Quality Improvement and
Education: Theories
Hloniphani Juta
Lara Kesteloo
Trang Nguyen Thi Thuy
Eva van Swaaij
Defining Learning and Education
Learning: “knowledge acquired through study,
 experience, or being taught”
                           (Oxford Dictionary, 2012)


Education: “the process of receiving or giving
 systematic instruction”
                           (Oxford Dictionary, 2012)
Education and Quality Improvement


   Cannot be learned simply through
   experience or observation
Learning theory

    Behaviourist             Cognitivist            Humanist             Social and
                                                                         Situation
• A change in           • A change in                               • Interaction/observat
                                               • An act to fulfil     ion in social contexts
  behaviour               though/mind            personal
                                                 potential
• Theorists:            • Theorists: Koffka,                        • Theorists:
  Thorndike, Pavlov,      Kohler,Lewin,                               Bandura, Lave
  Watson, Guthrie, H      Piaget,              • Theorists:
  ull, Tolman, Skinne                            Maslow, Rogers       and Wenger,
                          Ausubel, Bruner,                            Salomon
  r                       Gagne
Social Cognitive Theory/Social
Learning Theory in Nursing School

• This theory is attributed to Bandura who
  describes how learning takes place with
  consideration of personal learner characteristics,
  behaviour patterns and the social environment.
Three Core Concepts of Social
Learning Theory
     1. Learning
                     2. Mental
       through
                       States
     Observation

       3. Learning ≠ behaviour
               change
1. Observational Learning

Live model
     The actual demonstration of behaviour

Verbal instructor model
     Involves a description and explanation of a
behaviour

Symbolic model
     Involves real or fictional characters displaying
behaviours
2. Mental states

Intrinsic Reinforcement
     Intrinsic reinforcement as a form of internal
reward, such as pride, satisfaction, and a sense of
accomplishment.
3.Learning ≠ behaviour change.

The Modelling Process
      Not all cognitive/social behaviours are
effectively learned , certain steps must be followed
in observational learning and modelling.
    1. Attention
    2. retention
    3. reproduction
    4.motivation
Contribution to Quality Health Care
Student learns:
• Leadership skills
• Nursing skills
• Problem solving
• Self regulatory practices
• Beliefs
• Attitudes
• Strategies
Public Health Quality Improvement
Goal: to improve the public health of the population
FADE-model                      • Overweight population

                                • Not enough exercise and bod
           Focus
                                  eating habits


Evaluate            Analyse     • Design a food pyramid

                                • Promote you food pyramid in
                                  various media

    Execute     Develop         • Is there a change in statistics?
Public Health Education
PH campaign  raising awareness of the health
consequences.
• Mass media
• Labeling
• Packaging
• Community programs
• Policy change

In Europe, the „lifestyle diseases‟ are prevalent. These usually
have a very late onset of disease  „why worry now about
diseases you might get in a long time?‟
References
Chinn, P. L., & Kramer, M. K. (2010). Integrated theory and knowledge development in nursing (8th ed. ed.). St.

   Louis, MO: Elsevier Mosby.

Education. (2004). In K. Barber (Ed.), Canadian Oxford Dictionary (2nd ed.). NY, NY: Oxford University Press.

Huitt, W., & Hummel, J. (2006). Educational psychology interactive. Valdosta: Valdosta State University

Israel, B. A., Checkoway, B., Schulz, A., Zimmerman, M. (1994). Health education and community empowerment:

   Conceptualizing and measuring perceptions of individual, organizational, and community control. Health

   Education Quarterly 22(2), 149-170. doi: 10.1177/109019819402100203

Keating S. B (2011). Curriculum Development and evaluation in nursing. (2nd ed.) New York: Springer.

Learning. (2004). In K. Barber (Ed.), Canadian Oxford Dictionary (2nd ed.). NY, NY: Oxford University Press.
References
McAlister, A., Puska, P., Koskela, K., Pallonen, U., & Maccoby, N. (1980). Psychology in action: Mass

   communication and community organization for public health education. American Psychologist 35(4),

   375-379. doi: 10.1037/0003-066X.35.4.375

Nelson, E. C., Batalden, P. B., & Lazar, J. S. (2007). Practice-based learning and improvement: A clinical

   improvement action guide (2nd ed.). Oakbrook Terrace, Illinois: Joint Commission Resources.

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education

   and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. doi:

   10.1093/heapro/15.3.259

Smith, M. K. (2003) 'Learning theory', the encyclopedia of informal education, www.infed.org/biblio/b-

   learn.htm, Last update: December 04, 2011
Search Strategy
• Once we split the topic focus we individually
  searched our focus areas. One was a general
  definitions and relationship search between
  education, learning and quality improvement.
  One searches learning theories and theorists and
  two looked into single models or theories that
  can be applied in student and practical contexts.
• Google scholar search with keywords: quality
  improvement public health, public health
  education, quality improvement education
Collaborative Process
• As a group we outlined the four major aspects of
  our presentation and split the work accordingly.
• Since we are lucky to have Eva as a non-nursing
  point of view, we put her in a position where she
  can educate us on learning theory with relation
  to public health.
• The presenter was chosen according to who has
  not presented yet in the group to give fair
  opportunity.

Learning and Education Theories

  • 1.
    Quality Improvement and Education:Theories Hloniphani Juta Lara Kesteloo Trang Nguyen Thi Thuy Eva van Swaaij
  • 2.
    Defining Learning andEducation Learning: “knowledge acquired through study, experience, or being taught” (Oxford Dictionary, 2012) Education: “the process of receiving or giving systematic instruction” (Oxford Dictionary, 2012)
  • 3.
    Education and QualityImprovement Cannot be learned simply through experience or observation
  • 4.
    Learning theory Behaviourist Cognitivist Humanist Social and Situation • A change in • A change in • Interaction/observat • An act to fulfil ion in social contexts behaviour though/mind personal potential • Theorists: • Theorists: Koffka, • Theorists: Thorndike, Pavlov, Kohler,Lewin, Bandura, Lave Watson, Guthrie, H Piaget, • Theorists: ull, Tolman, Skinne Maslow, Rogers and Wenger, Ausubel, Bruner, Salomon r Gagne
  • 5.
    Social Cognitive Theory/Social LearningTheory in Nursing School • This theory is attributed to Bandura who describes how learning takes place with consideration of personal learner characteristics, behaviour patterns and the social environment.
  • 6.
    Three Core Conceptsof Social Learning Theory 1. Learning 2. Mental through States Observation 3. Learning ≠ behaviour change
  • 7.
    1. Observational Learning Livemodel The actual demonstration of behaviour Verbal instructor model Involves a description and explanation of a behaviour Symbolic model Involves real or fictional characters displaying behaviours
  • 8.
    2. Mental states IntrinsicReinforcement Intrinsic reinforcement as a form of internal reward, such as pride, satisfaction, and a sense of accomplishment.
  • 9.
    3.Learning ≠ behaviourchange. The Modelling Process Not all cognitive/social behaviours are effectively learned , certain steps must be followed in observational learning and modelling. 1. Attention 2. retention 3. reproduction 4.motivation
  • 10.
    Contribution to QualityHealth Care Student learns: • Leadership skills • Nursing skills • Problem solving • Self regulatory practices • Beliefs • Attitudes • Strategies
  • 11.
    Public Health QualityImprovement Goal: to improve the public health of the population FADE-model • Overweight population • Not enough exercise and bod Focus eating habits Evaluate Analyse • Design a food pyramid • Promote you food pyramid in various media Execute Develop • Is there a change in statistics?
  • 12.
    Public Health Education PHcampaign  raising awareness of the health consequences. • Mass media • Labeling • Packaging • Community programs • Policy change In Europe, the „lifestyle diseases‟ are prevalent. These usually have a very late onset of disease  „why worry now about diseases you might get in a long time?‟
  • 13.
    References Chinn, P. L.,& Kramer, M. K. (2010). Integrated theory and knowledge development in nursing (8th ed. ed.). St. Louis, MO: Elsevier Mosby. Education. (2004). In K. Barber (Ed.), Canadian Oxford Dictionary (2nd ed.). NY, NY: Oxford University Press. Huitt, W., & Hummel, J. (2006). Educational psychology interactive. Valdosta: Valdosta State University Israel, B. A., Checkoway, B., Schulz, A., Zimmerman, M. (1994). Health education and community empowerment: Conceptualizing and measuring perceptions of individual, organizational, and community control. Health Education Quarterly 22(2), 149-170. doi: 10.1177/109019819402100203 Keating S. B (2011). Curriculum Development and evaluation in nursing. (2nd ed.) New York: Springer. Learning. (2004). In K. Barber (Ed.), Canadian Oxford Dictionary (2nd ed.). NY, NY: Oxford University Press.
  • 14.
    References McAlister, A., Puska,P., Koskela, K., Pallonen, U., & Maccoby, N. (1980). Psychology in action: Mass communication and community organization for public health education. American Psychologist 35(4), 375-379. doi: 10.1037/0003-066X.35.4.375 Nelson, E. C., Batalden, P. B., & Lazar, J. S. (2007). Practice-based learning and improvement: A clinical improvement action guide (2nd ed.). Oakbrook Terrace, Illinois: Joint Commission Resources. Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. doi: 10.1093/heapro/15.3.259 Smith, M. K. (2003) 'Learning theory', the encyclopedia of informal education, www.infed.org/biblio/b- learn.htm, Last update: December 04, 2011
  • 15.
    Search Strategy • Oncewe split the topic focus we individually searched our focus areas. One was a general definitions and relationship search between education, learning and quality improvement. One searches learning theories and theorists and two looked into single models or theories that can be applied in student and practical contexts. • Google scholar search with keywords: quality improvement public health, public health education, quality improvement education
  • 16.
    Collaborative Process • Asa group we outlined the four major aspects of our presentation and split the work accordingly. • Since we are lucky to have Eva as a non-nursing point of view, we put her in a position where she can educate us on learning theory with relation to public health. • The presenter was chosen according to who has not presented yet in the group to give fair opportunity.

Editor's Notes

  • #3 Learning and education are two difference aspects of the same process. Education is a delivery method of knowledge. When you think of education, most people picture a classroom with a teacher, also known as didactic style of education. There are many other ways to educate such as through collaborative or kinesthetic methods. Education is only one of many routes to gain knowledge. Knowledge can also be acquired through other methods such as experience and observation. Learning is the action of knowledge transfer and acquisition through the previously mentioned methods of education, experience or observation. ReferencesChinn, P. L., & Kramer, M. K. (2010). Integrated theory and knowledge development in nursing (8th ed. ed.). St. Louis, MO: Elsevier Mosby.Education. (2004). In K. Barber (Ed.), Canadian Oxford Dictionary (2nd ed.). NY, NY: Oxford University Press.Learning. (2004). In K. Barber (Ed.), Canadian Oxford Dictionary (2nd ed.). NY, NY: Oxford University Press.
  • #4 Quality improvement cannot be learned only through experience or observation. The methods, beliefs and tools are too vast and complicated to be learned without a guide who is familiar with the knowledge. Thus, quality improvement requires an education method to empower individuals through working knowledge in order to initiate continuous quality improvement in their professional environment.(This is a good lead-way into the slide with the theories/methods of education)ReferencesNelson, E. C., Batalden, P. B., & Lazar, J. S. (2007). Practice-based learning and improvement: A clinical improvement action guide (2nd ed.). Oakbrook Terrace, Illinois: Joint Commission Resources.
  • #5 Smith, M. K. (2003) 'Learning theory', the encyclopedia of informal education, www.infed.org/biblio/b-learn.htm, Last update: December 04, 2011
  • #6 Bandura believes that direct reinforcement cannot account for all types of learning , so he added a social element arguing that people can learn new information through observation( modelling), and this type of learning can be used to explain a wide range of behavioursReferenceHuitt, W., & Hummel, J.(2006). Educational psychology interactive. Valdosta: Valdosta State University,
  • #7 ReferencesHuitt, W., & Hummel, J.(2006). Educational psychology interactive. Valdosta: Valdosta State University,Keating S.b(2011). Curriculum Development and evaluation in nursing. 2nd ed. New York: Springer publishing company
  • #9 Learn thought feeling positive, so people stay motivated. ReferencesKeating S. B(2011). Curriculum Development and evaluation in nursing. 2nd ed. New York: Springer publishing company.
  • #10 Huitt, W., & Hummel, J.(2006). Educational psychology interactive. Valdosta: Valdosta State University,Keating S. B (2011). Curriculum Development and evaluation in nursing. 2nd ed. New York: Springer publishing company.
  • #11 Keating S.(2011). Curriculum Development and evaluation in nursing. 2nd ed. New York: Springer publishing company.References