Chapter 1: Overview of Education in Health Care
SHIFT IN THE ROLE OF THE NURSE AS EDUCATOR
INTRODUCTION
▪ Role of education in health care ▪ Evolved from a disease-oriented approach to a more
▪ Patient intervention prevention-oriented approach
▪ Education of nursing staff and students ▪ Emphasizes empowering patients to use their potentials,
▪ Role of nurse as educator abilities, and resources to the fullest
Historical Foundations for Patient Education in Health Care: The Evolution of the Teaching Role of Nurses
Phase 1 ▪ Florence Nightingale
▪ Formative period of organized health care ▪ Developed first school of nursing
▪ Emergence of nursing and other health professions ▪ Stressed importance of environment and other
▪ Technological developments factors
▪ Emphasis on patient–caregiver relationship ▪ National League of Nursing Education (NLNE)
▪ Spread of communicable diseases ▪ Now the National League for Nursing (NLN)
▪ Growing interest in the welfare of mothers and children ▪ Stressed importance of health teaching
▪ Emergence of Florence Nightingale as an advocate ▪ American Nurses Association (ANA)
▪ Establishes standards for practice, including
Phase 2 patient teaching
▪ Establishment of Division of Child Hygiene ▪ International Council of Nurses (ICN)
▪ Factors leading to education programs: ▪ Endorses health education as an essential
▪ Diagnostic tools component of nursing care delivery
▪ Scientific discoveries ▪ State Nurse Practice Acts
▪ New vaccines and antibiotic medications ▪ Universally include teaching within the scope of
▪ Effective surgery and treatment practices practice
▪ Recognition by National League of Nursing Education ▪ Nursing career ladders often incorporate
(NLNE) that public health nurses were essential teaching effectiveness as a measure of
Phase 3 excellence in practice
▪ Began after World War II ▪ Professional nurses are responsible for:
▪ Period of significant scientific accomplishments ▪ Educating colleagues
▪ 1960s ▪ Serving as a clinical instructor for students in
▪ Health care viewed as a right, not a privilege the practice setting
▪ Passing of Titles XVIII and XIX of the Social SOCIAL, ECONOMIC, AND POLITICAL TRENDS AFFECTING
Security Act HEALTH CARE
▪ Creation of Medicare and Medicaid
▪ Publication of Healthy People 2030
▪ Creation of Committee on Educational Tasks in
▪ Recommendations from the Institute of Medicine
Chronic Illness
▪ Passage of the Affordable Care Act (ACA)
▪ Developed a model that defined the
▪ Expansion of Medicaid
educational processes necessary for
▪ Growth of managed care
patient and family education
▪ Emphasis on public education for disease prevention and
▪ 1970s
health promotion
▪ Publication of The Need for Patient Education
▪ Consideration of social determinants of health
▪ Focus on health education in U.S. Department
▪ Reduction of healthcare costs through health education
of Health, Education, and Welfare
▪ Continuing education as vehicle to prevent malpractice
▪ American Hospital Association's Statement on
and incompetence
a Patient’s Bill of Rights
▪ Expansion of scope of nurses’ practice responsibilities
▪ Right to receive current information
▪ Consumer demand for more knowledge and skills for
about one’s diagnosis, treatment,
self-care
and prognosis
▪ Increasing number of self-help groups
▪ Right to respectful and considerate
▪ Changing demographics
care
▪ Focus on preventing medical harm
▪ The Joint Commission’s Accreditation Manual
▪ Increased prevalence of chronic conditions
for Hospitals
▪ New technology
▪ Broadened the scope of patient
▪ Increasing need for health literacy
education and specified that criteria
▪ Desire to improve compliance through patient education
for patient education be established
▪ Increased use of online technologies
▪ 1980s and 1990s
▪ Screenings occasioned by advances in genetics and
▪ Healthy People initiatives
genomics
▪ Pew Health Professions Commission
▪ Published a broad set of
Purpose, Goals, and Benefits of Patient
competencies for the 21st century
and Nursing Staff/Student Education
▪ Many competencies focus on the
teaching role of health professionals
▪ Purpose
▪ 21st century
▪ Increase the competence and confidence of
▪ 5 Million Lives campaign
clients for self-management
▪ Sullivan Alliance
SHIFT IN THE ROLE OF THE NURSE AS EDUCATOR
INTRODUCTION
▪ Role of education in health care ▪ Evolved from a disease-oriented approach to a more
▪ Patient intervention prevention-oriented approach
▪ Education of nursing staff and students ▪ Emphasizes empowering patients to use their potentials,
▪ Role of nurse as educator abilities, and resources to the fullest
Historical Foundations for Patient Education in Health Care: The Evolution of the Teaching Role of Nurses
Phase 1 ▪ Florence Nightingale
▪ Formative period of organized health care ▪ Developed first school of nursing
▪ Emergence of nursing and other health professions ▪ Stressed importance of environment and other
▪ Technological developments factors
▪ Emphasis on patient–caregiver relationship ▪ National League of Nursing Education (NLNE)
▪ Spread of communicable diseases ▪ Now the National League for Nursing (NLN)
▪ Growing interest in the welfare of mothers and children ▪ Stressed importance of health teaching
▪ Emergence of Florence Nightingale as an advocate ▪ American Nurses Association (ANA)
▪ Establishes standards for practice, including
Phase 2 patient teaching
▪ Establishment of Division of Child Hygiene ▪ International Council of Nurses (ICN)
▪ Factors leading to education programs: ▪ Endorses health education as an essential
▪ Diagnostic tools component of nursing care delivery
▪ Scientific discoveries ▪ State Nurse Practice Acts
▪ New vaccines and antibiotic medications ▪ Universally include teaching within the scope of
▪ Effective surgery and treatment practices practice
▪ Recognition by National League of Nursing Education ▪ Nursing career ladders often incorporate
(NLNE) that public health nurses were essential teaching effectiveness as a measure of
Phase 3 excellence in practice
▪ Began after World War II ▪ Professional nurses are responsible for:
▪ Period of significant scientific accomplishments ▪ Educating colleagues
▪ 1960s ▪ Serving as a clinical instructor for students in
▪ Health care viewed as a right, not a privilege the practice setting
▪ Passing of Titles XVIII and XIX of the Social SOCIAL, ECONOMIC, AND POLITICAL TRENDS AFFECTING
Security Act HEALTH CARE
▪ Creation of Medicare and Medicaid
▪ Publication of Healthy People 2030
▪ Creation of Committee on Educational Tasks in
▪ Recommendations from the Institute of Medicine
Chronic Illness
▪ Passage of the Affordable Care Act (ACA)
▪ Developed a model that defined the
▪ Expansion of Medicaid
educational processes necessary for
▪ Growth of managed care
patient and family education
▪ Emphasis on public education for disease prevention and
▪ 1970s
health promotion
▪ Publication of The Need for Patient Education
▪ Consideration of social determinants of health
▪ Focus on health education in U.S. Department
▪ Reduction of healthcare costs through health education
of Health, Education, and Welfare
▪ Continuing education as vehicle to prevent malpractice
▪ American Hospital Association's Statement on
and incompetence
a Patient’s Bill of Rights
▪ Expansion of scope of nurses’ practice responsibilities
▪ Right to receive current information
▪ Consumer demand for more knowledge and skills for
about one’s diagnosis, treatment,
self-care
and prognosis
▪ Increasing number of self-help groups
▪ Right to respectful and considerate
▪ Changing demographics
care
▪ Focus on preventing medical harm
▪ The Joint Commission’s Accreditation Manual
▪ Increased prevalence of chronic conditions
for Hospitals
▪ New technology
▪ Broadened the scope of patient
▪ Increasing need for health literacy
education and specified that criteria
▪ Desire to improve compliance through patient education
for patient education be established
▪ Increased use of online technologies
▪ 1980s and 1990s
▪ Screenings occasioned by advances in genetics and
▪ Healthy People initiatives
genomics
▪ Pew Health Professions Commission
▪ Published a broad set of
Purpose, Goals, and Benefits of Patient
competencies for the 21st century
and Nursing Staff/Student Education
▪ Many competencies focus on the
teaching role of health professionals
▪ Purpose
▪ 21st century
▪ Increase the competence and confidence of
▪ 5 Million Lives campaign
clients for self-management
▪ Sullivan Alliance
