In this episode, Dr. Knight talks briefly about the way our brains our wired to resist feedback and/or criticism. When we hear potentially negative things about ourselves many of us become defensive. Some have posited that the brain views criticism as a threat to survival even when feedback is provided in a positive manner. The brain tends not to remember clearly negative or critical threats it receives so when we hear information that conflicts with our self-image, our instinct is to first change the information, rather than focus on the behavior that needs to change. The ironic thing however is that although criticism (during its processing stage) is more likely to be remembered incorrectly, we don’t often forget it. This is called negativity bias; meaning that receiving criticism has a greater impact than receiving praise. This is why feedback should always be carefully provided in a caring, positive, constructive, meaningful and respectful manner.
In this episode, Dr. Knight discusses the spiritual and practical phenomena of “When the student is ready, the teacher appears”. In a spiritual context, the manifestations of situations arise in our lives in an attempt to teach us various lessons in life. When the student reaches a point of “receptiveness” of learning this particular lesson in a cognitive, emotional and spiritual sense, the teacher (an event, purpose, object) will appear. In the same sense, as learners, we must be prepared, open and receptive to learning before anyone can really teach us anything..particularly in the sense of being a life-long learner….and engaging in higher level learning or metacognition. As educators, the teacher who appears when the student is ready is the educator who is focused on the learner, constantly assessing when the learner is ready for deeper and active level learning. Dr. Knight provides practical ways for both educators and learners , as both partners in the learning process, to best optimize readiness for learning.
In this episode, Dr. Knight discusses the importance to leverage patient teaching skills using systematic frameworks such as Adult Learning Principles. It is critical that nurses understand not only what to teach clients but as well how to teach clients about their health. Collaborating with the patient and their family in a dynamic information sharing approach centers on the concepts of adult learning principles. These principles include:
- Need to Know
- The Role of Experience
- Readiness to Learn
- Orientation to Learning
In this episode Dr. Knight talks about the essence of enthusiasm and passion to engage learners. As teachers we often lose the luster of teaching others due the complexities of our lives and professional responsibilities. Maintaining one’s enthusiasm and passion operates from the inner Law of Intent. Intention fuels energy furthermore driving our passions. From time to time we all may feel a loss of enthusiasm or passion for what we teach and this is okay. We have to stick with the plan and remain mindful of the larger purpose at hand. Distinguishing the difference between enthusiasm and an inner professional and personal commitment to the success of others is a key factor in maintaining passion.
In this episode Dr. Knight talks about key take aways from the recent report commissioned by the Robert Woods Johnson’s Foundation and authored by Patricia Pittman, PHD entitled, “Activating Nursing to Address Unmet Needs in the 21st Century”. Core elements from this report include:
- A need to identify core functions of nursing in the 21st century
- A need for healthcare professionals to work at the intersection of their disciplines and collaborate more effectively
- Enhanced alignment within nursing education and nursing curricula with that of core functions of future nurse roles. And lastly there must be
- Greater alignment of jobs, professional development, payment and regulator policies and core functions of nurses in practice.
Key issues will have significant strains on the healthcare system including the epidemic of obesity, mental health conditions, substance abuse, chronic conditions (Pittman, 2019). These are issues that are deeply rooted in social and economic disparities and conditions. Pittman (2019) adds that the highly centralized health system that we have been accustomed to for the last century has been monopolized by medical, economic and political agenda . A need for a decentralized approach is at the forefront as nurses and advanced practice registered nurses claim their footing as providers and are reclaiming their initial quest to holistically address the most critical health issues and social determinants through community based and patient centered care (Pittman, 2019).