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Chapter 4
Determinants of Learning
Educator’s Role in Learning
The educator plays a crucial role in the
learning process by:
• assessing problems or deficits
• providing information in unique ways
• identifying progress made
• giving feedback and follow-up
• reinforcing learning
• evaluating learners’ abilities
The Educator’s Unique Position
The educator is vital in giving support,
encouragement, and direction during the
process of learning.
The educator assists in identifying optimal
learning approaches and activities that can
both support and challenge the learner.
Assessment of the learner includes attending to
the three determinants of learning:

Learning Needs
•(WHAT the learner needs to learn)

Readiness to Learn
•(WHEN the learner is receptive to learning)

Learning Style
•(HOW the learner best learns)
Haggard, 1989
ASSESSING LEARNING NEEDS
Assessment of Learning Needs
•
•
•
•
•
•

Identify the learner
Choose the right setting
Collect data about, and from, the learner
Involve members of the healthcare team
Prioritize needs
Determine the availability of educational
resources
• Assess demands of the organization
• Take time-management issues into account
Needs are prioritized based on the
following criteria:
Mandatory: Needs that must be learned
for survival when the learner’s life or
safety is threatened
Desirable: Needs that are not life-dependent but
are related to well-being
Possible: Needs for information that are “nice to know” but not
essential or required because they are not directly related to daily
activities or the particular situation of the learner
Methods to Assess Learning Needs
•
•
•
•
•
•
•

Informal conversations
Structured interviews
Focus groups
Self-administered questionnaires
Tests
Observations
Documentation
Assessing Learning Needs of
Nursing Staff
•
•
•
•
•
•

Written job descriptions
Formal and informal requests
Quality assurance reports
Chart audits
Rules and regulations
Knox Four-Step approach
The Four Types of Readiness to
Learn Are:
P = Physical readiness
E = Emotional readiness
E = Experiential readiness
K = Knowledge readiness
The Components of Each Type of
Readiness to Learn Include:
1. Physical readiness
– measures of ability
– complexity of task
– health status
– gender
– anxiety level
– support system
2. Emotional readiness
- Anxiety level
- Support system
- motivation
- risk-taking behavior
- frame of mind
- developmental stage

3. Experiential readiness
– level of aspiration
– past coping mechanisms
– cultural background
– locus of control
– orientation
4. Knowledge readiness
– present knowledge base
– cognitive ability
– learning disabilities
Six Learning Style Principles
• Both the style by which the teacher prefers to
teach and the style by which the learner prefers to
learn can be identified.
• Educators need to guard against relying on
teaching methods and tools which match their
own preferred learning styles.
• Educators are most helpful when they assist
learners in identifying and learning through the
their own style preferences.
Six Learning Style Principles
(cont.)
• Learners should have the opportunity to
learn through their preferred style.
• Learners should be encouraged to
diversify their style preferences.
• Educators can develop specific learning
activities that reinforce each modality or
style.
Learning Style Models and Instruments
• Brain Preference Indicator

(Right-Brain, Left-Brain, and Whole-Brain)

• Group Embedded Figures Test (GEFT)
(Field-Independent/Field-Dependent)

• Environmental Preference Survey (EPS)
(Dunn and Dunn Learning Style Inventory)

• Myers-Briggs Type Indicator (MBTI)
Learning Style Instruments (cont.)
• Kolb Learning Style Inventory (LSI)
• 4MAT System
• Gardner’s Eight Types of Intelligence
• VARK Learning Styles
Right-Brain/Left-Brain and
Whole-Brain Thinking
• Brain Preference Indicator
• Right hemisphere—emotional, visual–spatial,
nonverbal hemisphere
Thinking processes using the right brain are
intuitive, subjective, relational, holistic, and
time free.
• Left hemisphere—vocal and analytical side
Thinking process using reality-based and logical
thinking with verbalization.
Right-Brain/Left-Brain and
Whole-Brain Thinking
• No correct or wrong side of the brain
• Each hemisphere gathers in the same
sensory information but handles the
information in different ways.
• Knowledge of one’s own brain
hemispherical performance can help
educators identify the strengths and
weaknesses of various teaching methods.
Examples of Right-Brain/Left-Brain and
Whole-Brain Thinking
Left Brain
• Prefers talking and writing
• Recognizes/remembers
names
• Solves problems by
breaking them into parts
• Conscious of time and
schedules

Right Brain
• Prefers drawing and
manipulating objects
• Recognizes/remembers
faces
• Solves problems by looking
at the whole, looks for
patterns, uses hunches
• Not conscious of time and
schedules

Whole brain—combining both sides of the brain
Field-Independent/Field-Dependent
Embedded Figures Test
• Group Embedded Figures Test
• Learners have preference styles for certain
environmental cues.
• Helps the educator structure the learning task
and environment
• Helps assess the extent to which learners are
able to ignore distractions from other persons
• Assesses whether learners see the whole first
or the individual parts of a task when learning
Environment Preference Survey
(LSI)
Stimuli
Environmental
Emotional
Sociological
Physical
Psychological
Myers-Briggs Type Indicator
Extraversion (E)
Sensing (S)

Introversion (I)
Intuition (N)

Thinking (T)

Feeling (F)

Judgment (J)

Perception (P)
Kolb Learning Style Inventory

Concrete experience

Active experimentation
Diverger

Abstract conceptualization

Reflective observation
Converger

Assimilator

Accommodator
4MAT System
• There is a combination of Kolb’s model
combined with right/left brain research.
• There are four types of learners.
• Educators can address all four learning
styles by teaching sequentially from typeone learner to type-two learner, etc.
• Learning sequence is circular and cyclic.
Gardner’s Eight Types of
Intelligence
(#8 identified in 1999–naturalistic)
Linguistic intelligence

Musical intelligence

Spatial intelligence

LogicalĞmathematical intelligence

Bodily kinesthetic intelligence
Interpersonal intelligence

Intrapersonal intelligence
Interpretation of Style Instruments
• Caution must be exercised in assessing styles so
that other equally important factors in learning are
not ignored.
• Styles only describe how individuals process
stimuli, not how much or how well information is
learned.
• Style instruments should be selected based on
reliability, validity, and the population for which
they are to be used.
• More than one learning style instrument should be
used for appropriate assessment of learner.

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Educator Role in Assessing Learning Needs

  • 2. Educator’s Role in Learning The educator plays a crucial role in the learning process by: • assessing problems or deficits • providing information in unique ways • identifying progress made • giving feedback and follow-up • reinforcing learning • evaluating learners’ abilities
  • 3. The Educator’s Unique Position The educator is vital in giving support, encouragement, and direction during the process of learning. The educator assists in identifying optimal learning approaches and activities that can both support and challenge the learner.
  • 4. Assessment of the learner includes attending to the three determinants of learning: Learning Needs •(WHAT the learner needs to learn) Readiness to Learn •(WHEN the learner is receptive to learning) Learning Style •(HOW the learner best learns) Haggard, 1989
  • 6. Assessment of Learning Needs • • • • • • Identify the learner Choose the right setting Collect data about, and from, the learner Involve members of the healthcare team Prioritize needs Determine the availability of educational resources • Assess demands of the organization • Take time-management issues into account
  • 7. Needs are prioritized based on the following criteria: Mandatory: Needs that must be learned for survival when the learner’s life or safety is threatened Desirable: Needs that are not life-dependent but are related to well-being Possible: Needs for information that are “nice to know” but not essential or required because they are not directly related to daily activities or the particular situation of the learner
  • 8. Methods to Assess Learning Needs • • • • • • • Informal conversations Structured interviews Focus groups Self-administered questionnaires Tests Observations Documentation
  • 9. Assessing Learning Needs of Nursing Staff • • • • • • Written job descriptions Formal and informal requests Quality assurance reports Chart audits Rules and regulations Knox Four-Step approach
  • 10. The Four Types of Readiness to Learn Are: P = Physical readiness E = Emotional readiness E = Experiential readiness K = Knowledge readiness
  • 11. The Components of Each Type of Readiness to Learn Include: 1. Physical readiness – measures of ability – complexity of task – health status – gender – anxiety level – support system 2. Emotional readiness - Anxiety level - Support system - motivation - risk-taking behavior - frame of mind - developmental stage 3. Experiential readiness – level of aspiration – past coping mechanisms – cultural background – locus of control – orientation 4. Knowledge readiness – present knowledge base – cognitive ability – learning disabilities
  • 12. Six Learning Style Principles • Both the style by which the teacher prefers to teach and the style by which the learner prefers to learn can be identified. • Educators need to guard against relying on teaching methods and tools which match their own preferred learning styles. • Educators are most helpful when they assist learners in identifying and learning through the their own style preferences.
  • 13. Six Learning Style Principles (cont.) • Learners should have the opportunity to learn through their preferred style. • Learners should be encouraged to diversify their style preferences. • Educators can develop specific learning activities that reinforce each modality or style.
  • 14. Learning Style Models and Instruments • Brain Preference Indicator (Right-Brain, Left-Brain, and Whole-Brain) • Group Embedded Figures Test (GEFT) (Field-Independent/Field-Dependent) • Environmental Preference Survey (EPS) (Dunn and Dunn Learning Style Inventory) • Myers-Briggs Type Indicator (MBTI)
  • 15. Learning Style Instruments (cont.) • Kolb Learning Style Inventory (LSI) • 4MAT System • Gardner’s Eight Types of Intelligence • VARK Learning Styles
  • 16. Right-Brain/Left-Brain and Whole-Brain Thinking • Brain Preference Indicator • Right hemisphere—emotional, visual–spatial, nonverbal hemisphere Thinking processes using the right brain are intuitive, subjective, relational, holistic, and time free. • Left hemisphere—vocal and analytical side Thinking process using reality-based and logical thinking with verbalization.
  • 17. Right-Brain/Left-Brain and Whole-Brain Thinking • No correct or wrong side of the brain • Each hemisphere gathers in the same sensory information but handles the information in different ways. • Knowledge of one’s own brain hemispherical performance can help educators identify the strengths and weaknesses of various teaching methods.
  • 18. Examples of Right-Brain/Left-Brain and Whole-Brain Thinking Left Brain • Prefers talking and writing • Recognizes/remembers names • Solves problems by breaking them into parts • Conscious of time and schedules Right Brain • Prefers drawing and manipulating objects • Recognizes/remembers faces • Solves problems by looking at the whole, looks for patterns, uses hunches • Not conscious of time and schedules Whole brain—combining both sides of the brain
  • 19. Field-Independent/Field-Dependent Embedded Figures Test • Group Embedded Figures Test • Learners have preference styles for certain environmental cues. • Helps the educator structure the learning task and environment • Helps assess the extent to which learners are able to ignore distractions from other persons • Assesses whether learners see the whole first or the individual parts of a task when learning
  • 21. Myers-Briggs Type Indicator Extraversion (E) Sensing (S) Introversion (I) Intuition (N) Thinking (T) Feeling (F) Judgment (J) Perception (P)
  • 22. Kolb Learning Style Inventory Concrete experience Active experimentation Diverger Abstract conceptualization Reflective observation Converger Assimilator Accommodator
  • 23. 4MAT System • There is a combination of Kolb’s model combined with right/left brain research. • There are four types of learners. • Educators can address all four learning styles by teaching sequentially from typeone learner to type-two learner, etc. • Learning sequence is circular and cyclic.
  • 24. Gardner’s Eight Types of Intelligence (#8 identified in 1999–naturalistic) Linguistic intelligence Musical intelligence Spatial intelligence LogicalĞmathematical intelligence Bodily kinesthetic intelligence Interpersonal intelligence Intrapersonal intelligence
  • 25. Interpretation of Style Instruments • Caution must be exercised in assessing styles so that other equally important factors in learning are not ignored. • Styles only describe how individuals process stimuli, not how much or how well information is learned. • Style instruments should be selected based on reliability, validity, and the population for which they are to be used. • More than one learning style instrument should be used for appropriate assessment of learner.