ulation in response. It is better to tell patients that an answer will be found, then come back with the correct information in a timely fashion.
Self-Assessment Quiz Question #3 All the following statements are true EXCEPT: a. Misinformation is not related to patient beliefs. b. Inaccurate information can come from multiple sources. c. Providing accurate healthcare can improve health literacy. d. A response to a question shouldn’t be a speculation. in a way that is not judgmental. Mindfulness is about observation, which includes an awareness of self and others, the environment, and the situation. Components of mindfulness include thoughts, emotions, physical sensations, communication, and dynamics. At- tunement is more than just awareness and involves responding to others. Adjustments are made with attunement to better under- stand the needs and desires of someone else (Maryniak, 2019; Saban et al., 2021).
Patient and family perception Perception in healthcare is described as thoughts, beliefs, or opin- ions based on how things appear (Cambridge Dictionary, 2022). An individual’s perception influences experiences, relationships, and the retention and application of knowledge. In healthcare, patients’ and families’ perceptions are the focus. Patients’ posi- tive perceptions improve their connections with healthcare pro- fessionals, which in turn can create more teaching moments and effective education. Healthcare professionals can take steps to create positive perceptions and enhance the patient experience. Presence is about experience and being in the moment, which is essential for teaching moments. Presence has been identified as essential to successful education and healing (American Ho- listic Nurses Association [AHNA] & American Nurses Association (ANA), 2019). Presence can be achieved using mindfulness and at- tunement. Mindfulness is associated with presence in the moment Reinforcement Teaching moments should be reinforced for maximum under- standing and retention of knowledge. Reinforcement can be done during the teaching moment itself, as well as through a longer educational session if needed, and by using the teach-back meth- od. There are some strategies that can assist with reinforcement. Recognizing and encouraging patient efforts to learn is important. Acknowledgment of patient growth and learning is also essential. Using real-life examples can be useful, particularly if they are suc- cess stories of other patients (National Library of Medicine [NLM], 2021). Providing resources can also help reinforce covered content. In addition to any written materials, resources can include commu- nity organizations, support groups, and trusted websites. After re- viewing the information that was taught, it is important for health- care professionals to check to see whether patients have other Case study: Miss McGill Miss McGill is a 23-year-old Native American female who was re- cently diagnosed with asthma and prescribed beclomethasone dipropionate and albuterol inhalers. She was on a five-day course of oral prednisone, which was discontinued. Miss McGill has a history of smoking cigarettes daily. She meets with a healthcare professional to discuss her diagnosis and medications. Miss McGill states that she has switched to using electronic vap- ing for nicotine. “That’s much healthier for me than smoking.” She says she doesn’t really know the difference between her inhalers and asks why she is on both. She also says she ran out of her “white pill s” and asks when she will be getting more. ● What teaching moments are identified? Discussion : Miss McGill has asked questions about her medica- tions, so that is a teaching moment. She has also made state- ments that have identified other teaching moments, including those about vaping and her discontinued medication. Conclusion Teaching moments can be found by all healthcare professionals with all patients in any setting. Relationships and effective com- munication can assist with identifying these teaching moments. Healthcare professionals should act on teaching moments in a
Self-Assessment Quiz Question #4 Presence is described as including: a. Awareness of self and others. b. Thoughts or opinions. c. Being in the moment. d. Responsiveness to others.
questions or concerns that need to be addressed, for example, “What other concerns do you have?” It is also essential that pa- tients are told they can reach out if questions or concerns arise after the teaching (NLM, 2021; Maryniak, 2019). Self-Assessment Quiz Question #5 One strategy for reinforcing a teaching moment is: a. Having the patient memorize medication names b. Using real-life examples c. Providing copies of research studies d. Keeping questions restricted to the teaching session ● What are essential concepts to include with these teaching moments? Discussion : Miss McGill needs to have her medications explained and understand the difference between them, what they are for, and how to take them. She will also need information about vap- ing and health effects. A discussion about discontinued medica- tions is also needed. ● What are some important points for reinforcing these teaching moments? Discussion : Following up with teach-back is necessary, including return demonstration. For her medications, some questions to ask are “What is this medicine?” “How will this medicine help your asthma?” and “Show me how you will take this medicine.” For the topic of vaping a question may include “Tell me how vaping can affect your lungs.” Further education, handouts, and resources can also reinforce concepts. The last question should be “What other concerns do you have?” timely manner. Misinformation and incorrect information are other opportunities for teaching moments. Perceptions of patients and families can determine the success of teaching moments. Using strategies for reinforcement is needed.
References •
Bastable, S. (2021). Nurse as educator: Principles of teaching and learning for nursing practice (6th ed.). Jones & Bartlett Learning.
American Holistic Nurses Association (AHNA) & American Nurses Association (ANA). (2019). Holistic nursing: Scope and standards of practice (3rd ed.). American Nurses Association. •
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