NR 449 Week 8 Discussion: Feedback of Group Projects to Peers: 43 Pages
The leader of your group will post your group project in this discussion. Each
... [Show More] student will comment on a fellow classmate’s project. There will be two posts required in this thread for full credit.
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This week, our discussion involves providing feedback on the group projects to your peers. IF YOU ARE THE FIRST PERSON POSTING FROM YOUR GROUP, PLEASE BE SURE TO UPLOAD YOUR PRESENTATION WITH YOUR POST SO THAT STUDENTS IN OTHER GROUPS CAN BEGIN TO PROVIDE FEEDBACK.
You may begin posting on Sunday, February 24th, 2019 for credit. Please note that all discussion requirements must be met by Saturday at 11:59PM (Mountain Time) this week.
Our course outcome for this week is as follows:
5. Recognize the role of research findings in evidence-based practice.
The purpose of this week's discussion is to allow everyone to provide feedback to your peers, reflect on the group collaboration, identify ways that you might participate differently in future groups, & offer additional resources for the topics. Remember that we are professionals so be sure feedback is civil & constructive! Also, if you are receiving feedback from another student, consider that they are trying to help you for the future. So this is a great forum for the "Hey the font was a bit small, or too light" or "The presentation was great but your references were somewhat dated." If you learned something from the presentation or maybe thought of a great idea for future research, please share!
As stated above, there will be two posts required in this thread for full credit.
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Group Pharmacy Health Literacy PowerPoint
Pharmacy Health Literacy.pptx
Collapse SubdiscussionKayla Gagnon
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The reference page got messed up when converting it from google docs to powerpoint this is the fix one. Disregard the submission above.
Pharmacy Health Literacy-1.pptx
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No worries, but thank you for reposting!
Professor Hobbs
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Briana Pingle, Kimberly Iglesias, Kayla Gagnon, & Olukayode Ogunbanwo,
I thought your group's presentation was really amazing. The organization & the flow of information was very easy to follow. I completely agree as health literacy is important to help with medication compliance & managing chronic conditions. "Limited health literacy significantly impairs one's ability to read & demonstrate an underst&ing of printed instructions, & as labels are often the only written source of dosage instruction received by consumers, their design & content is extremely important" (Kairuz, Bellamy, Lord, Ostini & Emmerton 2015, p.1049). As health care professionals, it's important to continue to educate patients & perform medication reconciliation to go over the client's medicine & the reason for taking it. Some medications may be used for acute conditions such as a urinary tract infection, & making sure the patient takes all of the antibiotics can help prevent super infections from forming. I do believe this will be a beneficial change for the healthcare community & just provide more health literacy. "It is important to consider available resources, including finances, personnel, & time, to implement evidence-based practice in this step" (Chamberlain College of Nursing 2019).
Reference
Chamberlain College of Nursing (2019). Week 8: Lesson – Implementing EBP—Where Do We Go From Here? Searching for Evidence. Retrieved from https://chamberlain.instructure.com/courses/37412/pages/unit-8-lesson?module_item_id=4603052
Kairuz, T. E., Bellamy, K. M., Lord, E., Ostini, R., & Emmerton, L. M. (2015). Health literacy among consumers in community pharmacy: perceptions of pharmacy staff. Health Expectations, 18(5), 1041-1051.
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Justina,
If you found a patient to have health literacy, were there any additional methods you might employ to address the issue?
Professor Hobbs
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Hi Professor Hobbs,
As healthcare professionals, we never know which individuals have limited health literacy, by having clear organized communication practices can improve care for all patients, reducing health disparity. I think the biggest method I've seen used during all clinicals was using teach-back method & allowing the patients to perform the skill. For example, if a patient is newly diagnosed with diabetes, I would allow them to explain to me when they will take their medication & to monitor for ketones if they get ill. Another example, is if a patient has a colostomy bag placed, I would watch as they perform to clean the stoma & empty the bag as well. "The ability to learn, retain, & apply health information is greatly affected by health literacy & thus greatly affects patient outcomes" (Kennard 2016).
Reference
Kennard, D. K. (2016). Health literacy concepts in nursing education. Nursing education perspectives, 37(2), 118-119.
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Collapse SubdiscussionChebria Haynes
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Hello group Pharmacy Health Literacy,
Great PowerPoint presentation, I thought the slides were clear with the right amount of material per slide. This week's lesson stated, "it is important to use a PICO-formatted clinical question as the basis for a systematic database search to find research regarding the the situation or problem" (Chamberlain College of Nursing, 2018) & I thought the group's PICO framework formed a well-focused question. The articles used provided relevant information to the topic & there was a good underst&ing of the material that highlighted the important points.
Pharmacy health literacy is very important in healthcare because medication errors are likely higher with patients with limited health literacy which can lead to poor health outcomes. An article that interest me stated that, "between 80% & 90% of intervention participants indicated that receiving the picture prescription & phone call interventions helped them remember when & how to take their medications & refill their prescriptions" (Gazmararian, J., Jacobson, K. L., Pan, Y., Schmotzer, B., & Kripalani, S. (2010). To improve health literacy, information should be presented at a basic, elementary level which would allow patients to make the appropriate decisions about their health.
References
Chamberlain College of Nursing (2018, May 22). Week 8: Lesson – Implementing EBP—Where Do We Go From Here? Searching for Evidence. Retrieved from https://chamberlain.instructure.com/courses/37412/pages/unit-8-lesson?module_item_id=4603052
Gazmararian, J., Jacobson, K. L., Pan, Y., Schmotzer, B., & Kripalani, S. (2010). Effect of a Pharmacy-Based Health Literacy Intervention & Patient Characteristics on Medication Refill Adherence in an Urban Health System. Annals of Pharmacotherapy, 44(1), 80–87. https://doi.org/10.1345/aph.1M328 (Links to an external site.)Links to an external site.
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Hello Briana Pingle, Kimberly Iglesias, Kayla Gagnon, & Olukayode Ogunbanwo,
I enjoyed reading your power point, the research problem is clearly stated, it is well organized, & visually captivating, the content was also relevant, outst&ing job, I did learn a lot. As stated on your PowerPoint , establishing pharmacy health literacy assessment is vital in identifying the area that needs intervention in order to reduce medication error . while education is important, education level alone is not what determines appropriately an individual’s pharmacy health literacy. The impact of limited or low pharmacy health literacy is substantial. Many patients with low pharmacy health literacy have difficulties such as reading & underst&ing basics written information & following medication instructions, & that can lead to medication errors, that can be fatal. Moreover, low pharmacy health literacy, can increase health care costs. According to Kairuz et al, “ Consumers with limited health literacy are at an increased risk of using inappropriate doses of medicines, consuming medicines at improper times &/or using incorrect routes of administration. Without adequate health literacy, consumers may not underst& what a health-care professional has told them about their condition, be able to follow written & verbal instructions, be capable of reading labels on medication packaging or be able to underst& & apply health information presented imposters or brochures”(2015). Addressing the issue of pharmacy health literacy is a critical part of providing high quality healthcare.
References
Kairuz, T. E., Bellamy, K. M., Lord, E., Ostini, R., & Emmerton, L. M. (2015). Health literacy among consumers in community pharmacy: perceptions of pharmacy staff. Health Expectations, 18(5), 1041–1051. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1111/hex.12077
Karen Hobbs
Karen Hobbs
Feb 27, 2019 Feb 27 at 4:15pm
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Chebria,
Great feedback & insight using supporting evidence!
Professor Hobbs
Ifure Inyangotu
Ifure Inyangotu
Mar 2, 2019 Mar 2 at 8:27am
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Hi Chebria,
Great Post! You are absolutely right, the pharmacy health literacy group powerpoint slides were very clear with the right amount of material per slide. It shows great teamwork. It is very important as nurses to always remain & work as a team. Yes, the importance of pharmacy health literacy can never be overestimated, although pharmacists care for patients with low to high education levels & multiple races of people, all of whom may have limited literacy, yet medication errors are likely higher with patients with limited health literacy. Therefore addressing literacy is an important quality improvement effort, & in improving health literacy, information should be presented at a level which would allow patients to make the appropriate decisions about their health.
References
Chamberlain College of Nursing (2018, May 22). Week 8: Lesson – Implementing EBP—Where Do We Go From Here? Searching for Evidence. Retrieved from https://chamberlain.instructure.com/courses/37412/pages/unit-8-lesson?module_item_id=4603052
Collapse SubdiscussionKristel Teotico
Kristel Teotico
Feb 26, 2019 Feb 26 at 9:34pm
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Hi Pharmacy Health Literacy Group,
Excellent presentation. I like the images used in your slides. It will help viewers to remember what you said, especially the visual learners like me. The problem was thoroughly explained (& illustrated). I think the term medication error was emphasized enough in your presentation & this is really important in the healthcare field because many people die or suffer the consequences of medication errors. In your recommended practice change slide, I like the idea of writing prescription labels in a simple & underst&able manner, especially because there are some people who were not fortunate enough to attend school & be able to read.
As a nurse, it is important not to assume that all patients underst& their disease process just because they have had it for a long time. Much so underst& the indications or adverse effects of the medications they take. A recent study analyzing the comprehensibility of medication guides with patients suggested that the guides were inefficient primarily because the patients had minimal health literacy ( Fincham, 2013). This just goes to show that a competent nurse must be able to provide an efficient patient education regarding medications with patients who have minimal health literacy. This is especially important because medication adherence affects patient outcomes.
In dealing with patients, a nurse must also remember that there are some patients who require more teaching & caregiver/family involvement. For example, those patients who have dementia. Although the disease is progressive, adhering to medications may help ease the quality of life for these patients.A recent study evaluated how people who have dementia & their informal carers h&le their medications. Because of the disease itself, informal caregivers find it difficult to manage medications of patients with dementia. The results suggest the need for healthcare providers to go through an additional training in reinforcing medicine management for patients with dementia in their own home (Aston, Hilton, Moutela, Shaw, & Maidment, 2017).
Not just pharmacy health literacy but information literacy in general is important especially with nurses because it helps them integrate evidence-based nursing interventions. A competent nurse must be knowledgable in every aspect of her job. It includes being able to effectively provide patient education regarding the disease process & the medications they take (Houser, 2018).
Reference:
Aston, L., Hilton, A., Moutela, T., Shaw, R., & Maidment, I. (2017). Exploring the evidence base for how people with dementia & their informal carers manage their medication in the community: a mixed studies review. BMC geriatrics, 17(1), 242. doi:10.1186/s12877-017-0638-6
Fincham J. E. (2013). The public health importance of improving health literacy. American journal of pharmaceutical education, 77(3), 41.
Houser, J. (2018). Nursing research: Reading, using, & creating evidence (4th ed.). Sudbury, MA: Jones & Bartlett.
Karen Hobbs
Karen Hobbs
Feb 27, 2019 Feb 27 at 4:18pm
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Kristel,
Great discussion! The AHRQ has an excellent health literacy toolkit. Here is the link: https://www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/toolkit-with-appendix.pdf (Links to an external site.)Links to an external site. It covers lots of topics, not just medications!
Professor Hobbs
Sami Ismail
Sami Ismail
Feb 27, 2019 Feb 27 at 10:25am
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Hello everyone,
Just read your Powerpoint about Pharmacy health literacy. Excellent introduction to the problem with the breakdown of PICOT(Houser, 2018, p. 99). I generally think that pharmacy & medical terminology becomes a problem when it comes to dealing with patients. Patients don't speak or underst& the information we give them which may affect compliance to the medication regimen. I think you guys did an excellent job tackling the root of the problem & finding appropriate solutions to the problem. People always forget that patient education should be given at a 5th grade level not in medical terminology. Love some of the pictures that are included on the slides! Just think there could have been a few more of them. Overall good job on the project!
Houser, J. (2018). Nursing research: Reading, using, & creating evidence (4th ed.). Sudbury, MA: Jones & Bartlett.
Collapse SubdiscussionKelly Sjovall
Kelly Sjovall
Feb 27, 2019 Feb 27 at 2:04pm
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Hi pharmacy group,
I was not aware of the lack of literacy that affects pharmacy until I read through your powerpoint slideshow. It seems crazy to me that the recommendation is to make everything 5th grade level.
I saw that your group also utilized Google Docs. Did you guys have any technological problems?
Thanks,
Alex Sjovall
Karen Hobbs
Karen Hobbs
Feb 27, 2019 Feb 27 at 4:21pm
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Hi Alex,
Just FYI, in case you were not aware, in Google docs there is an option to download as a powerpoint presentation!
Professor Hobbs
Collapse SubdiscussionKaren Hobbs
Karen Hobbs
Feb 27, 2019 Feb 27 at 4:34pm
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Kelly,
Think about English as a second language students that may struggle. Think about our octogenarians that left school to help on the farm way back when. Think about adults who emigrated to this country with no education. People with learning disabilities. Maybe people with visual disturbances lacking resources. Also, when No Child Left Behind was in place, some struggling students were shuffled through the school system just to be able to document that everyone passed.
There are lots of reasons to consider.
Professor Hobbs
Kelly Sjovall
Kelly Sjovall
Mar 2, 2019 Mar 2 at 11:20am
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Professor Hobbs,
You are so correct. I suppose I was not thinking about outside of healthcare workers.Even within the healthcare worker field, there is a rather large percentage of English- as a second language, employees. Working in Houston, one of the most diverse cities in the United States, it is definitely an important aspect to consider.
Thank you for making me think a little deeper!
Alex Sjovall
Enajite Rowl& Mba
Enajite Rowl& Mba
Feb 27, 2019 Feb 27 at 11:58pm
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Hello Pharmacy Health Literacy Group,
Your presentation was straight forward & easy to underst&. It touched on the core problem of Pharmacy Health Literacy in the United States today which essentially bothers on the effectiveness of communication between the hospital, pharmacy or doctor & the patient. Yet, the aspect of the problem that I think matters in an important way is the fact that the pharmacist has a bis role to play in helping to temper this problem. According to the article, American Journal of Pharmacy Education, “it is important to implement & evaluate the effectiveness of an interactive health literacy program by measuring pharmacy students' knowledge & confidence.” (Mnatzaganian et. al, 2017). In other words, a program that focuses keenly on training the pharmacists or pharmacy students would go a long way in guaranteeing that this problem could be curbed. This is based on the premise that better training of pharmacy staff enhances better communication with patients. & this can help narrow down the chance of errors or misunderst&ing instructions given about taking medication. Also, that proper training starts as early as first year in pharmacy education. Aside, using a survey to demonstrate the surge in confidence level of pharmacy student after the completed the training against when they barely started the program. Finally, they further state that an interactive, multifaceted health literacy training program significantly improved that “an interactive pharmacy students' knowledge & confidence in recognizing & being able to assist patients with low health literacy.”
Reference
Mnatzaganian, C., Fricovsky, E., Best, B. M., & Singh, R. F. (2017). An Interactive, Multifaceted Approach to Enhancing Pharmacy Students’ Health Literacy Knowledge & Confidence. American Journal of Pharmaceutical Education, 81(2).
Joanne Mae Yabut
Joanne Mae Yabut
Mar 1, 2019 Mar 1 at 7:04pm
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Kayla, Briana, Kimberly, & Olukayode, [Show Less]