This article discusses the three domains of educational objectives in health care - cognitive, psychomotor, and affective domains. It provides nursing objectives in each domain and explains how learning objectives can help identify the learning needs of the learners.
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Running head: Teaching and Learning of health professionals Teaching and Learning of health professionals Name of the Student: Name of University: Author Note:
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1 Teaching and Learning of health professionals Table of Contents Introduction................................................................................................................................3 Objectives...................................................................................................................................3 Cognitive domain...................................................................................................................3 Psychomotor domain..............................................................................................................4 Affective domain....................................................................................................................5 Conclusion..................................................................................................................................6 References..................................................................................................................................7
2 Teaching and Learning of health professionals Assignment 2 Teaching and Learning of health professionals Introduction Learning objectives can be defined as a clear statement that should describe a student will be able to perform at the end of a teaching session. A well-defined learning objectives provides the students a clear aim to focus their learning efforts. It directs the choice of the instructional objectives. It provides the directives how a learner has to be taught (Wilhelmsson, 2012). Teaching and learning in health care is an important aspect, in this sector both the patients and the families are required to teach to address various health related self-care needs. Families of the patient have to be educated in order to involve them in the decision making process. This paper would state three nursing objectives in each of the domains of learning- the cognitive domain, the psychomotor domain and the affective domain. Objectives Three domains of educational objective or learning has been identified. The cognitive (knowledge), affective (feelings) and psychomotor skills (Physical). Cognitive domain The cognitive domain includes the growth of the intellectual skills, which involves recognition of specific facts and concepts helping in the development of the cognitive capacities (Adams, 2015). Knowledge can be considered as the primary cognitive skills and involves the retention of specific and distinct bits of information such as facts or
3 Teaching and Learning of health professionals methodologies or order of events in asystematic process. Comprehension needs more cognitive processing than remembering the information where the learner need to incorporate knowledge for understanding a particular task (Adams, 2015). Objectives related to cognitive domain At the end of the teaching session, the learners; the family members will be able to describe the different environmental modifications and the visual cues that can be followed at home to prevent falls in Margaret. In this educational objective it can be seen the learners; Margaret’s families are asked to describe the different environmental modification techniques that can be used to prevent falls. The environmental modifications might involve several steps like provision of effective lightning, provision of safe footwear, provision of side rails in the bathroom or the staircase, avoid cluttering of things or uneven grounds in the path (Hung et al., 2013). All these intervention should be remembered carefully or should be taken in written. This educational objective would thus help in developing intellectual skills such as memorising or remembering. Psychomotor domain According to Bloom, the psychomotor objectives should be written in terms of competence. Teaching and learning method in this domain may require some back ground knowledge regarding the subject (Wilhelmsson, 2012). Assessment of this competence level should involve a number of observations and not simply asking the learners about what they should do.
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4 Teaching and Learning of health professionals Psychomotor objectives- At the end of the teaching session the families will be manifest the appropriate gait exercises that should be practiced with Margaret to prevent fall. According toGillespie et al., (2013) home based exercises can be helpful for patient like Margaret. Low level of regular exercises are found to increase physical fitness in older adults, especially the ones who has sustained a hip fracture. This have found to increase walking speed and the quadriceps strength (Karlsson et al., 2013). Home based exercises like deep breathing exercises, arm swings, body side stretch, stomach crunches, ankle pumps and circles, back and chest stretches have been found to be effective for patients like Margaret Hung(Ambrose, Paul & Hausdorff, 2013). One of the advantageous factor is that these exercises can be taught easily by the occupational therapist to the patient or the family. However a number of sessions are required to teach those exercises to the family member involved in the treatment. Furthermore the learner will also have to demonstrate the things learned for a number of times to reach the desired accuracy such that that they could be appropriately applied to the patient. Affective domain The affective domain is concerned with the manner in which things are dealt with emotionally, such as the values, appreciation, feelings, enthusiasm, motivation and attitudes. The affective domain can again be divided in to hierarchy like Receiving, Responding, Valuing, Organisation and characterisation (Wilhelmsson, 2012). Receiving refers to the sensitivity of the learner to the existing stimuli. Responding refers to the active attention of the learners to the stimuli and the motivation to learn. Valuing refers to the beliefs and the attitudes of the learners or his/ her acceptance to the learning. Once the views or the beliefs has been internalised the learner arranges them. In the characterisation phase, the learner is capable to act practice according to the learning.
5 Teaching and Learning of health professionals Objectives related to affective domain- At the end of this teaching sessions the learners; Margaret's family will be able to demonstrate awareness regarding the unmet needs of Margaret, who is a dementia patient and has just undergone a hip surgery. Margaret’s daughter and son- in law should be aware of both the physiological and the psychosocial needs of the patient, which truly cannot be taught by hands-on activities but should be perceived by the family members themselves. The psychosocial needs of Margaret may involve quality time spending with the families, arrangement of meals with the family members in comfortable settings, encouraging socialisation and provision of mental and spiritual support (Kales, Gitlin & Lyketsos, 2015). The learning objective of this domain mainly focuses on the learners being able to display they have understood and can respond to various predefined condition related to this case or can handle such situations in future (Hansen, Hauge & Bergland, 2017). Conclusion In conclusion it can be said that construction of a proper learning objectives on the basis of Bloom’s taxonomy can be helpful for the teachers to identify the learning needs of the learners. In this case the three learning objectives helps the learners to understand about the type of education to be given to Margaret’s daughter and son in law.
6 Teaching and Learning of health professionals References Adams, N. E. (2015). Bloom’s taxonomy of cognitive learning objectives.Journal of the Medical Library Association: JMLA,103(3), 152. Ambrose, A. F., Paul, G., & Hausdorff, J. M. (2013). Risk factors for falls among older adults: a review of the literature.Maturitas,75(1), 51-61. Gillespie, L. D., Robertson, M. C., Gillespie, W. J., Sherrington, C., Gates, S., Clemson, L. M., & Lamb, S. E. (2012). Interventions for preventing falls in older people living in the community.Cochrane database of systematic reviews, (9). Hansen, A., Hauge, S., & Bergland, Å. (2017). Meeting psychosocial needs for persons with dementia in home care services–a qualitative study of different perceptions and practices among health care providers.BMC geriatrics,17(1), 211. Hung, W. W., Egol, K. A., Zuckerman, J. D., & Siu, A. L. (2012). Hip fracture management: tailoring care for the older patient.JAMA,307(20), 2185-2194. Kales, H. C., Gitlin, L. N., & Lyketsos, C. G. (2015). Assessment and management of behavioral and psychological symptoms of dementia.bmj,350(7), h369. Karlsson, M. K., Magnusson, H., von Schewelov, T., & Rosengren, B. E. (2013). Prevention of falls in the elderly—a review.Osteoporosis International,24(3), 747-762. Wilhelmsson, B. (2012).Teachers' intention for outdoor education: conceptualizing learning in different domains(Doctoral dissertation, Umeå universitet).