Teaching assignment
tutorial
Associated documents to review:
Teaching worksheet sample
Teaching worksheet template
NR 33 lab
assignment
Learning Outcomes
1.
2.
3.
4.
5.
Review the components of the teaching process.
Compare the teaching process to the nursing process.
List the client education critical elements for
performance in the nursing lab.
Identify the components of the teaching project
Explain the assignment expectations in a stepwise
approach.
Teaching process in Client education
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Assessment
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Planning
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Development of learning outcomes and the selection and
design of appropriate content to achieve them
Implementation
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Identification of learning needs utilizing a focused
assessment to identify the presence of concerns that needs to
be addressed and to exclude the presence of barriers to
learning
Provision of a teaching plan to the intended audience
Evaluation
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Collection of data to determine the client’s progress toward
achieving learning outcomes.
Teaching Process vs. Nursing
process
Teaching
process
assessment
planning
implementation
evaluation
Nursing Process
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Assessment: collection and
organization of
subjective/objective data
Planning: analysis of data to draw
diagnostic conclusions and
development of outcomes and
actions to treat diagnoses
Implementation: provision and
documentation of care planned in
the care plan
Evaluation: collection of data
measuring outcomes identified.
Client Education Critical Elements
in Nursing Lab
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Develops client scenario for teaching topic.
Identifies learning needs.
Lists objectives/expected outcomes.
Identifies methodology and tools.
Develops content outline.
Implements plan via demonstration.
Evaluates client's understanding of information presented.
Documents client's understanding of learning needs and/or
objectives.
Completes all critical elements within a 12 minute timeframe
Components of the teaching project

Patient teaching worksheet
To be completed on the assigned teaching topic and
submitted for review to the lab instructor.
 Base your work on the teaching example
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Patient teaching presentation
Role-play of the actual teaching topic assigned in the
nursing lab.
 To be performed on the assigned lab date using a lab
partner as a client.

Creating the teaching scenario
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Key features of an excellent scenario
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Includes the appropriate topical information
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Has the focused assessment data indicating a
learning need included in the scenario.
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Has excluded the presence of barriers to learning
Creating the teaching scenario
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Appropriate topical information
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Focused assessment data indicating a learning need
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realistic prescription for medication, procedure or treatment
indicates that the client has verbalized a lack of
understanding of the medication, procedure, or treatment it
is newly prescribed and the client lacks familiarity with it.
Exclusion of barriers to learning

Indicates that the client is ready and willing to learn
Assessment of client’s learning
needs

Client’s attributes
Cognitive, psychomotor skills
 Desire to learn/affective skills
 Presence of barriers to learning

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Client’s needs
Prescribed therapy
 Adaptation to level of illness prevention
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Nursing Diagnosis

Selects a teaching diagnosis correctly
Health seeking behaviors
 Ineffective therapeutic regimen management
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Uses alternative nursing diagnoses correctly
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Anxiety
Uses PES format correctly
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Creates a risk for statement regarding ineffective
therapeutic regimen management if the client is
newly prescribed or diagnosed.
Outcomes
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The outcome is a statement that reflects a
concrete measurable event and timing that
reflects learning that would be accomplished by
the end of the counseling session.

The statements include:
a return demonstration for the performance of a
treatment, medication or procedure
 A verbalization of understanding for an explanation of a
treatment, medication or procedure

Methodology/tools

The methodology is complete, relevant and
appropriate for the client situation

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Verbal explanation, Demonstration, Multimedia
The tools listed are complete, relevant and
appropriate for the client situation.

The tools are the equipment needed to complete the
teaching plan

The student would use a syringe, alcohol swab, medication
vial, injection pad, brochure about the injection procedure
Content outline

The content outline is a table of the relevant
objectives and correlated content that is
necessary to achieve the outcome.

Use the relevant content maps to guide objective
development.
Method of evaluation
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The method of evaluation would accurately
determine if the client will be able to achieve the
outcome.

The methods are derived from the outcome
statement and are generally as follows:
Verbal query to ascertain level of understanding
 Direct observation of a procedure or skill that is
supposed to be demonstrated upon request
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Documentation

The documentation included the focused
assessment data indicating the learning need, the
teaching provided and the clients response.

If you set up your narrative first as a focus note
(DAR), you will have identified the pertinent
information required.
Summary of key points
1.
2.
3.
4.
The patient teaching project requires that you submit a patient
teaching worksheet on your assigned topic before lab 5 in the
nursing lab schedule.
The final component of the teaching project is a role play
scheduled during the nursing lab wherein you will be required
to present the actual teaching as if you were providing the
teaching to a client in a real situation.
In order to successfully complete the assignment the student
should review the components of the teaching process;
assessment, planning, implementation and evaluation as it
related to the nursing process..
The student should review and analyze the critical elements
client education for performance in the nursing lab and
compare their individual performance to the teaching example
and recommendation provided in this presentation.
Web resources
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Review the following articles on patient education by Maureen
Habel, RN, MA :
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Patient Education: Empowering Patients and Families
Patient Education: Empowering Patients and Families (Part 2)
How To Be an Effective Patient Teacher (Part 1 of this chapter)
Getting Your Message Across: Patient Teaching, Part 4
Getting Your Message Across: Patient Teaching, Part 5
Review web-based patient teaching resources
Review the health care literacy initiative website
Review health care literacy presentation at
http://www.askme3.org/PFCHC/professional_presentation.ppt
Appendix
Glossary of terms
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Back
Focused assessment
 Organized collection of subjective and objective data that supports
a learning need.
Barriers to learning
 Personal, interpersonal or situational factors that would interfere
with learning material
Design of appropriate content
 Utilization of teaching methods ( ex: verbal instruction, written
explanations, visual tools, multimedia, games) that is content &
client appropriate.
Learning outcomes or objectives
 Sequenced statements that indicate the desired learning the client
will achieve at the end of the counseling session.
Intended audience
 Client, family, caregivers and community based on the initial
assessment
Health Seeking Behaviors
Definition
The state in which an individual in
stable health actively seeks ways to
alter personal health habits and/or
the environment to move toward a
higher level of wellness. (Stable
health is defined as a condition in
which the client's well-being is
maximized; signs and symptoms of
disease, if present, are controlled; and
disabilities follow a predictable,
nonacute route.
Back
Focused assessment
Expressed or observed
desire to seek
information for health
promotion
Source: Carpenito, Handbook
of diagnosis(2006)
Ineffective Therapeutic Regimen
Back
Management
Definition
Focused assessment
A pattern in which the
individual experiences or
is at risk to experience
difficulty integrating into
daily living a program for
treatment of illness and
the sequelae of illness and
reduction of risk
situations (e.g., unsafe,
pollution).
Verbalized desire to manage
the treatment of illness and
prevention of sequelae
Verbalized difficulty with
regulation/integration of one
or more prescribed regimens
for treatment of illness and its
effects or for prevention of
complications
Source: Carpenito, Handbook
of diagnosis(2006)
Anxiety
Definition
Focused assessment
The state in which an
individual or group
experiences feelings of
uneasiness (apprehension)
and activation of the
autonomic nervous
system in response to a
vague, nonspecific threat.
Manifested by symptoms from
three categories: physiologic,
emotional, and cognitive;
symptoms vary according to
the level of anxiety.
Source: Carpenito, Handbook
of diagnosis(2006)