Patient education allows patients to play a bigger role in their own care. It also aligns with patient- and family-centered care. Show To be effective, patient education needs to be more than instructions and information. Teachers and health care providers need to be able to assess patient needs and communicate clearly. The success of patient education depends largely on how well you assess your patient's:
Often, the first step is to find out what the patient already knows. Use these guidelines to do a thorough assessment before starting patient education:
Bowman D, Cushing A. Ethical practice and clinical communication. In: Feather A, Randall D, Waterhouse M, eds. Kumar and Clarke's Clinical Medicine. 10th ed. Philadelphia, PA: Elsevier; 2021:chap 5. Bukstein DA. Patient adherence and effective communication. Ann Allergy Asthma Immunol. 2016;117(6):613-619. PMID: 27979018 pubmed.ncbi.nlm.nih.gov/27979018/. Gilligan T, Coyle N, Frankel RM, et al. Patient-clinician communication: American Society Of Clinical Oncology consensus guideline. J Clin Oncol. 2017;35(31):3618-3632. PMID: 28892432 pubmed.ncbi.nlm.nih.gov/28892432/. Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.  By Melissa Hagstrom, contributor How can you be sure your patients understand the health information you pass on to them? By focusing on health literacy, nurses and other clinicians can better help patients comprehend complex health information--something of critical importance given today’s transformative healthcare environment. “The definition of health literacy is evolving,” explained Helen Osborne, MEd, OTR/L, president of Health Literacy Consulting and author of Health Literacy from A to Z: Practical Ways to Communicate Your Health Message, Second Edition. “It used to be about problems or lack of skills that patients had in medical settings, and it has evolved wonderfully into looking at the alignment between the demands and complexities of health care systems with the needs and abilities of patients, families, caregivers and anyone receiving health information.” Osborne offers nurses these practical tips to assess health literacy to ensure their audiences fully understand: 1. Communicate clearly The first step in health literacy involves clear communication, which can move beyond traditional methods of talking and writing. “Health literacy happens when providers and patients truly understand one another. The essence of health literacy has to do with mutual understanding,” Osborne said. Metaphors, analogies, music and stories are all communication methods that can be implemented to help patients understand and relate to health issues, Osborne added. But the most important piece of the communication puzzle is keeping language simple and concise. “A key part of how we communicate is using plain language and consistent language. Plain language means using words, terms and concepts that people already know--or, explaining the terms clearly so they can learn them.” 2. Confirm understanding After information is evidently communicated, the next step is confirmation of knowledge. In her talks and teachings, Osborne often tells clinicians that if they can only do one thing to improve health literacy, it should be to confirm understanding. “It’s essential to confirm the understanding really happened,” Osborne explained. “You can communicate information, but it won’t be of any use unless the patient truly understands what they are being told.” Nurses may be familiar with concepts known as teaching back and demonstration/re-demonstration. These confirmation methods put responsibility on the providers for clearly communicating, and make certain that information is confirmed following any key points. “In today’s healthcare environment--with shorter appointments, more going on, people leaving sicker and sicker, and just scaling back on costs--we are asking patients and caregivers to take more responsibility for their health and wellness. And because of that, we need to be really sure that people are understanding what they need to do and why they need to do it,” Osborned explained. 3. Be creative Pictures, drawings and other illustrations are excellent ways to help demystify complicated health issues. Visuals and models can aid in patient understanding of surgical procedures, medication management and other common health scenarios. “Anything tactile we can touch or see can help patients understand what is going on in their bodies,” Osborne said. “We can use practice and demonstration, such as showing a patient how to look at nutrition labels or what a correct proportion looks like.” Creativity was key in an example Osborne gave of a group of healthcare practitioners who used handheld puppets to communicate health information to a group of Chinese patients in St. Louis. “It worked in this setting because puppets are how people have learned important cultural lessons in China for thousands of years,” Osborne said. “I don't rule out any way of communicating.” Electronic devices such as tablets, computers and smart phones can also lend some creativity to the learning process, and can allow video demonstrations in some instances. 4. Clarify and question Finally, nurses can validate total understanding by clarifying and questioning patients. Using open-ended questions and encouraging question-asking will stimulate dialogue and help to personalize the information. “A good way to do this is to say to the patient, ‘What questions do you have?’” Osborne said. “This truly invites questions in the most sincere way.” Having patients reiterate the information told to them will help identify any gaps in the knowledge continuum, while identifying any misunderstandings. Nurses play a key role in health literacy awareness, and spreading the message doesn’t just involve the patient and/or caregiver. Raising awareness among peers, colleagues and health care administrators can help all members of the care team promote health understanding throughout all stages of the patient interaction and improve adherence to the follow-up care plan. Seize the opportunity to advance your nursing career with excellent pay in thousands of locations. Apply now to travel! © 2013. AMN Healthcare, Inc. All Rights Reserved. Topics* Indicates required field Email: * First Name:* Last Name: * Discipline: * Specialty: * Mobile Phone: * Graduation: * Which factors should the nurse assess to determine a patient's ability to learn?Your first step in the process of patient teaching is assessing the patient's learning needs, learning style, and readiness to learn. Assessment includes finding out what patients already know, what they want and need to learn, what they are capable of learning, and what would be the best way to teach them.
What is determinants of learning?The Social Determinants of Learning fall into six main domains: physical health, psychosocial health, physical environment, social environment, economic stability and self-motivation. Within an academic setting, these social determinants of learning can impact academic progress for students.
What is an example of readiness to learn?Measures of Ability If the task requires gross movements using the large muscles of the body, then adequate strength, flexibility, and endurance must be present. Walking on crutches is a good example of a psychomotor skill for which a patient must have the physical ability to be ready to learn.
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Which situation should the nurse assess to determine a patients ability to learn?
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