ANSWER
Here’s how to respond to the questions in the Module 7 Live Discussion:
How My Positionality and Identity Affect Care
My identity and positionality as a nurse practitioner—which include my cultural background, professional education, and personal convictions—influence how I provide patient care. For instance, I may be able to speak and establish trust with patients from similar backgrounds thanks to my cultural awareness. But it can also bring blind spots, such prejudices or presumptions about patients from cultures I don’t know well, which might affect how I understand their issues or suggest solutions.
Care’s Blind Spot
Ignoring or undervaluing the health behaviors and beliefs of diverse communities may be a major blind spot in healthcare delivery. As a result, a patient’s concern or desire for alternative medicines or health information sources may be inadvertently dismissed. Active listening, cultural humility, and a dedication to lifelong learning are necessary for identifying these blind spots.
Using Motivational Interviewing to Address the “Dirty Dozen” Issue: Involve the Patient Confirm their proactive strategy first. “Thank you for sharing this information; it demonstrates your concern for making wise health decisions.”
Examine Their Issues: Ask open-ended questions, such as “What about the fruits on this list worries you the most?” or “What potential health effects do you think these foods might have?”
Give Fair Information: Disseminate insights backed by evidence. “Although there is some evidence to support the notion that produce may contain pesticide residues, fruits and vegetables, whether conventional or organic, generally provide substantial health benefits.”
Collaborative Goal Setting: Assist the patient in determining doable actions that are consistent with their values. “If this worries you, we can discuss adding some organic options for particular fruits or thoroughly washing produce to cut down on residues.”
Utilizing EBP Principles to Evaluate the Source
To assess the Environmental Working Group’s (EWG) “Dirty Dozen” list’s legitimacy:
Credibility of the Source: Take into account the funding, history, and possible biases of the organization. Their messaging may be influenced by the fact that the EWG is a nonprofit advocacy organization with an environmental focus.
Base of Evidence: Check to see if the assertions are backed up by credible research. Seek information about pesticide concentrations and related health hazards.
Relevance: Check to see if the data supports the most recent dietary recommendations or professional advice. Regardless of pesticide residue, evidence frequently highlights the advantages of eating fruits and vegetables.
Assessing Health Information Sources with Patients
Encourage Patients to Pose Important Questions:
By whom was this information published?
Does scientific study support it?
Are there any possible biases in the source, such as economic interests or advocacy?
Promote the Use of Reliable Sources:
For evidence-based information, refer patients to reliable websites such those run by the FDA, CDC, or educational institutions.
Emphasize Red Flags: Instruct patients to be wary of sites that use scare tactics or don’t cite peer-reviewed research.
Offer Educational Resources:
Discuss basic frameworks for critically evaluating sources, such as CRAAP (Currency, Relevance, Authority, Accuracy, Purpose).
In conclusion
Balanced, patient-centered conversations are made possible by the application of evidence-based practice principles and motivational interviewing. Giving people the ability to evaluate health information critically encourages well-informed decision-making and improves the rapport between the patient and the practitioner.
Citations
Working Group on the Environment (2023). Twelve dirty. retrieved from the dirty-dozen.php page at https://www.ewg.org/foodnews
Miller, W. R., and S. Rollnick (1995). Preparing individuals to alter addictive behavior is the goal of motivational interviewing. The Guilford Press.
Fineout-Overholt, E., and Melnyk, B. M. (2019). Nursing and healthcare evidence-based practice: A best practice guide (4th ed.). Kluwer Health Wolters.
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QUESTION
Module 7 Live Discussion Questions
- Based on your identity/positionality:
- How might this impact the care you give?
- Where is a blind spot when providing care?
- A patient comes into the clinic with a website regarding the “Dirty DozenLinks to an external site.” because they want to know if they should be worried about it, as they consume several of the fruits listed.
- Using a motivational interviewing approach, how will you discuss this?
- Using EBP principles, how will you appraise the source the patient is referring to?
- How will you help the patient appraise sources of medical/health information in general?
https://www.ewg.org/foodnews/dirty-dozen.php