READINESS FOR ENHANCED KNOWLEDGE
The presence or acquisition of cognitive information related to a
speciﬁc topic that is sufﬁcient for meeting health-related goals and
can be strengthened
• Expresses an interest in
• Behaves congruent with
• Explains knowledge of
• Describes previous experience
related to other topics
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Risk management
• Values and beliefs
The patient will
• Identify new sources for enhancing knowledge in the topic of
• Make use of all relevant resources to enhance knowledge.
• Ask questions where new information needs clariﬁcation.
• Begin practicing new behaviors gleaned from enhanced knowledge.
SUGGESTED NOC OUTCOMES
Knowledge: Health Promotion
INTERVENTIONS AND RATIONALES
Determine: Assess current health status; problems, restrictions, limita-
tions; personal habits, such as the use of tobacco, drugs, alcohol con-
sumption, level of knowledge about disease process; communication
skills (verbal and written), degree of motivation to maintain health;
familiarity with technology as a source of learning. Assessment infor-
mation will help identify appropriate interventions.
Perform: Plan a health maintenance program for the patient and
family members addressing current problems. Developing a plan
with the family will increase the probability of compliance by giving
them information to review each day. Provide the family and patient
with a written copy. A written copy can be posted in the patient’s
home where it is always available for review.
Inform: Provide books and videos that will help the patient’s quest
for enhanced knowledge. Supplying some materials directly may be
a motivation for the patient to search further.
Direct patient and family to use other sources such as libraries,
the Internet, or professional organizations. An independent search
results in the patient developing conﬁdence in his or her ability to
go much deeper into the area of interest.
Attend: Encourage patient and family to verbalize feelings and con-
cerns related to the knowledge and skills that patient needs. This
promotes greater ease in managing challenging situations.
Demonstrate willingness to repeat instruction and demonstrations
of skills needed by the patient. Repetition will reinforce learning and
give the patient added conﬁdence in his or her ability to comply.
Be available to answer questions and correct misconceptions for
the patient/family to enhance the effectiveness of learning.
Introduce the patient and/or family to individuals who may have
had experience with the health problems in question if that is advis-
able. In many cases, having the opportunity to talk to another per-
son that has coped well with the same problem will provide support
and encouragement to the patient.
Manage: Refer to social worker/case manager early in the patient’s
hospitalization. This person will begin identifying the types of sup-
port and resources the family and patient will need to prepare for
follow on care.
Refer to social and community resources, such a stroke support
group, and Alzheimer’s family support group, American Cancer
Society. The patient can contact these sources for additional
information as needed.
SUGGESTED NIC INTERVENTIONS
Discharge Planning; Individual; Learning Enhancement; Learning
Facilitation; Referral; Teaching
Eldh, A. C., et al. (2006, September). Conditions for patient participation and
non-participation in health care. Nursing Ethics, 13(5), 503–514.