Welcome to the Patient Educators Update.
Introduction
This is Episode 20 and our topic is Teaching with Handouts.
We are joined by Fran London MS, RN. Fran is the Health Education Specialist at?Phoenix Children?s Hospital?in Phoenix, AZ. Fran is the author of the 2010 Book of the Year by the National Journal of Nursing??No Time to Teach: The Essence of Patient and Family Education for Health Care Providers?which is available in both print and e-book form where ever books are sold.?Hospitals can save 40% on quantity orders?directly from her publisher?Pritchett and Hull.
You can follow Fran on her?Blog, No Time to Teach, ?on?Twitter @notimetoteach?and?Facebook.
The Patient Educators Update is brought to you by the?Medical Media Delivery System ? MMDS, the?Video on Demand?Patient Education Solution for hospitals and clinics.
Show Notes
Chuck: Hello, and welcome to Patient Educators Update. I?m Chuck Jones with Synergy Broadcasts, and I?m pleased to welcome our guest today, Fran London. Hi, Fran.
Fran: Hi, Chuck.
Chuck: Fran is the Patient Education Specialist for Phoenix Children?s Hospital in Phoenix, Arizona, and she?s also the author of the book, ?No Time to Teach?, which we use as a source of many of our shows. Fran, today we?re going to talk about using materials in patient education, and specifically, we?re going to talk about how to teach with booklets, pamphlets, and tear sheets. I guess that would just encompass handouts in general.?So, I?m going to turn it over to you and get you to explain what these are and how to use them, and specifically on tear sheets, because that?s not a term that I?m familiar with.
Fran: Sure. Well, you know what a pamphlet is, a booklet. A handout is often just a piece of paper. Tear sheets often come in pads. So they?re handouts that you get a pad of 100 of them, and you just tear them off as you need them.
Chuck: Okay. Now are tear sheets normally sent by either publishers or drug manufacturers? Or those also can made in internal, and the printer just pads them up for you?
Fran: I haven?t seen them internally, but I?m sure it?s possible. But usually they?re published, purchased, and drug companies could also provide them.
Chuck: Okay. I got you. Okay. Well, talk to us a little bit about how they should be used, when they should be used, dos and don?ts, tips and tricks.
Fran: Well, I have my own bias here, which is that if you don?t feel the need to discuss the contents of a handout or a pamphlet, or a booklet or whatever, then maybe you shouldn?t even give it at all, because if it?s not that important. Why waste the trees? But if there is something important in the content that you?re handing to people, and generally these are best used as reference materials for the learner to use at home.
So if you give instructions about what to do and what not to do it?s nice to have them in writing to refer to later, or steps of a procedure that you do at home in writing.
So, basically I think they should be used for reference. Then when you?re teaching to actually refer to them while you?re teaching, so that the learner can either underline or highlight or take notes while going through the contents.
Chuck: Yeah. I would think, from an education standpoint, handouts that include pictures or diagrams, perhaps may be more descriptive than just text.
Fran: Exactly. Yeah, because this is something, again, they could refer to and help to identify where pieces are.
Chuck: Yeah. Do you recommend that the nurse draw or put arrows, or highlight different areas?
Fran: Interaction is always better. So, yes, because then it will be more meaningful to the learner. Even putting the name of the person, the patient, on the piece of paper makes it more personal and makes it more likely that they will connect with the contents.
Chuck: Okay. If the patient can write and kind of sit up in bed, does it make sense to give it to them and maybe have them mark it up? Or does that not work very well?
Fran: Either way works.
Chuck: Okay.
Fran: People learn through the process of actually writing, so that helps them remember what the notes are. But if you?re making arrows and pointing to pictures, you could write on it too and it would still be meaningful for them.
Chuck: Okay. Is it appropriate while you?re working with handouts to be observant in assessing and using teach-back during this process?
Fran: Absolutely. Yeah. There are lots of ways to go about initiating the use of paper materials. I mean, one is to, if you?re really busy, hand it to them, ask him to read it first, and then come back and talk about the key points. Or when you hand it them say, ?I want you to especially pay attention to this part and we?ll talk about this.? Then when you go back, do an assessment, evaluate understanding.?Ask them to tell you what they got out of it, what the key points are, how they?re going to change their behaviors when they get home based what it says. So, yeah. I?s a tool for teaching. It doesn?t do the teaching.
Chuck: I would also point out that some of the tips that you just got through talking about are similar to the way that you use video in terms of having them do it while you?re not there and being prepared to discuss when you come back, because that helps empower. Put them in the driver?s seat to learn, and then when you come back the question you don?t ask is, ?Did you understand??
Fran: Yeah. Right.
Chuck: You kind of dig down in there. So that makes a lot of sense. So, the takeaway that I have on this is that the process of teaching with a handout, whether it be printed in black and white or color pictures or whatever, the process is basically the same. You need to use it if it?s going to add value to the process. You need to be cognizant of the patient?s reaction and whether or not they?re absorbing.?You need to be assessing and asking questions other than, ?Did you understand?? And using teach-back in terms of? Basically what I?m saying is the process is similar, regardless of the device that you have to support the teaching. Is that correct?
Fran: Exactly, because it?s all evidence based. As you were talking I just thought of one more thing that was very important before you start, is make sure the patient can read before you hand them something to read.
Chuck: Yeah. I can see where that would be something you would just naturally assume, and it?s not a good assumption. Yeah. Now, what about ? we didn?t talk about this before we started recording ? foreign language issues?
Fran: Yeah, that?s very important. Because what I see often is we have printed materials in, for example, Spanish, in Arizona, and it?s easier to just hand it to the patient than to have that conversation with an interpreter. It?s still very important to get an interpreter. Because, again, you don?t know if they can read, if they understand it, if the medical material makes sense to them, if they can apply it in real life.?You still have to have that interactive conversation to evaluate understanding and to give them an opportunity to ask questions.
Chuck: Yeah, because the natural reaction, I think, is always going to be, ?Do you have any questions?? ?No.?
Fran: Right.
Chuck: So you?ve got to ask the questions, or go specific, to get them to kind of pull them out of their shell, so to speak, so they?re not embarrassed about speaking about it.
Fran: Exactly.
Chuck: Yeah. Okay.
Fran: As you pointed out, observe, and notice if there?s any sign of misunderstanding or confusion.
Chuck: Yeah, which nowadays you can pretty much look at people and tell they don?t understand something. So, all you have to do is just pay attention and you can really get that.
Fran: Yeah.
Chuck: Yeah. Okay, good. All right. Well, that?s all about teaching with booklets, pamphlets, and tear sheets. For those following along in your book that?s on page 91 of your book, ?No Time to Teach?, which folks can find at their perhaps local bookstore. But it?s certainly available from Amazon and it?s available online as an e-book for Kindle and other readers.?For those out there who are teaching staff and want to use it as a primer for any of their discussions in group-type stuff, you can get a discount on Fran?s book from the publisher, Pritchett & Hall , and that?s P-H.com, and they?ll work that out for you. Fran, why don?t you tell folks how they can get hold of you.
Fran: I have a blog, a website at www.notimetoteach.com, and I?m on Twitter @notimetoteach.
Chuck: Okay, cool. Well, I appreciate the feedback on how to teach with pamphlets and handouts, and let folks know that we?re going to have a future episode that?s going to talk about how to teach when you don?t have anything in your hand. So, that will be coming up soon. So, thanks very much for your time, and we?ll talk to you later.
Source: http://synergybroadcast.com/blog/?p=5721
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