Date: 26/02/2025
Time: 09:30am – 04:30pm
Title: Health Behaviours and Motivational Interviewing/Injection Technique
At the early hours of the day we learnt about health behaviours, the various models of change and motivational interviewing. To me, being healthy is a state of complete physical, mental, social wellbeing. There so many ways health can be promoted such as eating less sugar, avoiding smoking and alcohol, practicing safe sex, regular exercise, having a social life etc. Our choices and changes can be influenced due to our beliefs, attitudes, income, environment etc. There are four model of change and they include transthoretical model, COM-B model, health belief model and theory of planned behaviour. Behaviour change is essential because it directly impacts individual in terms of health improvement, economic benefits, prevention and risk management etc.
Motivational interviewing is a technique aimed at helping individuals explore and resolve ambivalence about their behaviour change. It is useful in situations where a person is uncertain about making a change and it makes the individual feel heard and understood rather than being judged or pushed into action.
Moving forward, I will continue to listen to patients, allow them to express their own motivations and barriers. Using motivational interviewing will allow me to help patients make lasting change by respecting their autonomy, acknowledging their struggles and offering a supportive space. I will also make every contact I get with each patient count.
At the later part of the day, we had a skill session, injection technique. We looked at the different injections and as a Nursing Associate we are only allowed to give two types of injection they are:
Intramuscular injection (IM) – This is injected into the muscle at a 90 degree angle. Sites for IM injection include buttock, upper arm, hip and lateral thigh
Subcutaneous Injection (SC) – This is injected under the skin at a 45 degree angle. Sites for SC injection include arms, abdomen and thighs.
Some of the reasons intramuscular injections are given could be:
1. Patient cannot take oral medicine due to swallowing difficulties or patient is nil by mouth
2. Rapid action is required
3. Medicine is unavailable in oral form
Injection technique is essential not only for ensuring that the medication is delivered correctly but also for minimising discomfort and preventing complications like infection or tissue damage
Moving forward, I will enhance my clinical skills, improve patient care and promote safe practice in administering injections. I would also plan to attend additional training sessions to ensure I stay updated on best practice for injection techniques especially regarding the correct choice of sites for different types of injections.
KSB addressed:
K1: Understand the code: Professional standards of practise and behaviour for Nurses, Midwives and Nursing Associates in ( NMC, 2018) and how to fulfil all registration requirements
K3: Understand the professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care
K9: Understand the aims and principles of Health promotion, protection, improvement and the prevention of ill health when engaging with people
K13: Understand the contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes
K26: Understand where and how to seek guidance and support from others to ensure that the best interests of those receiving care are upheld
K28: Understand the effects of medicines, allergies, drug sensitivity, side effects, contraindications and adverse reactions
S1: Act in accordance with the code: Professional standards of practice and behaviour for Nurses, Midwives and Nursing Associates (NMC, 2018) and fulfil all registration requirements
S2: Keep complete, clear, accurate and timely records
S6: Act as an ambassador for their profession and promote public confidence in health and care services
S7: Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges
S14: Promote preventive health behaviours and provide information to support people to make informed choices to improve their mental, physical, behavioural health and well-being
S16: Promote health and prevent ill health by understanding the evidence base for immunisation, vaccination and herd immunity