· Motivational interviewing (MI) is collaborative conversation style that promotes positive health behavior change and strengthens an individual’s motivation and commitment to change. MI uses the OARS mnemonic (O pen-ended questions, A ffirmation, R eflective listening, and S ummarizing) RESEARCH has shown that 60% of the factors that affect the risk of premature death can be The four core principles to motivational interviewing are: expressing empathy (i.e. reflecting on and expressing an understanding of the pregnant woman’s perspective); developing discrepancy (i.e. exploring discrepancies between attitudes and beliefs and actual behaviour, e.g. believing smoking is unhealthy but continuing to smoke); rolling with resistance (i.e. understanding the barriers to change · Motivational interviewing (MI) is psychological intervention that was originally developed through helping people with alcohol problem (Miller, ). MI is strongly ingrained in client-centred therapy of C. Rogers () in its emphasis on understanding client’s internal frame of reference and present concerns, and in discrepancies between behaviours and values
The Motivational Interviewing Approach: [Essay Example], words GradesFixer
We use cookies to enhance motivational interviewing nursing essay website for you. Proceed if you agree to this policy or learn more about it. Type of paper: Essay. Topic: HealthDevelopmentNursingBehaviorPatientMotivationDiabetesInterview. The management of chronic diabetes self-care programs is mainly the responsibility of the patient.
In primary care, nurses normally emphasize the prevention of complications and adherence to diabetes self management regimes. However, compliance to diabetes self-care programs is always a challenge for many diabetes patients, motivational interviewing nursing essay. Diabetes self-management programs require patients to make many lifestyle and dietary changes. This paper describes the process of implementing a protocol for motivational interviewing for diabetes patients at Ben Taub Hospital in Houston, Texas.
Different diabetes patients have very different perceptions of self-care, which includes conformation to dietary planning, regular exercise and regular testing of blood sugars.
Diabetes patients have very different self-care coping strategies that are influenced by the health value they attach to self-care. Nurses should therefore, pay attention to the patients coping strategies and perceptions in helping patients manage their diabetes. Self-care protocols for diabetes patients should be tailor made to suit the coping strategies for patients.
In many primary care settings, nurses provide advice and information to encourage diabetes patients embrace positive behavioral changes in diabetes care. One method motivational interviewing nursing essay primary motivational interviewing nursing essay nurses can utilize in inspiring diabetes patients to embrace positive lifestyle changes is motivational intervening. Motivational interviewing is a patient-centered method of inspiring a person to embrace change through change talks and interviews.
Motivational interviewing nursing essay technique is very successful in helping patients overcome the negative perceptions and thoughts that make them have ambivalence to lifestyle changes Sobel, Motivational interviewing is utilized by many health care providers in many health care settings for behavioral change, motivational interviewing nursing essay. Motivational interviewing is applied on a continuous basis until a patient overcomes the ambivalence to change Sobel, Motivational interviewing is very effective in helping patients embrace positive behavioral changes compared to other methods like the provision of education and information Sobel, The process of lifestyle modification in diabetes patients is always problematic for many patients.
According to Sobel,Motivational interviewing is one of the most promising ways of getting behavioral changes in primary care settings. Motivation interviewing is very helpful in adherence to medication, physical activity regimes, quitting smoking, motivational interviewing nursing essay, diet regimes and drug abuse reduction.
Nurses should use motivational interviewing besides provision of information and education in primary care to enhance the diabetes patient preparation motivational interviewing nursing essay change.
Motivational interviewing helps nurses resolve the perceptions and factors that may make a diabetes patient ambivalent change Sobel, The goal of this project is to implement a protocol for motivational interviewing for patients with diabetes at Ben Taub Hospital in Houston Texas.
The anticipated outcomes after implementation of this protocol include:. Increased physical activity by 30 days after motivational interviewing Increased patient satisfaction The goals of the use of motivational interviewing in primary care of diabetes patients should be enhancing the motivation of the patient to embrace change and reducing the resistance of patients to lifestyle modification.
According to Sobel,motivational interviewing also results in an improvement of the nurse- patient relationships and efficiency of patient consultations in primary care. Good nurse patient relationships are very essential in management of diabetes care since they can improve the health outcomes in diabetes management.
Motivational interviewing evokes reasons for change from patients themselves motivational interviewing nursing essay making them have a voice in the process of behavioral change Sobel, Rather than nurses lecturing or instructing patients what to do and the reasons for changing, motivational interviewing talks entail analyzing the responses from patients about the need for change, and encouragement to help patients to embrace change Sobel, motivational interviewing nursing essay The focus of motivational interviewing in motivational interviewing nursing essay management should be supporting the patients in overcoming any barriers to lifestyle modification.
Motivational interviewing also helps nurses to assess the patient readiness motivational interviewing nursing essay change. If the nurses know the stage, at which patients are in their readiness to embrace change, then, motivational interviewing nursing essay, it is possible for the nurses to conceptualize patients as being treated at varied stages of acceptance to change process Sobel, Motivational interviewing is very consistent with the role of nurses in modern nursing practice, motivational interviewing nursing essay.
Modern nursing emphasizes a patient centered approach that factors the views and the needs of the patients in the treatment process Sampson, Motivational interviewing is a patient centered approach to treatment that helps in improving the health outcomes of patients Sobel, Good nurse -patient relationships are also highly valued in modern nursing practice. Good patient and nurse relationships are associated with better health outcomes for patients especially in the management of chronic diseases like diabetes Sampson, Motivational interviewing is a tool that motivates and inspires patients to embrace positive behaviors change and, helps nurses in improving their relationship with patients.
Nurses are the main stewards of motivational interviewing. The processes of motivational interviewing like follow up and obtaining feedback make nurses the stewards of the change process in hospital Sampson, This technique emphasizes collaboration instead of confrontation, Autonomy instead of authority and evocation over education while handling the behavioral change process in people Burke et al, motivational interviewing nursing essay, A very large and rapidly growing body of research has evaluated the effectiveness of motivational interviewing as a behavioral change strategy.
Many randomized, Quality, Meta- analytic research studies into the effectiveness of motivational intervention have provided an evidence base that motivational interviewing is an effective behavioral change strategy. Many randomized clinical, controlled studies on motivation interviewing have been published, that support the effectiveness of this strategy Burke et al, This paper highlights some of the randomized clinical control studies that prove the effectiveness of motivational interviewing.
This meta- analysis evaluated whether pathways to change PTC interventions combined with normal diabetes treatment would result to a greater readiness for change in diabetes patients, a greater involvement in diabetes self care and improved diabetes control, motivational interviewing nursing essay. The diabetes patients in this study were classified into two groups, one group received only the normal diabetes treatment treatment as usual, TAU.
The pathway to change PTAmotivation technique included tailor-made personalized assessment reports, self help manuals, newsletters and phone interviews for diabetes patients. The pathway to change motivation-interviewing technique was designed to make the patients ready to start diabetes self help programs like glucose monitoring, healthy eating, smoking cessation and physical exercise Helen et al, The total number of participants were with type one and type two diabetes.
Majority of the participants were in the pre-action stages of diabetes self- help programs. The results of this study showed that normal diabetes treatment TAU combined with PTC Pathways to changeresulted in For the change of diet interventions, 32 percents of the participants receiving normal diabetes treatment combined with PTC moved from action to maintenance stage.
For patients who received normal diabetes treatment, only were 28 percent moved from action to maintenance. For the smoking cessation interventions, motivational interviewing nursing essay, 24 percent of the participants receiving diabetes TAU and PTC moved to the action stage compared to 13 percent for patients receiving TAU only Helen et al, The participants who received TAU and PTC decreased their percentage of calories intake by 37 percent, compared to 32 percent for patients who received TAU only.
This study demonstrated that motivational interviewing has the potential of positively improving the readiness of diabetes patients to change, and improving health outcomes of individuals with diabetes Helen et al, These researchers found out that motivational interviewing has positive effects in the Areas of alcohol use, dieting programs, drug use and social functioning, motivational interviewing nursing essay.
Motivational interviewing had a motivating effect on behavioral change in patients. Overall, motivational interviewing was found to be an effective behavioral change strategy. For example, a randomized control study by Martino et al,of people suffering from co-occurring disorders found out that, the participants who received just a single session of motivation interviewing in the admission process were more likely to participate in treatment, and adherence to treatment than those who only received the standardized pre- admission interview.
Motivation interviewing therapy increased compliance to medication by the psychotic patients by a factor of 25 percent. This improvement in compliance to medication was maintained six -months after discharge of the patients Kemp et al, motivational interviewing nursing essay, A follow up study of the patients in this study also found out that, patients with psychotic disorders had more insight about their diseases and adhered more with treatment and medication.
The psychotic patients had a better social functioning and lower hospitalization risk compared to the psychotic patients who did not receive motivational interviewing Kemp et al, The Crime And Justice Institute,cited motivational interviewing as an important evidence-based principle for interventions in the criminal justice system.
The process of Offender rehabilitation and behavioral change can utilize motivational interviewing to enhance criminal behavior change, the reduction of recidivism and improvement of public safety. Motivational interviewing has been identified as a useful clinical practice for the promotion of behavioral change and treatment responsively in offenders Criminal and Justice Institute, Motivational interviewing is therefore, a very effective approach in behavioral change programs involving lifestyle modifications, adherence to treatment procedures and medication and maintenance of positive adoptive behaviors.
The motivational interviewing nursing essay has been used in behavioral change programs that involve healthy behavioral changes. The effectiveness of motivational interviewing in eliciting positive behavioral changes makes it ideal for use in diabetes management. Motivational motivational interviewing nursing essay is a very gentle, emphatic and skillful style of counseling that can help health care practitioners have some fruitful conversation with patients suffering from co-occurring and other lifestyle disease.
Motivational interviewing is characterized by empathy through the process of reflective listening, avoiding argumentation and encouraging the client that there is hope of changing Burke et al, Motivational interviewing nursing essay interviewing also involves gently persuasion, listening rather than instructing, motivational interviewing nursing essay providing support to patients throughout the process of recovery.
Motivational interviewing nursing essay and other health practitioners should avoid lecturing to patients about the need for change, motivational interviewing nursing essay.
The role of the primary care giver should be asking the patients open ended questions that give patients the latitude to control motivational interviewing nursing essay conversation. The questions that primary care givers ask the patients should elicit change talk from the patients. Primary care givers Primary care givers should follow the Lippit, Watson and Wesley change theory in applying motivational interviewing.
The primary care giver should assess the knowledge, the behavior and the status of patient in readiness to change, advise the patient on health risks and the benefits of change process Burke et al, The primary care giver should collaborate with patients on attaining some feasible goals; assist the patients in anticipating barriers to change and completing the change action plan, motivational interviewing nursing essay.
Nurses and the health practitioners are the pillars of the change process in motivational interviewing Burke et al, The communication points for nurses in this change project would entail communication about the benefits of motivational interviewing in behavioral change process; need to learn motivational interviewing skills and development, and application of the motivational interviewing in diabetes control.
The use of nursing skills to enhance motivational interviewing would also be an appropriate communication point for nurses in this change project.
This can ensure that the patients remain within the set plans and goals of the change process. The communication points with the head of primary care should entail the benefits of motivational interviewing in the process of diabetes care, the need for inclusion of motivational interviewing programs in the continuum of diabetes care and the need for nurses to learn the skills of using motivational interviewing. The communication points of primary care giver with the hospital management should include the benefits of motivational interviewing in primary care.
The barrier of primary care givers having little time with patients for motivational interviews can be reduced through the overhaul of the process of primary care for diabetes patients. The process of primary care for diabetes patients should motivational interviewing nursing essay the process of motivational interviewing in the continuum of diabetes care. The Enrollment of nurses in motivational interviewing programs can enhance their counseling skills and make them able to initiate meaningful conversations with patients.
The process is costly because it requires continuous training of health care providers, great involvement of health care practitioners and periodic evaluation Butler et motivational interviewing nursing essay, In the process of operationalizing motivational interviewing for diabetes care, it is necessary for the management of health care organizations to provide the necessary resources and support for training of health practitioners and the evaluation of the Operationalization process.
Training of primary care providers The Provision of primary care for diabetes is a process that relies on communication, feedback and collaboration between primary care providers and patients. Many primary care providers also struggle to support the autonomy of patients when they disagree with the choices of the patients.
Training of primary care providers in Motivational interviewing can help primary care providers address the concerns of patient ambivalence and support of patient choices. Training of primary care providers to know which element to use for every patient is necessary in the Operationalization of this program.
Two to three days Recognizing ad sustaining change talk Learning how to initiate and maintain change talk in clients so that they can explore their ambivalence.
Introduction to Motivational Interviewing
, time: 17:23Motivational interviewing: A communication best practice - American Nurse
· Motivational interviewing (MI) is psychological intervention that was originally developed through helping people with alcohol problem (Miller, ). MI is strongly ingrained in client-centred therapy of C. Rogers () in its emphasis on understanding client’s internal frame of reference and present concerns, and in discrepancies between behaviours and values · Motivational interviewing (MI) is collaborative conversation style that promotes positive health behavior change and strengthens an individual’s motivation and commitment to change. MI uses the OARS mnemonic (O pen-ended questions, A ffirmation, R eflective listening, and S ummarizing) RESEARCH has shown that 60% of the factors that affect the risk of premature death can be · Motivational interviewing (MI) is a counseling technique which assists the interviewee in identifying the internal motivation to change the client’s behavior by resolving ambivalence and insecurities. The term holds similar meaning when it comes to interviewing an individual with substance abuse background
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