Time pressure is a significant issue for nurses, and MI allows you to use your time more effectively when providing patient education and reinforcing compassionate care. I hope that those of you who are experiencing success in applying Motivational Interviewing in your nursing practice will share your stories with us. Motivational interviewing requires four key communication skills that support and strengthen the process of eliciting change talk, also known as OARS: Open-ended questions; Affirming; Reflective listening; Summarizing; Open-ended questions in 0 This category only includes cookies that ensures basic functionalities and security features of the website. Even with varying levels of MI proficiency and with very little extra time to spend with patients, nurses can see positive patient outcomes. The other two, Population and Cost per capita provide a model for understanding the level of commitment and manner of attention for a given population. America’s health literacy: Why we need accessible health information. The spirit of motivational interviewing motivational interviewing is underpinned by a series of principles Describe elements of the provider style that precontemplative or highly ambivalent To help counter concerns that the patient may become defensive when being asked to repeat information, make it about you. The term holds similar meaning when it comes to interviewing an individual with substance abuse background. > Professional > Techniques > Motivational Interviewing Motivational Interviewing (MI) It is defined as a “collaborative, goal-oriented type of communication with particular attention to the language or change” and “is designed to strengthen personal motivation for change” (Miller & Rollnick, 2013). Motivational interviewing: A communication best practice. I believe the MI method, with its essential points, builds a bond. But you don’t have to wait for more research before putting the positive effects of MI into action. Consider, for example, a patient who’s having trouble remembering when to take his medications. Summarizing also helps identify and address gaps in knowledge and serves as a reminder of follow-up responsibilities. Passmore,!J.!(2013).!MI!techniques:!Agenda!Mapping.The$CoachingPsychologist.9(1),!32A35.! When talking with the patient, listen for and remember examples of good decision-making, health management, and behavior change that you can affirm later. ��I�(�R� �5a&�f����3cG�`�(J��(F�s�(N0%�Ў%�p���! Also, clients are more likely to discuss changing when asked, than when being lectured or being told to change. I have an additional curiosity after 35 years of research and development with motivational interviewing: How does learning and using this method affect the provider’s own experience in practice, or life experience more broadly? No part of this website or publication may be reproduced, stored, or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the copyright holder. Instead of asking “Why did you start using opiates excessively,” say, “Tell me about your experience with opiates.” If a “why” question is used, consider asking “Why did that feel important to you?” instead of the less effective “Why did you do that?”, Affirmation. It’s usually used as a complement to other therapies, such as cognitive behavioral therapy . Motivational Interviewing is consistent with Māori health models. As nurses build their communication skills, it is important to always remember to use those skills both for the benefit of nurse and patient, then too, everyone (organizations included) wins. Making brief patient encounters more effective. Thanks for the article, thanks for your work and bravo to nurses everywhere! To learn about what a reflection is. The teach-back method promotes healthcare literacy by reinforcing key learning concepts and providing an opportunity to correct any misunderstandings. Motivational interviewing (MI) is collaborative conversation style that promotes positive health behavior change and strengthens an individual’s motivation and commitment to change. Agency for Healthcare Research and Quality. Listening is frequently the most difficult part of MI to implement, so use your nursing skills to listen carefully and intuitively. Schroder SA. Miller WR, Rollnick S. Motivational Interviewing: Helping People Change. Hospice and Palliative Care Month For some nurses, MI represents a fundamentally different way of communicating and interacting with patients. She said she would come back the next day and then added: “You have something to tell me tomorrow.” The patient eagerly responded, “Yes, I absolutely want to talk with you tomorrow.” The follow-up investigation revealed deficiencies in quality of care for this patient. Motivational Interviewing tools and techniques provide structured and efficient ways to help patients develop internal motivation to change. Ineffective or inadequate communication remains a root cause of nurse-nurse and nurse-patient/family stress. As you become more competent at asking open-ended questions, affirming your patients, actively and reflectively listening, and summarizing patients’ plan of action, you’re engaging with them respectfully and compassionately. Begin by placing a focus on integrating MI into your daily nursing routine, as you support and encourage nursing research that will answer questions important to patients and nurses. Let's break the definition down to better understand the theoretical underpinnings of this approach. endstream endobj startxref Understand the conditions under which most clients are willing to attempt behavioral change (the change trifecta: importance, confidence, readiness); 3. MI facilitates that process. 14 0 obj <> endobj Motivational interviewing typically achieves its effects in one to four sessions Motivational interviewing appears to require a “minimum dose” of about 20 minutes. When adult learners know the rationale and personal relevance for change, it’s easier to teach and support that change when the patient is ready. Motivational interviewing is a way of discussing an issue that draws out an individual’s own reasons for changing, instead of relying on another person’s opinions or ideas. 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