vs. despair
Coping with reality of aging, mortality, and reconciliation with past failures
Geragogy—the teaching of older persons, accomodating the normal physical, cognitive and psychosocial changes
Term
Older Adulthood: general cognitive and psychosocial characteristics
Definition
General Characteristics
cognitive
Example: fluid intelligence—capacity to perceive relationships, to reason, and to perform abstract thinking, which declines with aging
Example: crystallized intelligence—the intelligence absorbed over a lifetime, which increases with experience

Psychosocial
Example: adjusting to changes in lifestyle, and physical limitations
Term
Literacy: Definition of literacy, illiteracy,low literacy, functionally illiterate, readability
Definition
Literacy: the ability of adults to read, write, and comprehend information at the 8th grade level or above.
Illiteracy: the total inability of adults to read, write, and comprehend information.
Low Literacy: the ability of adults to read, write, and comprehend information between the 5th to 8th grade level of difficulty. Also synonymous with the terms marginally literate or marginally illiterate.

Functionally Illiterate: inability of adults to read, write, and comprehend information below the 5th grade level of difficulty in order to use information as it is intended for effective functioning in today’s society.


Readability: the ease with which written or printed information can be read.
Term
Clues to illiteracy
Definition
Reacting to complex learning situations by withdrawal or avoidance
Using the excuse of being too busy, not interested, too tired, or not feeling well enough to read instructional materials
Claiming they lost, forgot, or broke their glasses
Surrounding themselves with books, magazines, and newspapers to give the impression that they are able to read

Insisting on reading the information at home or with a spouse or friend present

Asking someone to read information for them

Becoming nervous when asked to read

Acting confused or talking out of context about the topic of conversation
Showing signs of frustration when attempting to read

Having difficulty following directions

Listening and watching attentively to try to memorize information

Failing to ask questions

Revealing a discrepancy between what they hear and what is written
Term
Ethical and Legal concerns related to literacy: What do nursing standards require, what does the patient's bill of rights mandate?
Definition
Nursing Standards requires that patients and their significant others are provided with information that is understandable

The Patient’s Bill of Rights mandates that patients receive complete and current information in terms they can understand
Term
Readability of Printed Education Materials (PEMs): what do research findings indicate? What level do people typically read at?
Definition
Research findings indicate that most PEMs are written at grade levels that far exceed the reading ability of the majority of patients

The readability level of PEMs is between the 10th and 12th grade yet the average reading level of adults falls between the 5th and 8th grade.

People typically read at least two grades below their highest level of schooling
Term
Techniques for writing effective educational materials: writing style, types of words to use, use of acronyms, when should you use numbers
Definition
Write in a conversational style with an active voice using the personal pronouns “you” and “your”
Use short, familiar words with only one or two syllables
Spell words out rather than using abbreviations or acronyms
Use numbers and statistics only when necessary
Term
Techniques for writing effective educational meterials (contd): how short should sentences be? What should you do with technical/unfamiliar words, how should you approach the use of connective words, what should the first sentence of a paragraph be? Use of white space
Definition
Keep sentences short, preferably 20 words or less

Define any technical or unfamiliar words

Use words consistently throughout text

Limit use of connective words

Make the first sentence of a paragraph the topic sentence

use a question and answer format to present information simply and in conversational style

Allow for plenty of white space for ease of reading and to reduce density of information
Term
Teaching strategies for low literacy
Definition
Establish a trusting relationship

Use smallest amount of information to achieve objectives

Make points vivid and explicit

Teach one step at a time

Use multiple teaching methods and tools

Give learners a chance to restate info in their own words

Give praise and rewards

Use repetition and reinforce information
Term
Gender Characteristics in teaching
Definition
There remains a gap in knowledge of how males and females might think and behave if they were not influenced by their environment right from birth

Much of the patient edcuation is related to context more so than learning style specific to gender

Language should not assume a heterosexual position


Conscious examination of how language assumes this stance would prevent such an imposition
Term
Socioeconomic DIfferences and teaching: three variables that affect health status and health behaviours, social class (how measured), poverty circle
Definition
Variables affecting health status and health behaviors
Educational level
Family income
Family structure

All three variables affect health beliefs, health practices, and readiness to learn

Social class
Types of indices for measurement
Occupation of parents
Income of family
Location of residence
Educational level of parents

Social class (cont’d)
Poverty circle—low education level results in occupations with lower levels of pay, prestige, and intellectual demand; families living at this level become part of the cycle that does not allow one to easily change a pattern of life.
Term
SES differences: Teaching strategies: what are they directed towards attaining and what do they focus on?
Definition
Teaching strategies
Directed toward attaining and maintaining health

Focus on:
Reducing illness episodes
Establishing healthful environmental conditions
promoting access to health-care services
Term
General Teaching Strategies for Clients with Aphasia
Definition
Have only one person speak at a time

Stand where client can see your face

Check to be sure each message is understood

Allow person time to respond
Term
General Guidelines for Teaching with Hearing Impairments: speech patterns, sentence style, how to get attention, where to stand
Definition
Use natural speech patterns; do not over articulate
Use simple sentences
Get attention of client by light touch on arm
Face client, standing no more than 6 feet away
Term
Hearing impairments: Modes of communication to Facilitate teaching/learning
Definition
Modes of Communication to Facilitate
Teaching/Learning:
American Sign Language (ASL)
Lip reading
Written materials
Verbalization by client
Sound augmentation
Telecommunication devices for the deaf (TDD)
Term
General guidelines for teaching with vision impairment
Definition
Avoid tendency to shout and to use nonverbal cues

Always announce your presence and identify yourself

Allow client to touch, handle, and manipulate equipment

Be descriptive in explaining procedures
Use large font size for printed or handwritten materials
Avoid color; rely on black and white for printed materials
Use alternative instructional tools that stimulate auditory and tactile senses
Term
General teaching strategies for clients with learning disabilities:
Definition
Eliminate distractions; provide quiet environment
Conduct individualized assessment to determine how client learns best
Adapt teaching methods and tools to client’s preferred learning style
Ask questions of parents about accommodations needed when client is child
Term
General teaching strategies with learning disabilities
Definition
Use repetition to reinforce messages
Ask client to repeat or demonstrate what was learned to clear up any possible misconceptions
Use brief but frequent teaching sessions to increase retention and recall of information
Encourage client’s active participation
Term
Role of family in pstient education
Definition
Family is a key variable influencing patient outcomes

Nursing standards require family participation

The family can be the nurse’s greatest ally

It is important to choose the most appropriate caregiver to receive information
Term
Equity for Equality
Definition
Equality = sameness
When we treat people equal we ignore differences.
Equity = fairness
When we treat people equitably
we recognize differences.
Term
Cultural factors influencing teaching definition of: Diversity, culture, ethnicity, ethnocentrism, acculturation
Definition
Diversity:
Culture: The arts and other manifestations of human intellectual achievement regarded collectively
Ethnicity: The fact or state of belonging to a social group that has a common national or cultural tradition.
Ethnocentrism: our culture is the best
Acculturation: the adoption of the behavior patterns of the surrounding culture (mostly diet, dance, and dress)
Term
Explicit and Implicit culture
Definition
Explicit - Diet, Dance, Dress, DIalogue

Implicit: values, beliefs, world views
Term
Characteristics of Culture
Definition
Culture is shared

Culture is dynamic

Culture has explicit and implicit dimensions

Culture is learned

Culture is integrated
Term
Biocultural variations
Definition
PKU vs Sickle cell vs Tay Sachs (i.e. sickle cell more prevalent in blacks but not a default test whereas PKU is)

Failure to thrive

Variations in blood work, i.e. Black and Asian women have higher levels of AFP and hCG and Estriol can be identified at risk

Hgb I g lower for Black community
Term
Biocultural variations in management
Definition
Skin care, hair care, diet ( not just lactose tolerance but specifics related to race, religion and ethnicity)

Medications: Arab community (numerous need lower dose)

Asian Pacific respond differently to various drugs, i.e. fat soluble, best with calcium antagonist, narcotics and morphine effects

Black community analgesics, antihypertensive, mydriatics
Term
Ethnic diversity in Nova Scotia: how many ethnic groups, percentage of visible miniority that are indigenous black, Mi'kmaq percentage of population, other large foreign populations
Definition
Have over 100 ethnic groups

59% of our visible minority group are Indigenous Black

Mi’kmaq 13 communities, (2.6% of Nova Scotia population)

Large Acadian Population

Large Asian and Middle East Population
Term
Cultural differences - Giger's six cultural phenomena
Definition
Communication
Personal space
Social organization
Time
Environmental control
Biological variations
Term
Culture and communication - 6 things to keep in mind
Definition
Space
Silence
Approach (direct/indirect, intervention, prognosis)
Tone
High context /low context
Gender differences
Term
High context vs low context communication
Definition
High context:
Most of the message is in the context
More emphasis on what is left unsaid
Obvious does not need to be stated
More responsibility on listener
More need for silence to reflect

Low context:
Most of the message is on the spoken word
It must be stated if is not stated it is not relevant
Responsibility for communication is on the speaker
Silence is often misunderstood
Term
What are the four key elements that determine health
Definition
care organization, human biology, environment, lifestyle, and health
Term
WHO definitions of health
Definition
“the state of complete mental, physical and social well-being not merely the absence of disease or infirmity” (WHO, 1947)
“to reach a state of complete physical, mental, and social well being, an individual must be able to identify and realize aspirations, to satisfy needs, and to change or cope with the environment” (WHO, 1986)
Term
Three critical elements for maintaining health
Definition
Lifestyle - eating, sleeping, staying active, managing stress, supportive relationships, nurturing the spirit

Resilience – self-efficacy, support systems, strong faith, sense of purpose

Well-being – personal satisfaction, sense of feeling health, positive energy, at peace with self and others
Term
What are the determinants of health (12)
Definition
Income & social status
Social support networks
Education & literacy
Employment & working conditions
Social environments
Physical environment
Personal health practices & coping skills
Healthy child development
Biology & genetic endowment
Health services
Gender
Term
Key terms - population health, community health, public health, health disparity
Definition
Population Health

Community health - health status of a defined group

Public Health

Health Disparity - Differences in access, resources,etc... that play a part in incidence and prevalence of chronic disease.
Term
Principles of Primary Health Care
Definition
Accessibility for all
Health promotion and disease prevention
Public participation
Intersectoral collaboration
Appropriate use of health care resources
Term
What is primary prevention
Definition
Primary Prevention – intervention to prevent disease from beginning, relates to the natural history of disease
Individual and mass immunization, education of community through mass media on importance of hand-washing
Term
What is secondary prevention
Definition
Secondary Prevention – intervention that seeks to detect disease early in its progression (early pathogenesis), before clinical s/s, to make early dx & begin tx
Screening programs, i.e. Vision screening at primary schools, pap screening for cervical cancer
Term
Tertiary Prevention
Definition
Tertiary Prevention – intervention that begins once disease has become obvious, aim to interrupt course of disease to reduce the amount of disability, begin rehabilitation
Cardiac rehab at a community wellness clinic for recently discharged patients following cardiovascular event; nutritional education group for middle-aged adults who have type 2 diabetes
Term
Primordial Prevention
Definition
Primordial Prevention – interventions/actions to minimize future hazards to health, and inhibit the establishment of factors (environmental, economic, social, behavioural, cultural) known to increase the risk of disease
Improved sanitation, promoting health in childhood through prenatal nutrition programs & supporting early childhood development programs

Downstream vs Upstream thinking
Term
Definitions of Health Education and Health Promotion
Definition
Health Education – targets learning experiences of individuals, groups and communities with goal of quality health decision
Health Promotion – combination of educational, political, environmental, regulatory or organizational mechanisms to support action for health

Health Promotion = Empowerment

Factors that influence well-being, those with the greatest burden have the least access to health resources, information and technology
Term
Examples of: Building healthy public policy, Creating supportive envrionments, Strengthening community action, developing personal skills, reorienting health services
Definition
Building healthy public policy
mandatory seat belt use in automobiles
Creating supportive environments
smoke free public places
Strengthening community action
funding for youth health centres in high-schools
Developing personal skills
community literacy programs
Reorienting health services
interdisciplinary health centres
Term
Three theoretical frameworks for health promotion
Definition
Pender’s Health Promotion Model
Transtheoretical Model of CHange
Precede-Proceed Model

Trantheoretical Model of Change

PRECEDE-PROCEED Model
Term
Transtheoretical Model of Change
Definition
Identify motivational readiness for people to engage in health-promoting behaviours
Prochaska's five stages of change – level of intervention to match the individual’s motivation or “readiness”
Precontemplation - before they think something is a problem. One approach here would be to raise doubt.

Contemplation - Thinking about whether or not to act.. nurse should allow open discussion of pros and cons.

Preparation - decided to take action, nurse helps them to determine what the best course to taAction – "People have made specific overt modifications in modifying their problem behaviour or in acquiring new healthy behaviours"
Maintenance – "People have been able to sustain action for a while and are working to prevent relapse"
Term
Precede-Proceed Model
Definition
Health and health outcomes are broadly determined.

Teaching needs to take part within a larger framework that addresses broad issues.
Term
Group 1 - Handwashing: What approach did they use?
Definition
- Behaviourist
Term
Group 5 block 2 - Nitroglycerin... framework, type of prevention, evaluation
Definition
Humanistic perspective
Tertiary?
Had client demnonstrate back
Term
Pregnancy teaching the class group
Definition
noooot sure
Term
Sleep Hygiene group
Definition
Primary prevention
Evaluation - kids able to identify two benefits + to good habits of good sleep hygiene.
Developmentally appropriate
Term
Dialysis group
Definition
tertiary prevention?
Term
Chickenpox presentation
Definition
primary prevention
Taught to appropriate developmental stage
Term
Asthma talk
Definition
Tertiary prevention
Taught to developmental stage
Included mother
has child demo on bear and then on herself... did a maze to assess learning of triggers
Term
HPV presentation
Definition
primary prevention
Term
Condom presentation
Definition
Primary prevention
Demoed, followed by having clients demonstrate.
Played a computer game that tested knowledge.
Term
Colostomy talk
Definition
Tertiary prevention
Assessed readiness with PEEK
Physically ready
Emotionally ready
Experientially ready
Knowledge readiness
behaviourist (positive reinforcement)
taught to developmental stage
Assessed knowledge with test on food, test on names of applicances, etc...
Term
Maternity teaching
Definition
Cognitive learning theory
not sure about prevention type
Term
STI prevention
Definition
Primary prevention
Term
Anaphylaxis
Definition
Tertiary prevention? (has a peanut allergy, learning how to avoid anaphylaxis)
Had her teach back, quizzed on different signs.
Term
Asthma # 2
Definition
Tertiary prevention
Term
Identifying suspicious moles
Definition
cognitive learning theory
secondary prevention
PEEK assessment for readiness
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