Reflection On Learning Week 7

Reflection On Learning Week 7

Purpose

The purpose of this activity is to deepen learning through reflective inquiry. It will allow for expansion in self-awareness, identification of knowledge gaps, and assessment of learning goals.

Course outcomes: This assessment enables the student to meet the following course outcomes.

·  Compare and contrast differences and similarities of qualitative, quantitative, and mixed method designs.

·  Analyze qualitative and quantitative data for the purposes of critical appraisal of evidence.

·  Appraise systematic reviews for translation science.

·  Differentiate selected statistical methods for the purposes of translation science.

·  Evaluate selected statistical methods for the purposes of critical appraisal of evidence.

·  Synthesize literature relevant to practice problems.

·  Formulate PICOT/PICoT questions relevant to advanced nursing practice.

Preparing the Assessment

Follow these guidelines when completing this assignment.

1.  Write a brief 1–2 paragraph weekly reflection addressing the questions posed in the Reflect section of each week. Edit your Reflection to include each weekly reflection.

2.  Include the following sections in your Reflection.

1.  Week 1

§  Provide one specific example of how you achieved the weekly objectives.

§  What did you learn about your capacity to read and appraise original qualitative research? What changed, if anything, following the week’s activities?

§  How will this skill improve your effectiveness as a practice scholar?

2.  Week 2

§  Provide one specific example of how you achieved the weekly objectives.

§  What did you learn about your capacity to read and appraise original quantitative research? What changed, if anything, following the week’s activities?

§  How will this skill improve your effectiveness as a practice scholar?

3.  Week 3

§  Provide one specific example of how you achieved the weekly objectives.

§  What did you learn about your capacity to read and appraise summaries of research evidence? What changed, if anything, following the week’s activities?

§  How will this skill improve your effectiveness as a practice scholar?

4.  Week 4

§  Provide one specific example of how you achieved the weekly objectives.

§  How has the course information influenced your understanding of descriptive statistics?

§  How can you bring this information of statistical analysis to practice?

5.  Week 5

§  Provide one specific example of how you achieved the weekly objectives.

§  In what ways did course information influence your understanding of parametric statistics?

§  What goals will you set in accordance with what you have learned this week?

6.  Week 6

§  Provide one specific example of how you achieved the weekly objectives.

§  What was the most rewarding learning experience you had this week?

§  How could you amplify the effectiveness of your skill in evidence synthesis and translation science?

7.  Week 7

§  Provide one specific example of how you achieved the weekly objectives.

§  How has course information changed your ways of knowing?

§  How does the knowledge gained advance your professional formation as a practice scholar?

8.  Writing Organization and Mechanics

§  Grammar and mechanics are free of errors.

Requirements

1. Addresses all aspects of the weekly reflection

2. Assesses own learning

3. Assesses value of the learning experience

I ATTACHED EVERY WEEK DISCUSSION BOARD FOLLOWING THE GUIDE FOR THIS ASSIGNMENT AND THE ATTACHED, YOU CAN COMPLETE EVERY WEEK. REMEMBER IS 1 TO 2 PARAGRAPHS FOR EACH WEEK AND USE AT LEAST 5 SOURCES NO LATER THAN 5 YEARS AS WELL AS APA FORMAT 7 ED. IN ADDITION, COULD YOU COMPLETE EACH WEEK SEPARATED FOR EXAMPLE:

Practice Questions 1

Identification of the Picot elements

Population: Children between of ages 5-19 years with a Body Mass Index (BMI) of 30 and above

Intervention: motivational interviewing throughout the regular schedules well-children visitation

Compared: practice as usual

Outcome: the positive or reduction in the BMI, Blood pressure (BP), quality of life, and daily physical activity

Time: 8-10 weeks

Keywords used in the search process to respond to the practice question

The keywords include motivational interviewing, regular well-child visits, body mass index (BMI), physical activity, quality of life, blood pressure.

Location of the research study

The selected article is by Borrello (2015) that is focused on motivational interviewing in childhood obesity treatment. According to the authors, obesity is amongst the present most diffused and serious public health issues in the entire world. The authors of this study aimed at appraising the research works that were aimed at finding out the impacts of motivational interviewing methods in the treatment of overweight and obese children. Therefore, the research evidence-based intervention being addressed in the study is motivational interviewing and its important in the treatment process of overweight and obesity among children of ages between 2 to 11 years (Borrello et al., 2015).

The search of the studies appraised was done through electronic databases PubMed and PsychINFO and the selection of the articles was based on the ones that met the inclusion criteria. The studies selected for appraisal were those which focused on the use of some elements of motivational interviewing (MI). The objectives of the targeted studies were to focus on causing a change to the BMI in overweight or children diagnosed with obesity from ages 2 to 11 years. Based on the search criteria, a total of six articles were selected and included for the review. Based on the outcome of the appraisal process, the motivational interviewing had a statistically positive impact on the body mass index and secondary obesity-associated behavioral outcomes. The authors concluded that motivational interviewing can be applied for treating overweight and obesity in children. Nevertheless, the efficacy of motivational interviewing cannot be confirmed as a result of absence of studies that particularly focused on the sample used in the studies (Borrello et al., 2015).

The quantifiable outcomes in this study are related to the improvement in the BMI; changes in the BMI and obesity-related behaviors; changes in the dietary behaviors and physical activities as reported by the parents; changes in the waist circumferences; changes in the waist by height ratio; changes in the weight-associated behaviors; and changes in the weight anthropometric measures, for example, the TSF, Abd, HC, DBP, SBP, percentage of fats, WC, body weight, and the body height (Borrello et al., 2015).

The outcomes of the interventions will be assessed or measured by looking at the positive changes in the above quantifiable outcomes. The success of the intervention involving the use of motivational interviewing will be measured on whether it has helped in the reduction of the body mass index among children who were enrolled for the obesity treatments; whether it has helped in reducing the anthropometric measures among the selected participants in the intervention groups; whether must show the results of weight loss; improvement in response to the motivational interventions; and whether there is an increase in the physical activity in the motivational interviewing group due to the increase in the role of the parents. Other assessment strategies involve looking at whether there is a reduction in the calories intake and consumptions from physical exercise; reduction in the time is spent watching television; whether there is a reduction in the intake of sweet snacks and drinks; and reporting of the increase in the satisfaction levels by the parents concerning the importance of the motivational interviewing intervention (Borrello et al., 2015).

The potential or valid measurement or tools for the measurement of the quantifiable data include the Motivational Interviewing Treatment Integrity (MITI) scale. It is also considered as a cheap tool that helps in addressing the need to monitor motivational interviewing skills. It is also a cost-effective tool that allows for the effective assessment of the motivational interviewing expertise, the pre-post training motivational interviewing capability development, and the honesty of the motivational interviewing trial clinic interventions (Borrello et al., 2015).

The positive outcomes of the motivational interviewing can be achieved within 8-10 weeks. With the commitment from the healthcare providers and an increase in the number of the targeted individuals, it would be possible to ensure that children of ages between 5 to 19 years will record a body mass index of 30 as compared to the lack of motivation. The intervention helps in ensuring that there is an effective process in the improving the quality of life for the targeted individuals, improvement in physical activities, improvement in the body mass index of less than 30, and the attainment of healthy blood pressure. This will be helpful in the reduction of the risk factors for health such as a reduction in the number of times being spent on watching television, increase in physical activities, reduction in the intake of sweet snacks and drinks, and reduction in the anthropometric measures (Borrello et al., 2015).

 

Practice Question 2

The Picot elements

Population: adult with the intensive care units or under critical care

Intervention: Research-based skincare integrity bundle

Compared: standard care

Outcome: incidence of healthcare-acquired pressure injuries

Time: 8-10 weeks time period

Keywords used in the search terms

The keywords in the research question include the skincare integrity bundle, standard care, and hospital-associated pressure injuries.

Based on the use of the search terms, the selected study that address the practice issue presented is by Cruz (2020). The author aimed at preventing the impacts of the pressure injury preventive bundle implementation following two months for the reduction of the rates of the pressure injuries among adult in intensive Care Unit (ICU) patients in the tertiary healthcare facility in South Texas. The authors aimed at addressing the practice issue. According to this article, adult patients in the ICU are highly exposed to pressure injuries due to the acuity diagnosis of these patients. These patients require an extended type healthcare, procedures, and the utilization of several medication equipment (Cruz, 2020).

The research evidence-based intervention in the study is that the implementation of the bundle is significantly helping in the reduction of the pressure injury rates among adult patients in the ICU. According to this study, the pressure injury preventive bundle helps to monitor, audit, and provide a continuous bedside support as well as constructive feedback to the staff (Cruz, 2020).

Concerning the quantifiable outcome (s), the author aimed at achieving 10 percent or more in the reduction of the baseline reported cases of the patient with severe situations of the problems. The measure of the outcome is also based on the attainment of 90 percent or more of the staff adherence to all the components of the bundle. This will signify the effectiveness of the intervention and improvement in the management of the prevention of pressure injuries (Cruz, 2020).

The measure of the outcome is also performed by looking at the changes witnessed in the project. In the project, it is expected that after the implementation of the intervention, it is expected that there would be an improvement in the process of implementing the individual the preventive strategies as a team and consistent implementation of the bundle to help in the prevention of pressure injuries among the targeted patients. It is also expected that there will be the employment of the ICU bundle champion to healthcare team of professionals ito monitor, audit, and provide support and constructive criticism to the staff through the use of the compliance checklist (Cruz, 2020).

The potential and valid measurement tool that can be utilized in the measurement of the quantifiable data is the compliance checklist tool that is used to audit, monitor, and offer continuous constructive feedback to the ICU staff. The tool provided information on the compliance by the staff concerning the process of documenting the Braden scores, adherence to the act of turning patients every two hours, secure nutritional consultation, adherence to the twice-daily process of documentation process through the use of the protective equipment used in the sacral region, bilateral heels, and the body sections where there is a medical device (Cruz, 2020).

On the issue of whether the practice question is answerable within 8 to 10 weeks, there is a need to commit to the implementation of the intervention. The successful process of implementing the practice question within this duration is possible with commitments from the healthcare providers. The management of the facility must be able to set and ensure that there is attainment of the objectives that are set within the mission of the project. The tasks, assigned healthcare providers, and the allocated time frame must be properly adhered to.

 

References

Borrello, M., Pietrabissa, G., Ceccarini, M., & Manzoni, G. M. (2015). Motivational Interviewing in Childhood Obesity Treatment. Frontiers in Psychology, 6(8). doi:10.3389/fpsyg.2015.01732

Cruz, C. (2020). Reducing the Incidence of Pressure Injuries in Adult ICU Patients at McAllen Medical Center with the Implementation of a Pressure Injury Preventive Bundle: A Quality Improvement Project.

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

 WhatsApp

Your assignment woes end here!