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Clinical Teaching for Health Professionals

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Clinical Teaching for Health Professionals
Introduction
The principles of adult education are quite different from the ideas that are commonly used to teach children in schools (Wegener). The method of teaching a child, where all the relevant knowledge are simply spoon fed to him may not appeal to any adult patient’s learning, nor provide any effective results. Adults are thought to need special considerations that are different from that of children and teens when it comes to learning (Biech).
Andragogy

The concept of andragogy was introduced by Malcolm Knowles in 1968 as “a new label and a new technology” distinguishing adult learning from children’s learning or pedagogy. Knowles’ concept of andragogy “the art and science of helping adults learn … is built upon two central, defining attributes: First, a conception of learners as self directed and autonomous; and second, a concept of the role of the teacher as facilitator of learning rather than present of content” (English, 2005).
As Knowles suggests “perhaps no aspect of andragogy has received so much attention and debate as the premise that adults are self-directed learners” (Knowles et al, 1998, pg. 135).There are two conceptions of self-directed learning: First, self-directed learning is seen as self-teaching, whereby learners are capable of taking control of the mechanics and techniques of teaching themselves in a particular subject; and second, self-directed learning is conceived of as personal autonomy (Knowles et al, 1998, pg. 135).

Andragogy presented six assumptions about the adult learner which provide a sound foundation for planning adult learning experiences. One assumption of andragogy states that adults need to know why they need to learn something before undertaking to learn it. Knowing why they need to learn something is the key to giving adults a sense of volition about their learning. Knowles et al found that when adults undertake to learn something on their own, they will invest considerable energy in probing into the



References: Abdullah, S. N. (2007). Collection of nursing papers. Brunei: Brunei Printer Sdn. Bhd. Biech, E. Enterprise applications documentation & training services: Helping adult learn in the classroom. Retrieved September 13, 2010, from http://www.themis.unimelb.edu.au/training/resources/refs/Adult_Learning.pdf Cameron, B.L. (2002). Making diabetes management routine. American Journal of Nursing. 102(2). Pg. 26-32. Corser, W., and Xu, Y. (2009). Facilitating patients’ self-management: A primary care intervention framework.  Journal of Nursing Care Quality, 24(2), Pg.172-178. Elcigil, A., and Sari, H. Y. (2006). Students’ opinions about and expectations of effective nursing clinical mentors. Journal of Nursing Education, 47(3), Pg. 118-123. English, L.M. (2005). International encyclopedia of adult education. United Kingdom: Palgrave Macmillan. Hornsten, A., Lundman, B., Selstam, E.K., and Sandstrom, H. (2005). Patient satisfaction with diabetes care. Journal of Advanced Nursing, 51 (6), 609-617. Knowles, M.S., Holton, E.F., and Swanson, R.A. (1998). The adult learner: the definitive classic in adult education and human resource development. 5th ed. USA; Butterworth-Heinemann. Leow, K.S., (2008). Initial steps in effective management of diabetes mellitus. Singapore Family Physician Journal. 34(2). Pg. 10-14. Loke, S.C., and Jong, M. (2008). Metabolic Control in Type 2 Diabetes Correlates Weakly with Patient Adherence to Oral Hypoglycaemic Treatment. Annuals Academy Medical Singapore. Vol. 37. Pg. 15-20. Politi, R. E., & Trofino, J. ( 2003). Diabetes Management: A patient-directed approach improves outcomes. American Journal of Nursing. Vol. 103(2). Pg. 64A-64G. Pratt, D. D. (1998). Andragogy as a relational construct. Adult Education Quarterly. 38. Pg. 160-181. Reischmann, J. (2003). Why andragogy? International encyclopedia of adult education. Retrieved September 13, 2010, from http://Andragogy.net Smith, M. K. (1996; 1999). Andragogy. The encyclopedia of informal education. Retrieved September 13, 2010, from http://www.infed.org/lifelonglearning/b-andra.thm Wall, K. (2000). The health care training handbook.  San Francisco: Jossey-Bass. Wallymahmed,M Wee. H.L., Ho, H.K., and Li, S.C. (2002). Public awareness of diabetes mellitus in Singapore. Singapore Medical Journal. 43(3). Pg. 128-134. Wegener, P. Principles of Adult education. Retrieved September, 2010, from: http://www.kyeemafoundation.org/content/userFiles/file/extension/Adult_education.pdf Wilson, A Wingard, R. (2005). Patient Education and the Nursing Process: Meeting the Patient’s Needs. Nephrology Nursing Journal. 32(2).Pg. 211- 214. Wong, K.Y., Mok, P.H., Chan, T. and Tsang, M.W. (2005). Nurse follow-up of patients with diabetes: randomized controlled trial. Journal of Advanced Nursing. 50(4). Pg. 391-402. Zemke, R., & Zemke, S. (1984). 30 things we know for sure about adult learning. Innovation Abstracts. 5(8).

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