Foundations of Research and Evidence-Based Practice

Evidence Selection

Motivational interviewing is a tool used, originally used to treat alcoholism, to facilitate improvement in addictive behavior. Nonetheless, its efficacy has not been adequately shown to give up smoking. Two separate types of intervention were allocated for random prospective analysis of 200 smokers: smoker suggestion (n=86) and persuasive questioning (n=114). The success rates were measured based on purpose of therapy. Personal data was used for abstinence from the point prevalence 6 and 12 months after the procedure and for verification by CO oxymetry (value < 6 ppm) Where nicotine dependency was relevant, the patients were administered to all classes (Rohsenow, et al., 2018).

Performance assessment of Therapy after both 6 and 12 months for giving up smoking found that the interview action was 5.2 times greater than the anti-tumbling counsel (18.4% versus 3.4%; 95% confidence = 1.63 to 17.13). The topic is relevant to my studies because many people are dying every day because of smoking. No clear intervention has been put in place to be able to cub and control the situation. Therefore, I believe that with the evidence provided above that motivational interviewing is effective when giving smoking cessation. More research should be conducted to find a clear mechanism on how to handle the matter appropriately (Zale et al., 2020).

In developed countries, smoking is the leading cause of preventable death. Motivational interviews are a valuable way to promote addiction, but there is not enough proof that they are ceasing marijuana. Data from this research suggests that motivational interviewing can be a valuable tool in primary healthcare settings to quit smoking (Zale et al., 2020). In doing a comparison from the evidence provided above, we can be able to see that motivational interviewing action had an increase of 5.2, which means that it is very much effective when it comes to helping smokers. Unlike antismoking advice, that does not give a clear change in the motivational effects on smoking persons' lives of smoking persons (Lee, 2017).

Evidence Summary

Untreated smoking has an elevated risk of cardiovascular, pulmonary and neoplastic cancer due to its natural history. The key cause of preventable death in industrialized countries (Morgenstern et al . , 2016). In the world, 3,5 million people are killed each year by cigarettes. The 2001 National Public Health Report indicates that 34.4% of Spanish people above the age of 16 die of smoking in a year and 56,000 deaths worldwide due to smoking diseases. The prevalence of smoking in Spain was slightly lower than in 1987, when it was 38.4%.3 in men, smoking was reduced from 55% in 1987 to 42.1percent in 2001. In men, smoking was slightly lower. The population of women rose from 23% to 27.2% during the same time (Dogru, Ovayolu, & Ovayolu, 2019; Morgenstern et al., 2016).

Research on smoking through primary health care was traditionally focused on medical advice against smoking, considering its viability. Brief medical advice is effective in encouraging the cessation of smoking. Brief therapy results from 17 studies versus no advice (or routine care) have shown, following brief advice, a slight but considerable increase in the chances of termination (OR [OR] = 1.74 and a confidence interval of 95% [CI] = 1.48 to 2.05). This leads to an absolute disparity in the rate of withdrawal of 2, 5% between those who receive medical advice, and just those who receive daily treatment. Further advice will lead to slightly higher quitting rates (Morgenstern et al., 2016). There are insufficient data as to whether the use of aids or help after the advice is given further raises the leave rate. The seemingly low efficiency is offset by a vast number of smokers that can be managed with little intervention on the part of the doctor. More recently, the recommendations of a variety of organizations (WHO 20017 and CDC 20008) indicate that smoking therapy needs to provide motivating interviews (MI). The approach originally used to treat alcoholism as defined by Miller in 19839,9,10 is useful for promoting the improvement of addiction (Morgenstern et al. , 2016). This is a patient-centered medical interview that focuses on the investigation of unhealthy behavior and practices and the resolution of ambivalence. It's a patient who reflects and communicates his concerns and his willingness to improve the basic concept of this technique. The MI techniques permit the GP to increase the motivation of the patient, considering their basic level of motivation and holding their final decisions always without penalizing those (Morgenstern et al., 2016).

The study of transition cycles in people who stop smoking indicates that they are going through a variety of stages, each with a particular mental attitude and a degree of preparation to move. The smoking cessation mechanism is currently being researched primarily through the model given by these authors (Zale et al. , 2020). Many of the studies have been undertaken using MI as a tool for addressing substance dependence in addictive behaviour. However, various studies have applied the tobacco addictions strategy, but not all of these compare MI's efficacy with short advice (Morgenstern et al., 2016).

The study has been supported by using a comparison of three different articles. The screenshots of the three different articles have been providing for proving, hence they are used for comparison in this study. The three articles are all in support of MI as an intervention to stop people who do not want to quit smoking to stop smoking. One article has also used the RCI method to prove the level of truth behind Motivational Interviews. From the evidence gathered from the three articles, we can conclude that motivational interviewing is one of the best ways that people can use to fight addiction (Zale et al., 2020). Although there should be more research in the future to prove the effectiveness of Motivation Interviews as one article as also supported that. Also, the evidence gathered from these three articles supports our analysis. Nevertheless, hospitals and clinical areas should try to adopt this strategy to help people who cannot fight smoking addiction and those who want the easiest ways out of quitting smoking. Finally, it’s important to note that our study results show that interviews with reasons are more successful than quick advice on smoking.

Reference List for Motivational Effects on Smoking Persons

Dogru, A., Ovayolu, N., & Ovayolu, O. (2019). The effect of motivational interview persons with diabetes on self-management and metabolic variables. JPMA, 69(294).

Lee, E. J. (2017). The effect of positive group psychotherapy and motivational interviewing on smoking cessation: A qualitative descriptive study. Journal of Addictions Nursing, 28(2), 88-95.

Morgenstern, J., Kuerbis, A., Houser, J., Muench, F. J., Shao, S., & Treloar, H. (2016). Within-person associations between daily motivation and self-efficacy and drinking among problem drinkers in treatment. Psychology of Addictive Behaviors, 30(6), 630.

Rohsenow, D. J., Tidey, J. W., Martin, R. A., Colby, S. M., & Eissenberg, T. (2018). Effects of six weeks of electronic cigarette use on smoking rate, CO, cigarette dependence, and motivation to quit smoking: A pilot study. Addictive Behaviors, 80, 65-70.

Zale, E. L., Maisto, S. A., De Vita, M. J., Hooten, W. M., & Ditre, J. W. (2020). Increasing cessation motivation and treatment engagement among smokers in pain: A pilot randomized controlled trial. Experimental and Clinical Psychopharmacology.

Remember, at the center of any academic work, lies clarity and evidence. Should you need further assistance, do look up to our Nursing Assignment Help

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