Community: Health Promotion, Achieving change thorugh education

teaching

Principle of participation, it is important to have your stakeholders on board with your education ideas. Communicate your goals an objectives clearly. Involve the participants as much as possible so that they do not become resistant to your ___________.

Health promotion

- health behaviors that improve well-being and lead to a desire to meet one's human potential.

Disease prevention

- behavior motivated by a desire to actively avoid illness, detect it early, or maintain functioning within the constraints of illness

Primary Prevention

- is designed to deter or avoid the occurence of disease or injury

Secondary Prevention

- is deisgned to identify and adequately treat a disease or injnruy process as soon as possible, often before any symptoms have developed

Tertiary Prevention

- is designed to treat a disorder when it has advanced beyond its early stage, to avoid complications and limit disability, to address rehabilitative and palliative needs

Change

- any planned or unplanned alteration of the status quo in an organism, situation, or process

changes

To affect change, the CHN needs to be a health educator. Teaching is one of the most important roles in Community Health. In order to understand change, we must learn how people make __________ in their lives.

Evolutionary

- gradual and requires adjustment. it modifies rather than replaces
- (becoming parents) no radical shift in goals or values

Revolutionary

- rapid, drastic. It requires goals and new patterns of behavior (sudden unemployment)
- may use social marketing to bring about change

intentional; improvement

Planned Change:
- Purposeful and _____________: specific reasons and goals prompting change, goals give a unifying focus.
- By design not default: planning provides structure for change process.
- Aims at ______________: seeks to better the current situat

Unfreezing, changing/moving, Refreezing

What are the three stages of change?

Unfreezing

Stages of change:
______________
- when people have a sense of dissatisfication, and they want something different In other words, realizing there is a problem and seeks to make some kind of change. In this stage it is important for the client to see the

Changing/Moving

Stages of change:
_____________________
- this is the stage where people look at, accept the information and tryout the new behavior. It is important for the nurse to help the client see the importance or value of the change and assist them in adopting it

Refreezing

Stages of change:
___________________
- is when the behavior is adopted and becomes part of the clients behavior. Like daily exercise

Recognize symptoms

Planned Changed process: Step 1
__________________
- is the recognize and assess the signs that indicate the need for change. For this step to be successful, gathering evidence. The nurse cannot assume he/she must assess the client and the need.

Diagnose need

Planned Changed process: Step 2 ________________
- analyzing symptoms/behaviors and conclude what the issue is. In step 2 the nurse must gather data. Literature reviews must be done to get the most up to date data, EBP . With the interviews and the data c

Analyze alternative solutions

Planned-Change Process: step 3
_________________________
- A review of the literature may shed light on solutions used by others. The nurse should list all of the alternatives and review the advantages, disadvantages and consequences involved in each alte

Select a Change

Plan Change Process: Step 4
_______________________
- After all of the alternatives have been analyzed, the best solution should be selected. To know what is to be accomplished a goal should be created in this stage. The goals should have these components

Plan the Change

Plan change process: Step 5 ___________________
- the heart of planned change- it is because the nurse and client prepare the design that guides the change in action. It is also important to have clear, specific objectives. Remember your objectives are ho

Implement Change

Plan change process: Step 6 ___________________
- the activities and objectives have been outlined in step 5-make sure that the people affected understand and are prepared for the change ( education). If you are planning an intervention that would include

Evaluate change

Planned change Process: Step 7 ________________________
- we cannot just teach some topic to our clients without evaluating how effective our teaching was. Well written objectives with very specific criteria will assist us in evaluation. This is also the

Principle of participation

Principles of effecting positive change: _____________________
- collaboration of stakeholders

Stabilizing the change

Planned Change Process: _____________________
- taking measures to reinforce and maintain the change. Communication with the client is helpful. Our example of AA Alcoholics Anonymous helps stabilize change by continuous support and reinforces a non drinki

Principle of Resistance to change

Principles for effecting posting change: __________________
- people like the 'status qui' they may resist your teaching

Proper Timing

Principles for effecting posting change: ______________
- make sure your teacching comes at a good time for stakeholders and clients

thinking

The cognitive domain of Bloom's Taxonomy focuses on ____________

Synthesis, Evaluation, Analysis, Application, Comprehension and Knowledge

What are the levels of blooms taxonomy?

Synthesis

Level of blooms Taxonomy:
__________________-
- to create something to integrate ideas into a solution to propose an action plan, to formulate a new classification scheme

Evaulation

Levels of blooms taxonomy:
______________________
- to judge the quality of something based on its adequacy, value, and logic

Analysis

Levels of blooms taxonomy: ___________________
- to identify the organization structure, to pull meaning from parts, relations, and organzing principle

Application

Levels of blooms taxonomy: ___________________
- to apply knwoledge to new situations to solve problems

Comprehension

Levels of blooms taxonomy: __________________
- to understand intepret, compare, contrast, or explain

Knowledge

Levels of blooms taxonomy: _________________
- to know specific facts, terms, concepts, principles, or theories

Affective domain of learning

This is an example of what domain?
- use these words to describe your objective. These are feeling words such as listening, commenting, sharing perspectives.

Psychomotor domain

this is an example of which domain?
- "what should I be able to do?

Behavioral learning theories

- study that focuses on the behaviors that can be observed, measured and changed

Learning theory

- a systematic and integrated look into the nature of the process whereby people relate to their surrounding in such a way to enhance their ability to use both themselves and their surroundings more effectively.

Stimulus-response theory

- show that certain causes- stimuli- evoke certain responses.

organized; positive; communicator

Characteristics of Effective Instructors:
- ______________- having clear knowledge on the topic and being able to effectively communicate that knowledge to other. Make sure to use teaching methods that are meaningful to the learner
- _____________ attitud

Health Belief model

- The ________________ was developed by social psychologists and was used by health care professionals in 1966. This model is helpful in explaining behaviors and actions taken by people to prevent illness and injury. It conveys the readiness to act on beh

Perceived Susceptibility

Health Belief Model:
________________
- related to how severe are the consequences of a problem, this is subjective and may require education

Perceived Severity

Health Belief Model:
____________________
- how serious is this condition

Perceived benefits

Health Belief Model:
__________________
- what good will happen if I take action

Perceived Barriers

Health belief Models:
______________
- what are the barriers that would stop me from taking the new action

Perceived Benefits

Health Belief Models:
___________________
- what are the benefits of this new action

Cues to Action

Health Belief Models:
____________________
- can be knowledge or media attention

Self-efficacy

Health Belief Models:
_____________________
- the ability to take action and achieve the desired outcome

Precontemplation

Stages of Change Model:
________________
- a logical starting point for the model, where there is no intention of changing behavior; the person may be unaware that a problem exists

Contemplation

Stages of Change Model:
___________________
- The person becomes aware that there is a problem, but has made no commitment to change

Preparation

Stages of Change Model:
___________________
- This person is intent on taking action to correct the problem; usually requires buy-in from the client and increased self-efficacy

Action

Stages of Change Model:
_______________
- the person is in active modification of behavior

Maintenance

Stages of Change Model:
__________________
- sustained change occurs and new behaviors replaces old ones. Per this model, this stage is also transitional

Relapse

Stages of Change Model:
________________
- the person falls back into old patterns of behavior

Termination

Stages of Change Model:
_______________
- the textbook talks about termination...... this means that the old behavior is no longer appealing

Upward Spiral

Stages of Change model:
___________________
- each time a person goes through the cycle, they learn from each relapse and hopefully grow stronger so that relapse is shorter or less devasting

Preceed-proceed model

- The ___________________ model is quite complex and you may not ever use it as a construct for your teaching, but here is a simplified way to understand it. Don't worry too much about this model, as you can see it is quite confusing. Just know that it he

Preceed-Proceed Model

What model helps health program planners analyze situations and design health programs but should never be used when constructing a teaching?

Lecture

Teaching Methods:
______________
- using a Power Point to present your material

Discussion

Teaching Methods:
_______________
- learners raise questions
- this method allows learners to ask questions. The nurse must keep on topic and lead the discussion to what needs to be addressed

Demonstration

Teaching Methods:
________________
- good for performing psychomotor skills, you may have done this in your clinical area, teaching a patient how to adminsiter their own insulin, or how to use an incentive spirormeter

Role Playing

Teaching Methods:
________________
- is a fun way to present your information. The nurse should have some guidelines or a script for the learners to follow. With role play, it is important to review what happened during play and review with the participan

Teaching material (Handouts)

Teaching Methods:
_____________________
- good ways to enhance your teaching, make sure that the handouts are at the appropriate reading level of your audience

Gaming

Teaching Methods:
___________________
- this is a really fun way to get the message to your participants and enforce the learning that you are focusing on
- ex) I personally have play Lab and Medication BINGO with my sophomore students to reinforce their

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