Applying Learning Theories to Healthcare Practice
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© Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION© Jones & Bartlett Learning LLC, an Ascend LearningNOT Company. FOR SALENOT FOR SALEOR ORDISTRIBUTION DISTRIBUTION. CHAPTER © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC ApplyingNOT FOR SALE Learning OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Theories to Healthcare 3 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FORPractice SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION Margaret M. Braungart | Richard G. Braungart | Pamela R. Gramet © Jones & Bartlett ChapterLearning, Highlights LLC © Jones & Bartlett Learning, Key Terms LLC NOT FOR SALE OR PsychologicalDISTRIBUTION Learning Theories NOT FOR SALE OR behaviorist DISTRIBUTION learning Behaviorist Learning Theory cognitive development Cognitive Learning Theory cognitive learning Social Learning Theory defense mechanisms Psychodynamic© Jones Learning & Theory Bartlett Learning, LLC feedback © Jones & Bartlett Learning, LLC HumanisticNOT Learning FOR Theory SALE OR DISTRIBUTION gestalt perspectiveNOT FOR SALE OR DISTRIBUTION Applying Learning Theories to Health Care hierarchy of needs Motor Learning humanistic learning Stages of Motor Learning information processing © Jones & Motor Bartlett Learning Variables Learning, LLC © Jones learning & Bartlett Learning, LLC NOT FOR Common SALE Principles OR of LearningDISTRIBUTION NOT FOR learning SALE theory OR DISTRIBUTION How Does Learning Occur? mental practice Which Kinds of Experiences Facilitate or Hinder the Learning Process? motor learning What Helps Ensure That Learning Becomes Relatively Permanent? motor performance © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, operant conditioning LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR practice DISTRIBUTION Objectives psychodynamic learning After completing this chapter, the reader will be able to respondent conditioning 1. Analyze the major differences in how teaching and learning are approached in role modeling the five learning theories. © Jones & Bartlett Learning, LLC social cognition© Jones & Bartlett Learning, LLC 2. Describe the role of the teacher according to each theory. NOT FOR SALE OR DISTRIBUTION social learningNOT FOR SALE OR DISTRIBUTION 3. Discuss at least three ways to motivate learners based on the learning theories. spontaneous recovery 4. Outline how to teach patients new information using different learning theories. stages of motor learning 5. Explain specific teaching strategies to use for each stage of Fitts and Posner’s systematic desensitization © Jones three& Bartlett stages of motor Learning, learning. LLC © Jones & Bartlett Learning, LLC vicarious reinforcement NOT FOR6. Give SALE examples OR of how DISTRIBUTION different types of practice and feedback variables in motorNOT FOR SALE OR DISTRIBUTION learning can be applied to patient teaching. © wanchai/Shutterstock 45 © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 9781284131215_CH03_Pass03.indd 45 17/02/16 4:00 AM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION© Jones & Bartlett Learning LLC, an Ascend LearningNOT Company. FOR SALENOT FOR SALEOR ORDISTRIBUTION DISTRIBUTION. 46 Chapter 3 Applying Learning Theories to Healthcare Practice Learning is defined in this chapter as a relatively permanent change in thinking, emo- tional© Jones functioning, & Bartlett skill, and/or Learning, behavior LLCas a result of experience. It is© the Jones process & byBartlett Learning, LLC whichNOT individuals FOR SALE gain new OR knowledge DISTRIBUTION or skills and change their thoughts,NOT feelings, FOR SALEat- OR DISTRIBUTION titudes, and actions. Although people in every culture have beliefs about how teaching and learning should occur, there are several major theories of learning that have been tested with research. Each theory describes or explains how learning occurs and has its © Jones & Bartlettown vocabulary, Learning, perspectives LLC on learning, and generalizations© Jones about & teachingBartlett and Learning, learn- LLC ing. The major learning theories are widely applicable and form the foundation for the NOT FOR SALEfield of OR education, DISTRIBUTION health education, psychological andNOT psychiatric FOR SALE counseling, OR DISTRIBUTIONwork- place organization and human resources management, and marketing and advertising. Learning allows individuals to adapt to demands and changing circumstances and is crucial in health care—whether for patients and families struggling with ways to improve © Jones & Bartlett Learning,their health LLC and adjust to their medical© conditions,Jones & forBartlett students Learning, gaining the informationLLC NOT FOR SALE OR DISTRIBUTIONand skills necessary to become a nurse,NOT or for FOR staff SALEnurses developing OR DISTRIBUTION more effective ap- proaches to educating and treating patients. Despite the significance of learning to each individual’s development, functioning, health, and well-being, debate continues about how learning occurs, which kinds of experiences assist or slow the learning process, and what ensures that learning becomes relatively permanent. ©A Jones learning & theory Bartlett is a logical Learning, framework LLC describing, explaining, or© predicting Jones &how Bartlett Learning, LLC peopleNOT learn. FOR Whether SALE used OR singlyDISTRIBUTION or in combination, learning theoriesNOT have FOR much SALE to OR DISTRIBUTION offer the practice of health care. Increasingly, health professionals—including nurses— must demonstrate that they regularly use sound methods and a clear rationale in their education efforts, patient and client interactions, staff management and training, and continuing education and health promotion programs (Ferguson & Day, 2005). © Jones & BartlettGiven Learning,the current structure LLC of health care in the United© Jones States, & nurses, Bartlett in particular, Learning, LLC NOT FOR SALEare often OR responsible DISTRIBUTION for designing and implementingNOT plans FOR and SALEprocedures OR for DISTRIBUTION im- proving health education and encouraging wellness. Beyond one’s profession, however, knowledge of the learning process relates to nearly every aspect of daily life. Nurses can apply learning theories at the individual, group, and community levels to understand and teach new material and tasks, solve problems, change unhealthy habits, build con- © Jones & Bartlett Learning,structive LLC relationships, manage emotions,© Jones and develop & Bartlett effective Learning, behavior. LLC NOT FOR SALE OR DISTRIBUTIONThis chapter reviews the psychologicalNOT FOR and motor SALE learning OR DISTRIBUTION theories that are use- ful to health education and clinical practice. Behaviorist, cognitive, and social learning theories are most often applied to patient education as an aspect of professional nursing practice. This chapter also treats psychodynamic and humanistic perspectives as learn- ing© theories Jones because & Bartlett they encourage Learning, a patient-centered LLC approach to care© and Jones add much & Bartlett Learning, LLC to our understanding of human motivation and emotions in the learning process. Emo- NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION tions and feelings, it is argued, are critical to understanding learning (Goleman, 1995), especially in a healthcare setting (Halpern, 2001). Why? Emotional reactions are often learned as a result of experience, they play a significant role in the learning process, and they are a vital consideration when dealing with health, disease, prevention, wellness, © Jones & Bartlettmedical treatment, Learning, recovery, LLC healing, and relapse prevention.© Jones In addition,& Bartlett motor Learning, learn- LLC NOT FOR SALEing is included OR DISTRIBUTION as a theory because it offers a frameworkNOT for nursesFOR teachingSALE ORmotor DISTRIBUTION skills to patients. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION NOT FOR SALE OR DISTRIBUTION 9781284131215_CH03_Pass03.indd 46 17/02/16 4:00 AM © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FOR SALE OR DISTRIBUTION© Jones & Bartlett Learning LLC, an Ascend LearningNOT Company. FOR SALENOT FOR SALEOR ORDISTRIBUTION DISTRIBUTION. Psychological Learning Theories 47 The goals of this chapter are to provide a framework for understanding subsequent chapters in© thisJones text and & Bartlettto offer a toolbox Learning, of approaches LLC that nurses can use to© enhance Jones & Bartlett Learning, LLC learning andNOT change FOR in SALEpatients, OR oneself, DISTRIBUTION and others. After completing the chapter,NOT read FOR- SALE OR DISTRIBUTION ers should be able to describe the basic principles of learning, discuss various ways in which teaching and learning can be approached, and develop alternative strategies to change attitudes, behaviors, and skills of learners in different settings. © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC NOT FORPsychological SALE OR DISTRIBUTION Learning Theories NOT FOR SALE OR DISTRIBUTION This section summarizes some of the basic principles of the behaviorist, cognitive, so- cial learning, psychodynamic, and humanistic learning theories. While reviewing each theory, readers are asked to consider the following questions: © Jones & Bartlett Learning, LLC © Jones & Bartlett Learning, LLC 1. What is the basic focus of each theory