The invisible nature of learning: Patient education in nursing

Background: Learning for patients and their families within nurses' patient- and family-education practice is an important part of person- and family-centred care. Patients and their families must master health promotional or management strategies to optimise their health outcomes. Support is often provided by nurses, but how nurses facilitate each patient's and their family's learning, using cognitive learning principles, seems invisible in the nursing literature. Aim: This discussion paper examines the important role of cognitive learning within nurses' patient- and family-education practice. How learning is enabled, the differences between teaching and learning and the role of learning principles are discussed. Shortcomings are identified and possible ways to address these within nurses' practice are considered. Methods: The discussion draws on the limited current literature surrounding cognitive learning principles in nurses' practice and nurses' awareness of learning principles. Readers are encouraged to question their current conceptualisation of learning and their perceptions and use of learning principles in their practice. Findings and discussion: The learning process within nursing is overshadowed by explanations of teaching strategies, determinants of learning and the learning principles of one specific theorist. The principles of cognitive learning and their role in patient- and family-education are poorly described and possibly poorly understood. This creates a fundamental knowledge gap in nursing practice. Conclusion: A significant rethink about the role of learning principles within nurses' patient- and familyeducation practice is overdue. These principles need to be explored further by involving nurses, patients and their families to identify how nurses are perceiving and using learning principles in their practice. (c) 2020 Australian College of Nursing Ltd. Published by Elsevier Ltd.