Recap:

Main Lessons
Nursing Children

Development and change across childhood

The School of Health Sciences, Ngee Ann Polytechnic, Singapore

Your Learning Points

Congratulations. You have just finished exploring the second leg of you adventure through the behavioural sciences! The concepts might complicated but fret not! Your friends and your learning guide will be by your side should you ever need help.

Here are the main learning points below.

Piaget's Theory of Cognitive Development

  1. All children pass through stages (sensorimotor, preoperational, concrete operational and formal operational) to advance to the next level of cognitive development. In each stage, children demonstrate new intellectual abilities and increasingly complex understanding of the world. Stages cannot be "skipped"; intellectual development always follows this sequence.

  2. Piaget's theory allows us to understand children's cognitive development and how and when they learn things. The preschool and school periods are important stages where children start to learn concepts. This is the best time to implement healthcare teachings.

  3. Preschool children need support in establishing long‐term health habits and in understanding the difference between good and bad choices. It is important that nurses, who play an important role in children's health, create health messages that will instigate thinking and learning. A nurse who is well‐versed in the topic of children's cognitive development will also be aware of changes in the child's thoughts in the various stages of growth. The nurse will be able to integrate this knowledge into the education programme.

Erikson's Theory of Psychosocial Development

  1. Each stage in Erikson's theory builds on the preceding stages and paves the way for following periods of development. Erikson presents each stage as having a positive and negative psychosocial conflict. When we support the positive aspect of each stage, children successfully progress through that stage.

  2. When using Erikson's theory, nursing intervention would be focused on enhancing the psychosocial development of the child. The way you communicate with pediatric patients should be based on the child’s level of growth and development rather than chronologic age. You’ll be able to recognize differences in comprehension levels between two children who are of the same age if you’re aware of the differences between their levels of growth and development.

Albert Bandura's Social Cognitive Theory

  1. The theory provides a framework for understanding how people actively shape and are shaped by their environment.

  2. A major component of the theory is observational learning: the process of learning desirable and undesirable behaviors by observing others, then reproducing learned behaviors in order to maximize rewards.

  3. In one of the best-known experiments in the history of psychology, Bandura demonstrated that children learn and imitate behaviors they have observed in other people. The children in Bandura’s studies observed an adult acting violently toward a Bobo doll. When the children were later allowed to play in a room with the Bobo doll, they began to imitate the aggressive actions they had previously observed.

  4. Bandura noted that external, environmental reinforcement was not the only factor to influence learning and behavior. He described intrinsic reinforcement as a form of internal rewards, such as pride, satisfaction, and a sense of accomplishment.

  5. Social learning can also be utilized to teach people positive behaviors. Researchers can use social learning theory to investigate and understand ways that positive role models can be used to encourage desirable behaviors and to facilitate social change.

Health Belief Model & Childhood Obesity

  1. Obesity in children requires an understanding of causative factors for the individual as well as an understanding of influential factors within the family. These factors can be due to parental influences on diet, exercise, habit formation, and even attitude and beliefs.

  2. A parents’ ability to positively influence a child can be affected by their perception of obesity and its importance.

  3. Reducing childhood obesity using the framework of HBM starts with parents recognizing that their child is overweight or obese. Parents must also understand the significant consequences of childhood obesity. Next they have to decide on the usefulness of adopting a new behavior to avoid or reduce the risk. Then parents have to consider what would prevent them from making a change . Lastly what triggers would motivate them to make a change.

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Next Section

We have come to the end of this week's lesson. Next week, we will cover nursing adolescents.