Analysing Learning Theories That Have Informed Knowledge Development Nursing Essay

Analysing Learning Theories That Have Informed Knowledge Development Nursing Essay The purpose of this write up is to explore and analyse how learning theories informed knowledge development and competence in promoting health and psycho education in clinical settings. I will examine the principles underpinning the facilitation of learning and assessment. I will demonstrate my knowledge and understanding of the theoretical concepts in an episode in which I facilitated learning to clients while on placement at a Mental Health Rehabilitation Centre. Finally, I will use the reflective model by (Gibbs, 1988) to reflect on the strategies used within the episode and discuss the implications in relation to my future role as a nurse. The NMC (2008) stipulates that as nurses we must maintain our professional knowledge and competence regularly. You must keep knowledge and skills up to date throughout your working life and that you must take part in an appropriate learning and practice activities that will maintain and develop your competence and performance. In view of the aforementioned this essay is aimed at enhancing my knowledge and competence in facilitating learning through understanding of the underpinning concepts. I observed most residents having fast foods such as burgers, kebab, and chocolate as well as fuzzy drinks which are rich in saturated fatty and sugar for lunch regularly and they were also smoking a lot. I was really concerned because of my duty of care as a nurse (NMC, 2004) and due to findings from several researches for example (Bottomley and Mckeown, 2008 and Hallpike, 2008) which shows the risk of malnutrition was commonly associated with people with psychosis which predisposes them to host of physical health problems. I had a chat with my mentor of my intention to use the weekly communal meeting to carry out a teaching session to raise awareness and sensitise the residents on the effects of fatty foods and fuzzy drinks on their body chemistry and the need to improve and develop a healthier eating habits and life styles, considering the fact that most of them were on various antipsychotic medication which predisposes them to becoming obese. Timms (2008) said that a huge majority of people with mental health problems are most likely to have weight issue due to side effects of their antipsychotic medication. My mentor agreed to table it before the resident in the next meeting to gain their consent in compliance with NMC (2008). The residents consented to it and were quite interested because some them were really concerned about their weight and really wanted to do something about it. We agreed on a date for the teaching. The onus was now on me to facilitate the learning process that will empower the residents to take responsibility for their health and make a positive change. A vast majority of physical health problems are caused by people life styles and their failure to see the risk associated with their daily habits. Kiger (1995) defined health as state of balance between different facets of life suggesting that it is a dynamic concept which he termed movable. What this means is that our life styles can alter the balance resulting in an adverse effect on our health. As facilitators it is essential that we have a clear understanding of the different learning styles in order to tailor our teaching to meeting the varied approach of our learners. This is because learners are intrinsically different and preferred different ways of learning. Teaching is an act of imparting knowledge, a purposeful intervention aimed at promoting learning and causing learning to happen. Kemm and Close (1995) defined teaching is an act of assisting others to learn and putting it to use in their life. While Kiger (2004) defined teaching as a process of enabling people to learn through the dissemination of information and advice; it creates room for people to express their feeling, clarify their thought and acquired new skills. Learning is the acquisition of knowledge through education and experience. It is essentially important because it enable people to make informed choice about their own health. Roger (1996) defined learning as a kind of change often in knowledge but also in behaviour. Reece and Walker (2002) stated that learning brings about change and that teaching and learning proceeds pari passu and cannot be considered in isolation. I spent time engaging with the residents so as to build a therapeutic relationship based on trust whilst observing their behaviours as I gather information to facilitate the learning process. This was to enable me identify their preferred style of learning so as to increase ease of transmission of knowledge. There are a host of approaches available in health promotion. Ewles and Simlet (2003) identified five approaches which include medical, client-centred, behaviour, education and societal change. In his word all these approaches must be taken into cognition when undertaking health promotion to clients. Kolb (1984) developed the experimental learning theory (learning by doing) by this he suggested that learning is not fixed but formed from previous experiences. Kolb learning theory which is cyclical affirmed that people have different learning style and he identified four distinct learning styles as shown in figure 1 below includes concrete experience (having an experience ), reflective observation( taking time to reflective on their experience from different perspective), abstract conceptualization ( drawing their conclusions) and active experimentation ( putting theory into practice). For effective learning to happen Kolb said all this four must be taking into context when planning a teaching session. Honey and Mumfords learning cycle is slightly different from Kolb system. http://www.nwlink.com/~donclark/hrd/styles/honey_mumford.html Figure 1 Honey and Mumfords variation on the Kolb system Honey and Mumford (2000) said that there four different types of learners which must be taken into consideration when planning a teaching session as shown in figure 1 above. These include the activists, like learning situation that presents them with new challenges, problem solving, and role play and uses the first opportunity to experiment; reflector like brainstorming and learning activity that gives room for observation, thinking and reflecting on they have learned; theorist like to research into fact before taking it onboard, they prefer a step by step approach and pragmatist like practical based learning and been given the opportunity to try out techniques and getting feedback in return. In view of fact that people have varied approach to learning considering the fact that its a group teaching. I intend to present my teaching to my mentor first to get feedback on whether I have considered all the four learners identified by both Kolb and Honey and Mumford. As nurses the education of our clients about their health is a vital aspect of our nursing process. It is important that we use an approach that encompasses congruence, empathy and respect in assisting our client (Roger, 1996) instead of coercing them to change their life style. Therefore it is imperative that we aware that teaching the client requires consent and that the client has the right and autonomy to refuse any intervention even when it can result to death provided they have the mental capacity to make informed decision (Mental Capacity Act, 2005 and NMC, 2008). DH (1996) states that the client must be provided with vital information about their health, so that they can make informed choice about the treatment options, life styles changes and behaviour. The subject was brought before the residents for them to make informed decision with regards to the teaching and they consented to because they wanted to do something about their weight. Kemm and Close (1995) wrote that there is high tendency for client to learn if teaching is directed to meeting their needs, interest and within their ability. Effective communication plays a vital role in facilitating learning. As nurses the way we communicate and the kind of rapport we build with our client plays an essential role in empowering or disempowering them (Brown, 1997). Good communication skills act as therapeutic tool in delivery a holistic and person-centred care (Burnard, 1992). Our role as facilitator should be to explore and support our client to build that intrinsic motivation to make a change in their life, strengthen their commitment to change and then develop a plan to fulfill that change (Miller and Rollnick 2002). The responsibility for change lies purely on the client however as facilitator we should use an approach that confront the client with the idea of need for change without been persuasive and argumentative rather we should create an environment that show a sense of genuinity, respect and empathic understanding through collaboration and working in partnership with the client. Based on my assessment of the residents needs and considering the fact that they were adult learners capable of self-directing their learning, I decided to use andragogical instead of the pedagogical teaching style so as to enhance collaboration and for it to have a positive impact in residents lives. Pedagogy is the art and science of teaching children, it is a teacher- centred education and the teacher decided what, how and when it will be learned while andragogy is the art and science of assisting adults to learn and it is learner-centred education. Andragogical approach help learning to take place because of the clients own effort or willingness and it helps learners to learn what they want to learn (Knowles, 1990). Over the years educational psychologist and educationalist have developed models and learning theories (Hincliff, 2004). These include the behaviourist, cognitive or humanistic. Three domain of learning exist; Cognitive, psychomotor and affective (Bloom, 1972). The way we learn is however dependent on some other factors even though these three domains are the dominant. Individuals personal values, beliefs and altitude are motivating factors for self-directed learners. I decided to use the humanistic approach in facilitating the awareness and sensitization of the need for them to improve their diet and life style In order to meet the residents learning needs. The humanist theory as explained by (Maslow, 1943) is concerned with individual fulfillment and self-actualisation. The influence of the environment on the residents and their relationship with others is explained by the socio-cognitive theory. Bandura (1977) stated that learning take place as a result of social interaction throu gh observation and mimicking others whom the learner look up to for example family , peers and health professionals. To facilitate learning; a conducive learning environment, learning material suited to the learners need and their literacy level must be considered (Quinn, 1995).In view of this, I gathered all the necessary resource taking into account the residents individual learning styles and planned the teaching in such a way that it is tailored to meeting their varied learning styles. Based on my engagement with the residents I identified that majority of them belong to the theorist, pragmatist and reflector learning styles from (Honey and Mumford, 1982). Prior to the start of the teaching session I made sure the environment was conducive for leaning, spacious, quite and with the right temperature. I introduced myself to the residents and my mentor and other member of staff present. I explained the rationale for the teaching session. I gave them handout I prepared for the session which contain literature and pictures, which were simple to understand and which they could keep with them and refer to later at their convenience and I also use video from YouTube http://www.youtube.com/watch?v=pp0nc4kY-tc to explain the potential side effects of fatty food and fuzzy drink on their heath and I highlighted the main topic, which is the makeup of the food they eat and its functions in the body and the calories recommended daily. I brought in several fatty foods like ground oil, butters in different make to explain to them the difference between the good product and the bad product. I explain to them that the one that contain high saturated fat and low unsaturated is not good because the body find it difficult to break down the saturated fatty into small unit which is used by body instead they are gradually deposited thereby raising their cholesterol level. The deposition of fat gradually blocks the artery wall which could lead to anterosclerosis, stroke and heart diseases while product rich in unsaturated fats and low saturated fats are better. I encouraged them to always check for this information on the food product whilst shopping. I asked them if they know what cholesterol means and if anyone has check out their cholesterol level. I then brought out some more products for them to point out which one was better to check if the understood the lectures and they did perfectly well in identifying the good and the bad product and I offered them praise f or a job well done. I then showed them they kind of food that is good for the body from you Tube http://www.youtube.com/watch?v=mAFTcfaA-pcfeature=channel and what constitute a balance diet. The teaching session was an interactive one and as facilitator I suggested and encouraged them to adopt a healthier lifestyle by eating more fruit and vegetable instead of chocolate, drink more water instead of fuzzy drink and to cook their meal which was more nutritious and economical and to exercise by going to gym or taking a light work every day. I suggested that we could contribute one pound to cook for the weekly communal meeting and then see how it goes from there and the feedback was positive. I gave room for question and answer session. I thanked them for their collaboration and for making the teaching successful. Their willingness to learn was quite beneficial. I provided information on what make a balance diet and some activities aim at dealing with weight issues in the communal loung e. As nurses its imperative that we take time to reflect daily on our professional and clinical practice. Gibb et al (2005) stated that constant reflection allows learning to occur at every given opportunity and it improves practice. I felt competent though initially nervous teaching the residents on the need for healthy eating and life style change. Ewles and Simnett (2003) stated that health promotion is the process of empowering people to take proactive action over and improve their health. I was able to facilitated residents learning by building a rapport and through process I observed their learning styles and knowledge base which made it possible for me to tailor the teaching to their varied approach of learning. I believe the teaching session had a positive impact in enlightening the residents on the need for them to improve their diet and lifestyles change from the feedback I got at the end of the teaching. I use the humanistic approach clearly stating the rationale for the sess ion because I wanted them to have the knowledge so that they can take responsibility for their own health. The session was collaborative and interactive with the residents fully involved in the discussion and asking appropriate when seeking clarification. During the evaluation Amos felt that the learning outcome had been achieved and also said that the handouts and leaflets given during the teaching session were very useful and helpful. My mentor suggested that I could have done more and it would have been good, if I had used an overhead projector. But his feedback was encouraging. I had to rush towards the end of the session due to time factors. But I realised that as a student nurse, my professional development is still in progress and as my course develops I will become confident in dealing with this type of situation. My experience of teaching on this occasion will improve my professional practice. During the session I adopted a personal counselling approach based on the Beattie (1991) model, (cited in Ewles and Simnett 2003), which is a combination of the educational and client centred approach. According to Rogers (1983) people experience the world differently and know their own experiences better than anyone else. Amos ability to take responsibility for his actions helped to be more independent. In conclusion, I have been able to facilitate a teaching session by building a therapeutic relationship with Amos and through achieving effective communication. I found out from this experience that empowering clients does not mean that nurses should enforce decisions on clients but rather that; they should encourage and motivate them to achieve a desired result. I feel the experience was an interesting one. Looking back on the teaching skills demonstrated and the assessment of the clients need, I think the aim of the teaching was achieved. The feedback received from the learner and my mentor has given me an insight on how to improve in my teaching in future. I hope to use video clips and overhead projector in future teaching and to continue using the lecture learnt in taught module to enhance my skills and knowledge in my future role as registered mental health nurse.

Rules by Which a Government May Be Reduced to a Small One

In Benjamin Franklin’s writing â€Å"Rules by Which a Great Empire May be Reduced to a Small One†, he attempts, without success, to convince the king and Parliament of Britain to change their control of policies towards the American Colonies. This publishing did very well to highlight the main issues of America caused by the British Government. Franklin’s writing uses excessive rhetorical devices to portray his patriotic opinion towards the British Crown, such as Satire, Figurative Language, and Diction. These devices serve the purpose of warning the government of Britain that the American people do not approve of how they rule their people.Benjamin Franklin uses Satire throughout his entire piece, in an effort to make his audience; the readers of â€Å"Public Advertiser† feel that the British are foolish. His use of satire is seen as early on as the second paragraph, where he says â€Å"Take special Care the Provinces are never incorporated with the Moth er Country, that they do not enjoy the same common Rights, the same Privileges in Commerce, and that they are governed by severer Laws, all of your enacting, without allowing them any Share in the Choice of the Legislators. This blatant use of sarcasm tends to make the audience feel enlightened as to what the British are really doing to the American Colonies. Sarcasm also emphasizes the main idea of the piece in that it attempts to affect the way the British govern America. Benjamin Franklin also has extensive use of figurative language. For example, he uses a simile in the very first sentence of his piece; â€Å"a great Empire, like a great Cake, is most easily diminished at the Edges. † His figurative language serves a purpose of emphasizing his use of satire.In a later example; he keeps his simile of the cake and compares it to a gingerbread baker who seems to not know how to bake, thus accentuating his use of sarcasm. Franklin’s use of figurative language creates a n expressive tone more efficiently than simple, concrete language. Lastly, Benjamin Franklin’s use of diction is also very prevalent in his writing. Just one example of Franklin’s use of diction would include: â€Å"After a Revolution is thoroughly established, are of no more use, they are even odious and abominable. His use of the words â€Å"odious† and â€Å"abominable† serve a larger purpose than simply using more generic, less descriptive words such as â€Å"hateful† and â€Å"bad†. His use of these words convey his thoughts on British tyranny over America more clearly. It provides a tone of seriousness and genuine importance. His diction affects the overall mood of the piece by giving it a sense of urgency in that something needs to change for America. In conclusion, Benjamin Franklin’s writing â€Å"Rules by Which a Great Empire May be Reduced to a Small One† attempts to cause change in the way government is being run b y Britain for the Colonies in America.His use of satire, figurative language, and diction cause his writing to be regarded as fundamental in producing the American Revolution. They change both the mood and tone of the piece, and cause his audience to think about how the British Parliament governs America. His extensive use of sarcasm throughout the piece strikes a sense of foolishness by the audience towards the British Crown. Although his attempts to change the way British Parliament governed America did not succeed, Benjamin Franklin did emphasize the problems in their system, and ultimately contributed to the American Revolution.

Henry VIII

After a little debate, Henry became the new Duke of Cornwall in October 502, and the new Prince od Wales and Earl of Chester In February 1503. Henry VII gave the boy few tasks. Young Henry was strictly supervised and did not appear In public. As a result, the young Henry would later ascend the throne â€Å"untrained in the exacting art of kingship†. Henry VII engeded his youner son with Artur's widow Henry VII died on 22 April 1509, and the young Henry succeeded him as king, adopting the regnal name of Henry VIII. He married Chaterlne of Aragon In June 11 1 509 and in June 24 they were crowned in Westminister Hall.Henriks first moves as a ew ruler were showing out that his government is different from the reign of his father. First he removed the removed the leading figures in the government of Henry VII. And then on the International plans started to take a dfferent policy of peaceful policy of his father. Henry thought of himself as warrior king. He entered into an alliance with some European countries against France, against which he was at war. He personally led expeditions against France defeating the at the Battle of the Spurs 1 513th, but the war Is finally concluded peace agreement 1514th year.He Involved England In the then European polltlcal trends and events as Important, If not decisive, factor. Wars, however, with its cost of production of a number of cannons new fortifications and created serious financial problems. Trying to 1525th introduce a â€Å"friendly support† for funding Henrik's foreign policy has led to the outbreak of disorder and gave up extra tax. As Reformation appeared on the continent Henrik turned his policy to the Pope so he enacted the The Defense of the Seven Sacraments 1521st , which contradicts ideas and theses of the reformist MartinLuther, which defend the foundations of Catholic teaching , and thats why Pope Leo X. Gave him the title of â€Å"Defender of the Faith† (Defensor fidel) Henry was a very ve rsatile person, interested in sports, also had good skill in music and poet. At his court ruled progressive and innovative spirit of the Renaissance, in science and art. Inspired by the discovery of the New World he order to draw up, for that time, the latest map of the world. His reign was characterized by a distinct legislative actlvlty which has left behind many laws such as the laws in wales act in 1536.England plugged in Wales, and the English language has become the only official in the province, despite the fact that most of the population speak Welsh. Among the laws which were passed during the reign of Henrik many were controversial such as the Buggery Act which was the first law against sodomy, Witchcraft Act which punished and prosecuted witches, and the His reign was characterized by a distinct legislative 1 OF3 England plugged in Wales, and the English language has become the only official in the province, despite the fact that most of the population speak Welsh.Among t he laws that were passed during the reign of Henrik many were controversial such as the Buggery Act which was the first law against sodomy, Witchcraft Act which punished and prosecuted witches, The first Act of Supremacy was a piece of legislation that granted King Henry VIII of England Royal Supremacy, which means that he was declared the supreme head of the Church of England. It is still the legal authority of the Sovereign of the United Kingdom. and the Treasons act from the 1 534th in which the term is issued and extended into words not only on offense.This Act was passed after the Act of Supremacy 1 534, which made the king the â€Å"Only Head of the Church of England on Earth. † Marriages Henry's private life was often involves with state affairs and politics. His desire to have a male heir, and married life were intimately affected on current and future foreign and domestic policy of England, and the place of England in religion and relations with the head of the Catho lic Church Pope. Catherine of Aragon was pregnant with Henry seven times , but only survived child,was a daughter, Mary .Henry , however, desperately wanted a male heir , ecause he believed that only a son can provide continuity to the English throne . In the beginning, while he was married with Catherine had two mistresses , Mary Boleyn and Elizabeth Blount , but fell in love with Mary's sister, Anne Boleyn . When he realized that Katherine (later 1536. Died of cancer ) will no longer be able to have children , overcome by his desire to get a son , and the only way to legally get with Anne Boleyn was by divorcing from Catherine. So he tried to persuade Pope Clement VII . to annul his marriage to Catherine .At first hesitant , Pope 1529th under ressure from the Spanish king Charles V. refuses to meet Henry's request. Although still 1521st by Pope Leo X. received the title † Defender of the Faith † , Henrik decided to ignore papal rejection and January 25 1533rd The arbit rary Marries Anne Boleyn , setting prior to canterburyiJskog Archbishop Thomas Cranmer , who agreed to do a wedding. Papa was soon excommunicated Henry , and this in turn summoned the parliament in which passed the Law on the leadership (the Act of Supremacy in 1 534 . ) , According to which the head of state and church , called the Anglican , is king .After the break with Rome and the independence of the Anglican Church dissolved all monasteries and confiscated their property. Anna Boleyn was pregnant several times, but gave birth to Henry's daughter Elizabeth, instead of so much desired son. Therefore, it is soon due to Henry's favor, since he began to devote all his attention to Jane Seymour, and how he wanted to get a legitimate son had to get a divorce from Anne Boleyn. Thats whay in 1536. she was accused of witchcraft, adultery and incest with her brother, and was convicted and executed by beheading in the same year. o gave a birth to his son Edward 1537th and died twelve days after his birth. Henrik was deeply hurted because he felt of Jane as of his â€Å"only true woman† who gave him desperately desired son and heir. 1540th The Henry remarried, with sister of his ally in conflict with the Pope, the Duke of Cleves, Anne of Cleves. Although it is believed that Ana unattractive, he married her for pragmatic political reasons, but never had any kind of marital relationship and the marriage was annulled on the grounds as never consumed and Ana of Cleves was given the title of the King's sister.Earl of Essex, who arranged the marriage was convicted and executed by beheading. On July 28 . 1540, the same day when Earl of Essex was executed, Henry married Catherine Howard, cousin of Anne Boleyn. In the begining Henry was enthusiastic about her because of her youth (she was barely sixteen). But Catherine soon cheated Henry with a courtier, and the marriage was annulled, and Catherine was executed in February 1542nd at the age of eighteen. Henrik's last w ife was Catherine Parr, rich Protestants who married Henry in 1543. ar and who is responsible for reconciling Henry with his daughters, Mary. and Elizabeth, who earlier marriages canceling their mothers with Henry, were excluded from the succession and are therefore again become possible heir to the English throne. It is assumed, although never proven, that Henry suffered from syphilis, which probably led to his death in the castle Whitehall on January 28 1547. and was succeeded by his son Edward. His life and reign was described by William Shakespeare in his historical drama Henry VIII.

Individual Perception of Crime - 1349 Words

. There are a variety of variables that will affect the way a person views crime. The most common factors are race and ethnicity, religion, social class, education, and ethics. These variables are the most common way to differentiate the belief structures our society possess . Our belief systems are not innate, they are set in place; it is a learned ideal. In essence, a person’s perception of crime is based on their upbringing and background. Race and ethnicity play a major role in the way crime is perceived. One race may look at crime in a completely different manner than any other race. For instance, blacks may look at a crime differently than whites or Hispanics. Likewise, Muslims in the United States†¦show more content†¦Offenders of a poorer class may view crime completely different than an upper class person. Robbery, drug dealing, theft, murder may all be viewed as a way of life to a lower class individual. Most gang members are lower class and they see this kind of activity as a necessary action to survive. These criminal infractions are how they feed their family, so they will not bat their eye when it comes to committing such offenses. They are merely a way of life and stigmas attached to their class system. These same crimes are committed by those of upper class but their motives are out of haste or greed opposed to necessity. The victims of lower class crime are more likely to accept the off ense as a way of life for their demographics. They are also more likely to settle the issue themselves rather than ask for assistance from law enforcement. Snitching in these situations is likely to get the victims hurt worse or killed. Street justice is often practiced in lower class crimes and crime itself becomes a viscous circle. Upper class victims are more likely to not accept such offense as a way of life and will seek justice from law enforcement. They are generally more cooperative with police because they do not fear law enforcement or retaliation for talking to law enforcement. . . Education is another variable in which people will view criminal acts. This ideaShow MoreRelatedDeterrence Theory And Its Effect On The Individual s Perception Of The Crime Essay1147 Words   |  5 Pagesaddressed to encompass the crime. Deterrence theory understands that when there is a low likelihood of getting caught or the punishment is minimal it will not deter the individual from the crime. This theory theorizes the individual as a rational actor who understand the penalties and can logically think and control their actions accordingly. Shoplifters may not be informed of the likelihood of detection, risks, or other punishments of the crime. 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