Health Ed. - Chapter 4

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    Chapter 4

    Determinants of Learning

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    Educators Role in Learning

    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

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    The Educators Unique Position

    The educator is vital in giving support,

    encouragement, and direction during the

    process of learning.

    The educator assists in identifying optimal

    learning approaches and activities that can

    both support and challenge the learner.

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    Assessment of the learner includes attending to the three

    determinants of learning:

    * 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)

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    ASSESSING LEARNING NEEDS

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    Assessment of Learning Needs

    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 educationalresources

    Assess demands of the organization

    Take time-management issues into account

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    Needs are prioritized based on the

    following criteria:Mandatory: Needs that must be learned

    for survival when the learners life or

    safety is threatenedDesirable: Needs that are not life-dependent but

    are related to well-being

    Possible: Needs for information that are nice to know but notessential or required because they are not directly related to

    daily activities or the particular situation of the learner

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    Methods to Assess Learning Needs

    Informal conversations

    Structured interviews

    Focus groups Self-administered questionnaires

    Tests

    Observations

    Patient charts

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    Assessing Learning Needs of

    Nursing Staff

    Written job descriptions

    Formal and informal requests Quality assurance reports

    Chart audits

    Rules and regulations Knox Four-Step approach

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    Take TIME to take a PEEK atthe four types of Readiness to

    Learn!

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    P = Physical readiness

    E = Emotional readiness

    E = Experiential readiness

    K = Knowledge readiness

    The Four Types of Readiness to

    Learn Are:

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    1. Physical readiness

    measures of ability

    complexity of task

    health status

    gender anxiety level

    support system

    2. Emotional readiness

    - Anxiety level

    - Support system- motivation

    - risk-taking behavior

    - frame of mind

    - developmental stage

    3. Experiential readiness

    level of aspiration

    past coping mechanisms

    cultural background

    locus of control

    orientation

    4. Knowledge readiness

    present knowledge base cognitive ability

    learning disabilities

    The Components of Each Type of

    Readiness to Learn Include:

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    Learning Styles

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    Six Learning Style Principles

    Both the style by which the teacher prefers toteach and the style by which the learner prefersto learn can be identified.

    Educators need to guard against relying onteaching methods and tools which match theirown preferred learning styles.

    Educators are most helpful when they assist

    learners in identifying and learning through thetheir own style preferences.

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    Six Learning Style Principles

    (cont.) Learners should have the opportunity tolearn through their preferred style.

    Learners should be encouraged todiversify their style preferences.

    Educators can develop specific learning

    activities that reinforce each modality orstyle.

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    Learning Style Models and

    Instruments

    Brain Preference Indicator(Right-Brain, Left-Brain, and Whole-Brain)

    Embedded Figures Test (EFT)(Field-Independent/Field-Dependent)

    Environmental Preference Survey(EPS) (Dunn and Dunn Learning Style Inventory)

    Myers-Briggs Type Indicator (MBTI)

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    Learning Style Instruments (cont.)

    Kolb Learning Style Inventory (LSI)

    4MAT System Gardners Eight Types of Intelligence

    VARK Learning Styles

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    Right-Brain/Left-Brain and

    Whole-Brain Thinking

    Brain Preference Indicator

    Right hemisphereemotional, visualspatial,

    nonverbal hemisphereThinking processes using the right brain areintuitive, subjective, relational, holistic, andtime free

    Left hemispherevocal and analytical sideThinking process using reality-based andlogical thinking with verbalization

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    Right-Brain/Left-Brain and

    Whole-Brain Thinking

    No correct or wrong side of the brain

    Each hemisphere gathers in the same

    sensory information but handles theinformation in different ways

    Knowledge of ones own brain

    hemispherical performance can helpeducators identify the strengths andweaknesses of various teachingmethods

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    Examples of Right-Brain/Left-Brain

    and Whole-Brain Thinking

    Prefers talking and writing

    Recognizes/remembers

    names Solves problems by

    breaking them into parts

    Conscious of time and

    schedules

    Prefers drawing andmanipulating objects

    Recognizes/remembersfaces

    Solves problems by lookingat the whole, looks forpatterns, uses hunches

    Not conscious of time andschedules

    Left Brain Right Brain

    Whole braincombining both sides of the brain

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    Field-Independent/Field-Dependent

    Embedded Figures Test

    Embedded Figures Test

    Learners have preference styles for certainenvironmental cues.

    Helps the educator structure the learning taskand environment

    Helps assess the extent to which learners areable to ignore distractions from other persons

    Assesses whether learners see the whole firstor the individual parts of a task when learning

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    Environment Preference Survey

    (LSI)

    Stimuli

    Environmental

    Emotional

    Sociological

    Physical

    Psychological

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    Myers-Briggs Type Indicator

    Extraversion (E) Introversion (I)

    Sensing (S)Intuition (N)

    Thinking (T) Feeling (F)

    Judgment (J) Perception (P)

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    Kolb Learning Style Inventory

    Concrete experience Abstract conceptualization

    Active experimentation Reflective observation

    Diverger Converger

    Assimilator Accommodator

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    4MAT System

    There is a combination of Kolbs modelcombined with right/left brain research.

    There are four types of learners.

    Educators can address all four learningstyles by teaching sequentially fromtype-one learner to type-two learner,etc.

    Learning sequence is circular andcyclic.

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    Gardners Eight Types of

    Intelligence(#8 identified in 1999--naturalistic)

    Linguistic intelligence Musical intelligence

    Spatial intelligence Logicalmathematical intelligence

    Bodily kinesthetic intelligence Intrapersonal intelligence

    Interpersonal intelligence

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    Interpretation of Style Instruments

    Caution must be exercised in assessing styles sothat other equally important factors in learning arenot ignored.

    Styles only describe how individuals process

    stimuli, not how much or how well information islearned.

    Style instruments should be selected based onreliability, validity, and the population for which

    they are to be used. More than one learning style instrument should

    be used for appropriate assessment of learner.