Positionality’s Effect on Care Delivery

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ANSWER

Module 7: Live Discussion Questions Identity/Positionality’s Effect on Care Delivery

My positionality and identity, which include my professional experiences, personal values, and cultural heritage, influence how well I can relate to and empathise with patients. For example, if I respect evidence-based practice (EBP), I might highlight interventions with scientific backing in my talks.
However, if patient preferences or cultural customs deviate from EBP recommendations, my viewpoint can potentially cause me to inadvertently undervalue them.
Blind Spot:

Assuming that all patients value scientific data over subjective opinions or anecdotal evidence could be a blind spot. This may make it more difficult for me to gain the trust of patients who depend on alternative health resources or community-based expertise.
Using Motivational Interviewing and Open-Ended Questions to Address the Patient’s Fear of the “Dirty Dozen”:

“What specific worries do you have about the Dirty Dozen list and the fruits you consume?” is a good way to start a conversation with the patient.
Reflective Hearing:

Confirm their worries: “You seem to be attempting to make healthier decisions and are uncertain about these fruits’ safety.”
Providing Proof:

When presenting evidence, use non-confrontational language: It’s a really good question. Research indicates that there are substantial health advantages to consuming fruits and vegetables, including those that are grown conventionally. Would it be beneficial if we jointly went over the advantages and disadvantages?
Encourage the Making of Decisions:

“What steps do you think you could take to feel more confident about your food choices?” is a question that encourages patient-led solutions.
Utilising EBP Principles to Evaluate the Source
Credibility of the Source:

One non-profit group that promotes consumer safety is the Environmental Working Group (EWG). Their assertions, however, might not be supported by solid scientific evidence or might be skewed towards the promotion of organic goods.
Scientific Backing:

Examine the Dirty Dozen list’s methodology. Does it make generalisations regarding pesticide residue or reference peer-reviewed research?
Evaluation in Relation to Authoritative Guidelines:

Compare the EWG’s conclusions with recommendations for produce safety that are supported by research, such as those issued by the FDA or USDA.
Aiding the Patient in Evaluating Health Information Sources
Instruct Students in Critical Appraisal:

Patients should be encouraged to search for: Credible authorship (e.g., peer-reviewed journals, medical organisations).
transparent proof (such as studies that are cited).
Instead of using statements based on fear, use objective language.
Offer Trustworthy Resources:

Provide reliable resources for enquiries about nutrition, such as the USDA, CDC, or the Choose MyPlate website.
Showcase Appraisal Methods:

Give an example: “To see how the data align, let’s compare the information on the FDA website with that on the Dirty Dozen.”
In conclusion
You may validate the patient’s worries, give them reliable information, and give them the authority to make decisions by combining motivational interviewing approaches with EBP concepts. Promoting the evaluation of health information improves the patient-provider interaction and cultivates long-term health literacy.

Environmental Working Group, cited in 2024. The Dirty Dozen. retrieved from the dirty-dozen.php page at https://www.ewg.org/foodnews
Department of Agriculture, United States, 2022. Description of the annual pesticide data programme. From https://www.usda.gov, taken
Butler, C. C., Miller, W. R., and Rollnick, S. (2008). In the medical field, motivational interviewing is used to assist patients in altering their behaviour. The Guilford Press.

 

 

 

 

 

 

QUESTION

Module 7 Live Discussion Questions

  1. Based on your identity/positionality:
    • How might this impact the care you give?
    • Where is a blind spot when providing care?
  2. 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

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