For today the NAP ( nurse practice act) legally mandated to provide instruction to consumers to assist them to maintain optimal level of wellness & manage illness. 0 The J formerly the COACH established nursing standards for apt education as early as 1993. The standards w/c is known as mandates describe the type & level of care, treatment, & services that must be provided by an agency in order that they will be accredited D The Patients Bill of Right 1 SST develop in 1970 by the American Hospital Association has been adopted by many hospital nationwide in establishing the guidelines to ensure that pots.
Receive complete & current information concerning their diagnosis, treatment & prognosis. CLC The pew Health Profession Commission ( 1995) published a broad set of competencies that would marked in the 21 SST Century. I.
Provide
...clinically competent & ordinates care to the public ii. Involve pots. & their families in the decision-making process regarding intervention iii. Provide clients w/ education & counseling on ethical issues iv. Expand public access to effective care v. Ensure cost- effective & appropriate care to the clients vi.
Provide for prevention of illness & promotion of healthy lifestyle for all. The Institute for Healthcare Improvement (2006) announced the 5 Million Lives Campaign w/ their objective to reduce pots. From incidents of medical harm through teaching on how to improve care in reducing injuries, save lives & decrease cost of lath care. CLC The Sullivan Alliance to recruit & educate staff nurses to deliver culturally competent care to the public. Accomplishing the goals & meeting the expectations of these various organizations calls for a redirection
of education efforts.
Since 1 sass , the role of the nurse as educator has undergone a paradigm shift evolving from what once a DOPE - disease oriented patient education POPE - prevention oriented patient education HOPE -? health oriented patient education The new approach has emphasis on empowering the patients to use their potentials, abilities, & resources to the fullest. Preparing nursing staff through continuing education, in - service program, & staff development to maintain & improve their clinical skills & teaching abilities. Trends affecting health care system 1 . The federal gobo.
As published Healthy People 2010 , Understanding & Improving health , a document that put forth national health goals & objectives for the future 2. The growth of managed care has resulted in shifts in reimbursements for health care services. 3. Health providers are recognizing the economic & social values of reaching out to communities, schools, & workplaces to provide education for asses prevention & health promotion 4. Politicians & health care administrators recognize the importance of health education to accomplish the economic goal of reducing the high cost of health services 5.
Latherer professionals are increasingly concerned about malpractice claims & disciplinary action for incompetence. 6. Nurses continue to define their professional role, body of knowledge, scope of practice, & expertise w/ client education as central to the practice of nursing. 7. Consumers are demanding increased knowledge & skills about how to care for themselves & how to prevent disease. 8.
Among the major causes of morbidity & mortality are those diseases now recognized as being lifestyle related & preventable through educational intervention. 9.
The increase in chronic & incurable
condition requires that individuals & families become informed participants to manage their own illnesses 1 0. Advanced technology is increasing the complexity of care & treatment in home & community based settings.
11. Health care providers are becoming increasingly aware that client health literacy is an essential skill if health outcomes are to be improved nationwide 12. That client education improves implicate thus, health & well - being also 13. An increasing number of self - help groups exist to support clients in meeting Theories in Health Education 1 .
The Health Promotion Model - designed by Nolan. Ponder - a positive dynamic state rather than simply the absence of disease - directed at increasing the apt.
's level of well being - describes the multidimensional nature of persons as they interact w/in their environment to pursue health - focuses on 3 areas: a. Individual characteristics & experiences b. Behavior - specific cognition & affect c. Behavioral outcomes - a commitment to a plan f action - health promoting behavior is the endpoint or action outcome directed toward attaining a positive health outcome such as optimal well - being, personal fulfillment, & productive living 2.
Self Efficacy theory - originated from Social Cognitive theory by Alberta Bandeau - has the power to produce that effect by completing a given task or activity related to that competency - relates to a person's perception of their ability to reach a goal - the expectation that one can master a situation & produce a positive outcome - 3 factors that influence self - efficacy a. Behaviors b. Environment . Personal / cognitive factors - self - efficacy /
self- esteem are different concept but related (self efficacy relates to a person's perception of their ability to reach a goal / self - esteem relates to a person's sense of self -worth.
Self - efficacy is the most important precondition for behavior change 3. Health Belief Model - one of the 1st theories of health behavior - developed in the sass by a group Of US Public Health Serve;ice social psychologist who wanted to explain why so few people were participating in program to prevent & detect disease - a good model for addressing problem behaviors that evoke health concerns ( high risk sexual behaviors & the possibility of contracting -4 critical areas of HOB a. The severity of a potential illness b. He person's susceptibility to that illness c.
The benefits of taking a preventive action d. The barriers to taking that action - a popular model applied in nursing especially in issues focusing on patient compliance & preventive health care practices - addresses the relationship b/w a person's belief & behaviors. - 6 major concepts in HOB 1 . Perceived susceptibility 2.
Perceived severity 3. Perceived benefits 4. Perceived costs . Motivation 6.
Modifying factors 4. Precede - proceed Model - is a cost - benefit evaluation framework proposed in 1974 by Dry. Lawrence W.
Green that can help health program planners, policy makers, & other evaluators analyze situations & design health programs efficiently - provides a comprehensive structure for assessing health & quality of life needs & for designing, implementing, & evaluating health promotion & other health programs - one purpose & guiding principle of the precede - proceed is to
direct initial attention to outcome rather than inputs.
A fundamental assumption of the del is the active participation of its intended audience will take an active part in defining their own problems, establishing their goals, & developing their solutions. Has 2 distinct parts 1 " Educational diagnosis" P - predisposing R - reinforcing & - Enabling C - constructs in - educational D - diagnosis & 2. " Ecological diagnosis" P- policy R - regulatory & organizational O - educational & - environmental D - development -a multidimensional model & that is founded in social, behavioral sciences, epidemiology, administration & education Purpose / Goals 'Benefits of Client & Staff Education The purpose of patient education is to increase the competence & confidence of clients for self - management.
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