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heath education prelim reviewer, Summaries of Nursing

NUR101- Health Education derived from the book of Nurse as Educator by Susan Bastable

Typology: Summaries

2023/2024

Available from 07/06/2024

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Behaviorist Learning Theory
1. Learning theory is a coherent framework of integrated constructs and principles that describe,
explain, or predict how people learn
2. Behaviorist Learning Theory
focusing mainly on what is directly observable, behaviorists view learning as the product of
the stimulus conditions (S) and the responses (R) that follow
closely observe responses to a situation and then manipulate
3. Respondent conditioning (also termed association learning, classical conditioning, or Pavlovian
conditioning) emphasizes the importance of stimulus conditions and the associations formed in the
learning process
A neutral stimulus (NS)a stimulus that has no special value or meaning to the learneris
paired with a naturally occurring unconditioned or unlearned stimulus (UCS) and
unconditioned response (UCR)
Example. Someone without much experience with hospitals (NS) may visit a relative who is
ill. While in the relative’s room, the visitor may smell offensive odors (UCS) and feel queasy
and lightheaded (UCR). After this initial visit and later repeated visits, hospitals (now the CS)
may become associated with feeling anxious and nauseated (CR), especially if the visitor
smells similar odors to those encountered during the first experience
4. Systematic desensitization is a technique based on respondent conditioning that is used by
psychologists to reduce fear and anxiety in their clients
illustration, prescription drug advertisers
5. Stimulus generalization is the tendency of initial learning experiences to be easily applied to other
similar stimuli
example, when listening to friends and relatives describe a hospital experience, it becomes
apparent that a highly positive or negative personal encounter may color patients’ evaluations of
their hospital stays as well as their subsequent feelings about having to be hospitalized again.
6. With more and varied experiences, individuals learn to differentiate among similar stimuli, at which
point discrimination learning is said to have occurred.
illustration, patients who have been hospitalized a number of times often have learned a lot about
hospitalization. As a result of their experiences, they make sophisticated distinctions and can
discriminate among stimuli (e.g., what the various noises mean and what the various health
professionals do), which novice patients cannot
7. Spontaneous recovery is a useful respondent conditioning concept that needs to be given careful
consideration in relapse prevention programs
Spontaneous recovery helps us understand why it is so difficult to eliminate completely
unhealthy habits and addictive behaviors such as smoking, alcoholism, and drug abuse. As this
principle demonstrates, it is much easier to learn a behavior than to unlearn it
8. Operant conditioning focuses on the behavior of the organism and the reinforcement that occurs
after the response
9. To increase the probability of a response:
A. Positive reinforcement: application of a pleasant stimulus Reward conditioning: a pleasant
stimulus is applied following an organism’s response
B. Negative reinforcement: removal of an aversive or unpleasant stimulus
Escape conditioning: as an aversive stimulus is applied, the organism makes a response that
causes the unpleasant stimulus to cease
Avoidance conditioning: an aversive stimulus is anticipated by the organism, which makes
a response to avoid the unpleasant even
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Behaviorist Learning Theory

  1. Learning theory is a coherent framework of integrated constructs and principles that describe, explain, or predict how people learn
  2. Behaviorist Learning Theory
    • focusing mainly on what is directly observable, behaviorists view learning as the product of the stimulus conditions (S) and the responses (R) that follow
    • closely observe responses to a situation and then manipulate
  3. Respondent conditioning (also termed association learning, classical conditioning, or Pavlovian conditioning ) emphasizes the importance of stimulus conditions and the associations formed in the learning process - A neutral stimulus (NS)— a stimulus that has no special value or meaning to the learner—is paired with a naturally occurring unconditioned or unlearned stimulus (UCS) and unconditioned response (UCR) - Example. Someone without much experience with hospitals (NS) may visit a relative who is ill. While in the relative’s room, the visitor may smell offensive odors (UCS) and feel queasy and lightheaded (UCR). After this initial visit and later repeated visits, hospitals (now the CS) may become associated with feeling anxious and nauseated (CR), especially if the visitor smells similar odors to those encountered during the first experience
  4. Systematic desensitization is a technique based on respondent conditioning that is used by psychologists to reduce fear and anxiety in their clients
    • illustration , prescription drug advertisers
  5. Stimulus generalization is the tendency of initial learning experiences to be easily applied to other similar stimuli
    • example , when listening to friends and relatives describe a hospital experience, it becomes apparent that a highly positive or negative personal encounter may color patients’ evaluations of their hospital stays as well as their subsequent feelings about having to be hospitalized again.
  6. With more and varied experiences, individuals learn to differentiate among similar stimuli, at which point discrimination learning is said to have occurred.
    • illustration , patients who have been hospitalized a number of times often have learned a lot about hospitalization. As a result of their experiences, they make sophisticated distinctions and can discriminate among stimuli (e.g., what the various noises mean and what the various health professionals do), which novice patients cannot
  7. Spontaneous recovery is a useful respondent conditioning concept that needs to be given careful consideration in relapse prevention programs
    • Spontaneous recovery helps us understand why it is so difficult to eliminate completely unhealthy habits and addictive behaviors such as smoking, alcoholism, and drug abuse. As this principle demonstrates, it is much easier to learn a behavior than to unlearn it
  8. Operant conditioning focuses on the behavior of the organism and the reinforcement that occurs after the response
  9. To increase the probability of a response: A. Positive reinforcement: application of a pleasant stimulus Reward conditioning: a pleasant stimulus is applied following an organism’s response B. Negative reinforcement: removal of an aversive or unpleasant stimulus Escape conditioning: as an aversive stimulus is applied, the organism makes a response that causes the unpleasant stimulus to cease Avoidance conditioning: an aversive stimulus is anticipated by the organism, which makes a response to avoid the unpleasant even
  1. To decrease or extinguish the probability of a response: A. Nonreinforcement : an organism’s conditioned response is not followed by any kind of reinforcement (positive, negative, or punishment) B. Punishment: following a response, an aversive stimulus is applied that the organism cannot escape or avoid Cognitive Learning Theory
  2. Cognitive learning
  • theorists stress the importance of what goes on inside the learner.
  • (perception, thought, memory, and ways of processing and structuring information). Cognitive learning is viewed as a highly active process largely directed by the individual.
  • More important are learners’ goals and expectations, which create disequilibrium, imbalance, and tension that motivate learners to act 2. Metacognition- her understanding of her way of learning
  1. Gestalt perspective, which emphasizes the importance of perception in learning and lays the groundwork for various other cognitive perspectives that followed
  • example , study the bewildered faces of some patients listening to a complex, detailed explanation about their disease; instead what they desire most is a simple, clear explanation that settles their uncertainty and relates directly to them and their familiar experiences.
  1. Information processing is a cognitive perspective that emphasizes thinking processes: thought, reasoning, the way information is encountered and stored, and memory functioning
  • Gain the learner’s attention (reception)
  • Inform the learner of the objectives and expectations (expectancy)
  • stimulate the learner’s recall of prior learning (retrieval)
  • Present information (selective perception)
  • Provide guidance to facilitate the learner’s understanding (semantic encoding)
  • the learner demonstrate the information or skill (responding)
  • Give feedback to the learner (reinforcement)
  • Assess the learner’s performance (retrieval)
  • Work to enhance retention (generalization) 5. Have learners indicate how they believe they learn (metacognition)
  1. use memory tricks and techniques (mnemonic devices), relate the new material to something familiar, and put it into context for learners
  2. Cognitive development is a third perspective on learning that focuses on qualitative changes in perceiving, thinking, and reasoning as individuals grow and mature
  3. Piaget identified and described four sequential stages of cognitive development : sensorimotor, preoperational, concrete operations, and formal operations
  4. What do cognitive developmental theorists say about adult learning? First, although the cognitive stages develop sequentially, some adults never reach the formal operations stage. Second, developmental psychologists and gerontologists have proposed advanced stages of reasoning in adulthood that go beyond formal operations. For example, it is not until the adult years that people become better able to deal with contradictions. Third, older adults may demonstrate an advanced level of reasoning derived from their wisdom and life experiences.
  5. A central tenet of the social constructivist approach is that ethnicity, social class, gender, family life, life history, self-concept
  6. social cognition perspective reflects a constructivist orientation and highlights the influence of social factors on perception, thought, and motivation.
  • Reaction formation: Expressing or behaving the opposite of what is really felt
  • Sublimation : Converting repressed feelings into socially acceptable action
  • Compensation : Making up for weaknesses by excelling in other areas As an example of defense mechanisms in health care, Kübler-Ross (1969) points out that many terminally ill patients’ initial reaction to being told they have a serious threat to their health and well-being is to employ the defense mechanism of denial.
  1. resistance —is an indicator of underlying emotional difficulties, which must be dealt with for them to move ahead emotionally and behaviorally
  2. Transference occurs when individuals project their feelings, conflicts, and reactions—especially those developed during childhood with significant others such as parent Humanistic Learning Theory
  3. Humanistic Learning Theory
  • assumption that every individual is unique and that all individuals have a desire to grow in a positive way
  • especially compatible with nursing’s focus on caring and patient centeredness Neuropsychology and Learning
  1. Neuropsychology is the scientific study of psychological behavior based on neurological assessments of the brain and central nervous system
  2. The brain is now viewed as less fixed than once thought, and it changes with learning and experience (a phenomenon called plasticity )
  • Distributed practice : Rest time (off-task) is the same as or greater than practice time
  • Variability of practice: The task is practiced under a variety of conditions
  • Whole-task practice : The entire task is practiced at once.
  • Part–task practice : The task is divided into its component parts and each part is practiced separately
  • Random practice: A variety of tasks are practiced in random order over different trials
  • Blocked practice : One task is practiced continuously without interruption before proceeding to the next task to be learned.
  • Guidance practice/learning : Physical and verbal guidance are provided while practicing the task
  • Discovery practice/ learning : While practicing a task the learner is encouraged to find a solution.
  1. Feedback Variables in Motor Learning:
  • Intrinsic (inherent) feedback: Sensory and perceptual information originates from the learner when movement is produced.
  • Extrinsic (augmented or enhanced) feedback: Supplemental information is provided from an outside source such as the teacher or instrumentation when movement is produced
  • Knowledge of results (KR) feedback: Terminal feedback is provided about the outcome of the movement relative to the movement goal.
  • Knowledge of performance (KP) feedback: Feedback about the movement pattern used to achieve the goal is given.
  • Continuous feedback: Feedback is ongoing during the performance of the movement.
  • Intermittent feedback: Feedback occurs randomly and irregularly during the performance of the movement
  • Concurrent feedback : Feedback occurs during the performance of the movement.
  • Post-response (terminal) feedback: Feedback occurs after the completion of the movement: Immediate : Occurs directly after the movement is completed. Delayed : Occurs after an amount of time to allow reflection by the learner. Summary : Occurs after several repetitions of the movement and describes average performance Common Principles of Learning
  1. What Helps Ensure That Learning Becomes Relatively Permanent?
  • First, the likelihood of learning is enhanced by organizing the learning experience, making it meaningful and pleasurable, recognizing the role of emotions in learning, and pacing the teaching session in keeping with the learner’s ability to process information
  • Second, practicing (mentally and physically) new knowledge or skills under varied conditions strengthens learning.
  • The third issue concerns reinforcement: Although reinforcement may or may not be necessary, some theorists have argued that it may be helpful because it serves as a signal to the individual that learning has occurred and thereby acts as feedback for learners. This also means that rewarding individuals when they have not learned or giving rewards prior to a learning session works against the usefulness of giving rewards for learning.
  • A fourth consideration involves whether learning transfers beyond the initial educational setting. Learning cannot be assumed to be relatively lasting or permanent; it must be assessed and evaluated by the educator soon after the learning experience has occurred as well as through follow-up measurements made at later times.