Capacity building - ANSWER- the process of empowering others and strengthening their capabilities - nurses develop trusting partnerships
- focus on autonomy
Scope of capacity building - ANSWER- families
- groups - communities
- systems *focus is on health promotion
Attributes of capacity building - ANSWER- respect and valuing pre-existing capacities
- partnership - collaboration - advocacy - equity - social justice - responding to context and tailoring approaches
- developing well-planned and integrated strategies
Concept of client education - ANSWER- sub-concept of capacity building - clients learn health-related behaviours that can be applied to daily life - includes: counselling, support, and coordination of services
Learning domains - ANSWER- cognitive domain (factual knowledge and intellectual understanding)
- psychomotor domain (action or skills)
- affective domain (attitudes, beliefs and values)
Cognitive learning - ANSWER- includes all intellectual behaviour and requires thinking - goes from simplest (remembering) to most complex (creating)
Affective learning - ANSWER- expressions of feelings and acceptance of attitudes, opinions or values - goes from simplest receiving (attending to other's words) to characterizing (action and response with a consistent value system)
Psychomotor learning - ANSWER- acquiring skills that require the integration of mental and muscular activity - goes from simplest perception (awareness through use of senses) to organisation (perform a complex motor act)
Teaching method for cognitive domain - ANSWER- discussion - storytelling - question-and-answer session - role play and discovery - independent projects and field experience
Teaching method for affective domain - ANSWER- role play - group discussion - one-on-one discussion
Teaching methods for psychomotor domain - ANSWER- demonstration - practice - return demonstrations - independent projects and games
The 5 As - ANSWER- assessment technique that can be used to help educate clients 1. Assess 2. Advise
3. Agree
4. Assist 5. Arrange
Application of all three learning domains - ANSWERA client with paralysis and neurological impairment needs to learn how to self-catheterize:
- Psychomotor: perform the skill
- Cognitive: understand the physiological principles
- Affective: assist the client in coping with this lifestyle change
Assess - ANSWER- knowledge skills, confidence, the importance the client assigns to health issue, their supports, the presence of barriers and risk factors - e.g., "How important do you think it is to check your blood glucose before breakfast each day?"
- "How confident are you that you can control any symptoms or health problems you have so that they do not interfere with the things you want to do?"
Advise - ANSWER- provide specific personalized information about health risks and benefits of change
- ask the client to restate what you said.
Agree - ANSWER- collaboratively set goals based on the client's interests and confidence in their ability to change the behaviour.
- if their self-rated confidence is low, the goal may need to be changed
Attributes of client education - ANSWER- client must demonstrate a readiness to learn (client motivation) - planning, goal-setting
Health promotion - ANSWER- the process of empowering people to increase control over and improve their health