05 Nov Learning Physical Environment of Hospital For New Nurses

In most of the hospitals wards are being taken care by supervisors especially after office hour. Student nurses are not allocated to these wards but there is always new nurses joining the industry every year. And the wards offer a wide range of learning opportunities to nurses. There is an orientation from sister to the new nurses through power point presentation and a tour to every department of the hospital. But this method covers neither kind of different patients, medical nor surgical assistance; adult nor pediatrics. The learning is limited only to the skill of how to assess, nurse and educate patients, assist doctors and colleagues in medical procedures.

Some teaching or learning material like reference books or dictionary can be found at the nurses’ counter to read; information from the public or latest news also get displayed on the notice board. To support activity of learning and effort to strengthen human resources and optimizing resources, are available in these library or study room in form of books and journals from overseas in the hospital. Knowles (1990) emphasize that adult should be given proactive approach in learning activities which involve them in decision making.

Public health talks in the hospital encourage staff and public to participate actively, if required facilities for learner are not found in workplace such as library, internet access and study room/discuss room. Information through internet also offers resources which contribute to the development of competence for learners. The standard of International Organization for standardization (ISO) is to maintain appropriate records of education oriented notes, training materials, skill and experience summary. Therefore, Hospital library or study room must be filled with books and journals from local or overseas to accomplish the above standard.

The perspective that Maslow’s Model brings is an essential element that should be considered as the health care essentials by rearranging, and re-engineering with the increases in learning demands, and the escalating role of technology in training. The needs should be arranged in a hierarchy of Maslow created visualization of his hypothesis in the shape of a pyramid of five levels. At the bottom of the pyramid is the physiological level which includes food, water and shelter, the most basic needs for human survival.

The premise is that unless an individual’s basic needs, has to be met higher levels in the pyramid are of no relevance, as survival is the most basic human component. The Maslow model presents a means for understanding the needs of the individual and the worker; ever present and growing technology allows for new ways to meet these needs; and training makes the worker more secure that can enhance feelings of belongingness and self-esteem, providing the opportunity for self-actualization. According to Quinn FM (2000, p.19), each class of need is stronger than the one above in the hierarchy.

Physiological needs are the most basic need for each one of us includes rest. And the third class of need in Maslow’s hierarchy is belongingness and love needs, it includes affection and friendship. Among the colleagues, there must be social activities. These activities provide an opportunity to ease tension and avoid conflict. Once a person feels a sense of “belonging”, the need to feel important arises. We seek pleasant working relationships with co-workers, peers, and others, and we also seek to find our place in formal and informal work groups.

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