4-Module-2-Midterm-Lesson-3
4-Module-2-Midterm-Lesson-3
7. Some health professionals question whether patient education is effective as a means to improve
health outcomes.
8. The type of documentation system used by healthcare agencies has an effect on the quality and
quantity of patient teaching.
➢ Communication among healthcare providers regarding what has been taught needs to be
coordinated and appropriately delegated so that teaching can proceed in a timely, smooth,
organized, and thorough fashion.
B. Principles of Learning
1. Use several senses
✓ % of how much students will retain:
• Reading - - - - - - - - - - - - - 10%
• Hearing ----------- 20%
• Seeing - - - - - - - - - - - 30%
• Seeing & hearing - - - -- - 50%
• What they say - - - - - - - - 70%
• What they say as they do something - - - - 90%
2. Actively involve the learners in the learning process
✓ The more interactive the educational experience, the greater the likelihood of success.
✓ Use methods that engage the participants:
• Discussion
• Role-playing
• Small group discussion
• Question and answer
3. Provide an environment conducive to learning
✓ Learning takes place best when people are comfortable and extraneous interference is kept to a
minimum.
• Good lighting & temperature control
• Comfortable seating with enough space between seats
• Free of unpleasant odors
• Free from signs of deterioration
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C. Learning Theories
Learning theories are a set of principles that explain how best a student can acquire, retain and
recall new information.
There are 3 main schema of learning theories;
1. Behaviorism
❖ Behaviorism is based on the idea that knowledge is independent and on the exterior of the
learner.
❖ In a behaviorist’s mind, the learner is a blank slate that should be provided with the
information to be learnt.
❖ Through this interaction, new associations are made and thus learning occurs.
❖ Learning is achieved when the provided stimulus changes behavior. A non-educational
example of this is the work done by Pavlov.
❖ Through his famous “salivating dog” experiment, Pavlov showed that a stimulus (in this
case ringing a bell every time he fed the dog) caused the dog to eventually start salivating
when he heard a bell ring.
❖ The dog associated the bell with being provided with food so any time a bell was rung
the dog started salivating, it had learnt that the noise was a precursor to being fed.
❖ Behaviorism involves repeated actions, verbal reinforcement and incentives to take part.
❖ It is great for establishing rules, especially for behavior management.
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2. Cognitivism
❖ Cognitivism focuses on the idea that students process information they receive rather than
just responding to a stimulus, as with behaviorism.
❖ There is still a behavior change evident, but this is in response to thinking and processing
information.
❖ In cognitivism theory, learning occurs when the student reorganizes information, either by
finding new explanations or adapting old ones.
❖ This is viewed as a change in knowledge and is stored in the memory rather than just being
viewed as a change in behavior.
❖ Cognitive learning theories are mainly attributed to Jean Piaget.
❖ Examples of how teachers can include cognitivism in their classroom include linking
concepts together, linking concepts to real-world examples, discussions and problem-
solving.
3. Constructivism.
❖ Constructivism is based on the premise that we construct learning new ideas based on our
own prior knowledge and experiences.
❖ Learning, therefore, is unique to the individual learner.
❖ Students adapt their models of understanding either by reflecting on prior theories or
resolving misconceptions.
❖ Students need to have a prior base of knowledge for constructivist approaches to be
effective.
❖ As students are constructing their own knowledge base, outcomes cannot always be
anticipated, therefore, the teacher should check and challenge misconceptions that may
have arisen.
❖ Examples of constructivism in the classroom include problem-based learning, research and
creative projects and group collaborations.
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Behaviorist Theories
1. Watson and Pavlov
➢ defined learning as a more or less permanent change in behavior
➢ they postulated that behavior is a result of a series of conditioned reflexes, and all
emotion and thought are a result of behavior learned through conditioning.
2. Thorndike and Skinner (Reinforcement Theorists or Radical Behaviorists)
➢ Proposed that stimulus-response bonds are strengthened by reinforcements such as
reward or punishment
➢ Skinner hypothesized that behavior that is rewarded is more likely to reoccur.
Cognitive Learning Theories
1. Ausubel (1963) (Subsumption Theory of Meaningful Verbal Learning)
➢ Proposed that new information is subsumed into existing thought and memory
structures
➢ Meaningful learning is thought to occur only if existing cognitive structures are
organized and differentiated
Example:
o To learn and remember information about aseptic technique, the person would
have to have some memory and understanding of germ theory and be able to
differentiate helpful from harmful germs.
2. Rumelhart (1980) (Schema or Schemata)
➢ Developed the concept of Schema or Schemata
➢ Schemata are knowledge structures that store concepts, and the knowledge of how to use
them in memory.
Examples:
o Remembering how to bottle-feed an infant
o Remembering the route to work
o Remembering patterns of facts or visual, auditory, or tactile cues
3. Rumelhart and Norman
➢ Delineated (3) kinds of learning based on Schema Theory:
1. Accretion
• New information is learned.
• No changes are made to existing knowledge
2. Tuning (Schema Evolution)
• Existing schemata are refined throughout the lifespan as new situations
and issues are encountered.
3. Restructuring (Schema Creation)
• Is the development of new schemata by copying an old schema and
adding new elements that are different enough to warrant a new schema.
Bloom’s Domains of Learning
Benjamin Bloom, first proposed three domains of learning;
1. Cognitive Domain
o The Cognitive Domain (Bloom’s Taxonomy)
• This was the first domain to be proposed in 1956.
• It focuses on the idea that objectives that are related to cognition could be
divided into subdivisions and ranked in order of cognitive difficulty.
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2. Affective Domain
• The affective domain (sometimes referred to as the feeling domain) is concerned
with feelings and emotions and also divides objectives into hierarchical
subcategories. It was proposed by Krathwohl and Bloom in 1964.
• The full ranked list is as follows:
o Receiving.
▪ Being aware of an external stimulus (feel, sense, experience).
o Responding.
▪ Responding to the external stimulus (satisfaction, enjoyment,
contribute)
o Valuing.
▪ Referring to the student’s belief or appropriation of worth
(showing preference or respect).
o Organization.
▪ The conceptualizing and organizing of values (examine, clarify,
integrate.)
o Characterization.
▪ The ability to practice and act on their values. (Review, conclude,
judge).
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3. Psychomotor Domain
o The psychomotor domain refers to those objectives that are specific to reflex
actions, interpretive movements and discreet physical functions.
o Psychomotor learning refers to how we use our bodies and senses to interact
with the world around us, such as learning how to move our bodies in dance or
gymnastics.
Constructivist Theories
✓ Proposes that individual learners actively constructs their own learning on the basis of their prior
knowledge and experiences, and interaction with their environment.
✓ Constructivist theorists believe that in order for learning to take place, new information must tie
into existing values, beliefs and knowledge.
✓ In constructivism, the learner is an active manipulator of information.
✓ The Stage Theory of Information
The core of this theory is that information is both processed and stored in (3) stages:
o Sensory memory
• Fleeting
• Objects we SEE may last only for ½ a second
• Things we HEAR may remain in sensory memory for about 3 sec.
• For these sensations to be passed on to the next level of short-term
memory (sometimes called working memory), they must be of some
interest to the person or must activate a known schema.
o Short-term memory
• Lasts about 20 sec.
o Long-term memory
• Firmly tied to an existing schema in the brain.
✓ Piaget’s Theory of Cognitive Development (Cognitive Constructivist)
The Sensorimotor Stage runs from birth to 2 years and the child spends their time
learning basic Schemas and Object Permanence (the idea that something still exists when
you can’t see it).
The Preoperational Stage runs from 2 years to 7 years and the child develops more
Schemas and the ability to think Symbolically (the idea that one thing can stand for
another; words for example, or objects).
o At this point, children still struggle with Theory of Mind (Empathy) and can’t
really get their head around the viewpoints of others.
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The Concrete Operational Stage runs from 7 years to 11 years and this is the Stage when
children start to work things out in their head rather than physically in the real world.
o They also develop the ability to Conserve (understand that something stays the
same quantity even if it looks different).
The Formal Operational Stage runs from 11 years into adulthood and this is where
abstract thought develops, as does logic and hypothesis testing.
According to Piaget, the whole process is active and requires the rediscovery and reconstructing of
knowledge across the entire process of Stages.
2. Creative intelligence
3. Practical intelligence
3. Metacognition
o Thinking about one’s thinking
o A process learners use to gauge their thinking while reading, studying, trying to learn, or
problem solving
o Metacognitive skills:
▪ Analysis of what the learning task involves
▪ Planning an approach to the task
▪ Reflecting on the material learned
▪ Monitoring learning progress
o Some people are intelligent novices
o The more we connect new information to old, the more we ruminate over new information.
o The more frequently we recall and think about it, the more long lasting it will be.
o If you were given the following list of 10 words and studied them for a minute, you could
probably recite about 7 of them from memory a few seconds later.
• Tree Battery
• Closet Lake
• Food Book
• Road Chicken
• Boy Chair
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o Chunking
• Chunks – formed when information is clustered into patterns
• If you were to form chunks by grouping the words in some meaningful way, you
remember even more.
• E.g.
• Boy, Chicken, Tree (living things)
• Closet, Chair (elements of a house)
• Food, Book (things you desperately need)
• Battery, Road, Lake (you need a battery in your car to ride the
road that takes you to the lake)
o Forgetting
• Reasons:
• Weakening of networks in the brain
• New memories interfere with old ones
• Not having the right stimulus or cue
• Intent to learn partly
5. Transfer
o The ability to take information learned in one situation and apply it to another
o Factors to successful transfer:
▪ The extent to which the material was originally learned
▪ The ability to retrieve information from memory
▪ The way in which the material was taught and learned
▪ The setting in which the material was taught and learned
▪ The similarity of the new situation to the original
TYPES OF LEARNING
Gagne’s Conditions of Learning (1970)
1. Signal Learning (conditioned response)
o The person develops a general diffuse reaction to a stimulus
2. Stimulus-Response Learning
o Involves developing a voluntary response to a specific stimulus or a combination of stimuli
3. Chaining
o The acquisition of a series of related conditioned responses or stimulus-response connections
4. Verbal Association
o A type of chaining and is easily recognized in the process of learning medical technology
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5. Discrimination Learning
o The process wherein the person has to be able to discriminate large numbers of stimulus-
response or verbal chains
6. Concept Learning
o Learning how to classify stimuli into groups represented by a common concept
7. Rule Learning
o Rule – considered a chain of concepts or a relationship between concepts
8. Problem Solving
o To solve problems, the learner must have a clear idea of the problem or goal being sought and
must be able to recall and apply previously learned rules that relate to the situation
o A process of formulating and testing hypotheses
LEARNING STYLES
Learning Style – a habitual manner in which learners receive and perceive new information, process it,
understand it, value it, store it, and recall it.
➢ 4 Learning Styles
1. Converger
▪ learns by Abstract Conceptualization (AC) and Active
Experimentation (AE)
▪ Is good at decision making and problem solving and likes dealing
with technical work rather than interpersonal relationships
2. Diverger
▪ Stresses Concrete Experience (CE) and Reflective Observation(RO)
▪ Excels in imagination and awareness of meaning
▪ Is feeling oriented and people oriented and likes working in groups
3. Accommodator
▪ Relies heavily on Concrete Experience (CE) and Active
Experimentation (AE)
▪ Likes to actively accomplish things, often using trial-and-error
methods to solve problems
▪ May be impatient with other people
▪ Acts on intuition and is a risk taker
4. Assimilator
▪ Emphasizes Abstract Conceptualization (AC) and Reflective
Observation (RO)
▪ Strengths are in inductive reasoning, creating theoretical models,
and integrating ideas
▪ Prefers playing with ideas to actively applying them
▪ More concerned with ideas than with people
Please prepare for a 15-20 mins. creative presentation regarding the assigned topic.
Kindly list the names of the group members as well as the rubric for grading as stated
below in a ¼ yellow pad and give it to me before the presentation.
PRESENTATION
Proverbs 13:4 “The soul of the sluggard desireth, and hath nothing: But the soul of the diligent
shall be made fat.”