Introduction Motivational interviewing is a collaborative, person-centred form of communication which focuses on the language of change. ‘It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion’ (Miller et al., 2013, p.29). The technique of motivational interviewing was developed by two psychologists, Bill Miller and Steve Rollnick. Motivational interviewing is therapeutic to patients as it is based on a partnership, rather than a nurse-patient relationship (Heckman et al., 2010). There are four processes of motivational interviewing; engaging, focusing, evoking and planning. These processes of motivational interviewing are used daily in the nursing profession to facilitate in the delivery of high quality care to ambivalent patients. In this composition, I will critique my digital recording where I talked to a patient using the processes of motivational interviewing. I will focus on the processes of engaging and evoking. Engaging Engaging is ‘the process of establishing a mutually trusting and respectful helping relationship’ with the patient (Miller et al., 2013, p.40). Firstly, I introduced myself to the patient. However, I feel that this introduction was brief as I did not engage in much informal talk to make the patient feel comfortable or to build a rapport. It can be …show more content…
Motivational interviewing offers an approach to this that is compatible with patient-centred care (Mason, 2008). Nurses use the processes of motivational interviewing in the healthcare setting to ensure the development of a collaborative partnership with the patient and to elicit a behaviour change. Motivational interviewing strengthens personal motivation for change, rather than instructing or warning the patient (Miller et al.,
According to the Centers for Disease Control and Prevention (2016), more than one-third or roughly 36.5% of U.S. adults are obese. In 2015 there were more than three quarters of Veterans, who received care in different VA facilities, considered to be overweight or obese (Rogers, 2013). The way the Miami VA addresses overweight and obese Veterans is by providing programs such as Management of Overweight / Obese Veterans Everywhere (MOVE). MOVE is an outpatient weight management health promotion program that focuses on health and wellness through healthy eating, physical activity, and behavior change. The program is offered to Veterans who are overweight or obese with a Body Mass Index (BMI) above 30.
• Lizzie’s mother commented, “it just depends on the situation on how Lizzie’s takes the criticism because she will ask me what do you mean momma because if she doesn’t like what I am saying it will lead to an outburst.” • Lizzie’s mother focused don how she can give positive criticism by picking a good time and place, saying what she likes about Lizzie first, ask if Lizzie has notice any problems, describe the problem affects, discuss solutions together, write up a contract for change, and express love.” • Lizzie’s mother listened as the QP shared how to deliver positive criticism • Lizzie’s mother reflected on how to use motivational interviewing by expressing empathy for the person’s problem, point out inconsistencies between the person’s values and their behavior, validate the reluctance to change as natural, express confidence ability to change, ask what she is willing to do differently, and ask for a commitment to change the
Jerri was proudly nominated by Professor Jeff Blake, who has been a mentor to her during her time at NAU. Professor Blake said, "Jerri is an excellent student with a very positive attitude." After completing the summer term, Jerri will graduate with her Bachelor of Business Administration degree with an emphasis in Management. Jerri lives a busy life. In addition to taking two to three courses per semester, she also juggles her family life, and her many hobbies.
The theory that I used was motivational interviewing to try and motivate Rachel to try to eat healthily and exercise because her life depends on it. I started off the session by asking Rachel what brings her into therapy. I then asked Rachel for permission to talk about her diagnosis. The interventions I used were reflective listening, the use a scale to determine how confident she was in her willingness to change and goal setting. I also used open-ended questions and summarized our session at the end to gain clarification and to wrap things up with the client.
The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC). Looking back on the activity, I am proud of myself for being able to plan and follow the activity through to complication. When completing the book with Mr X I found it to be an enjoyable activity that not only offered benefits to Mr X but also to myself, it allowed me to understand the importance of building a therapeutic relationship with a patient. Building a successful therapeutic relationship required me to have good communication and interpersonal skills, (Radcliffe and Ford, 2015), that allowed me to build a relationship with Mr X based on mutual trust and respect.
The interview style can be structured, semi-structured or open ended; less structured, open ended approached tends to be more appropriate when conducting an ethnographic interview. When a set of questions are previously formulated, this is considered semi-structured. Pre-formulated questions allow the clinician to pay careful attention to the client’s inaccuracies, their perception and their demeanor during the interview. During an open ended interview, the client tells their story which is done by purposeful guided questions from the clinician (Jordan & Franklin,
This personal experience will help me to be patient, empathize, and to understand the underlying cause of an individual's behavior which may not always be easy to see at first. My perseverance, determination, and flexibility will aid in problem-solving and using evidence-based interventions to help my patients achieve their goals and strengthen their
Professional Presence and Influence Being able to promote a positive healing experience for patients is a significant responsibility for nurses. What heals one patient, may not work for another patient. Being equipped to identify what part is vital for each patient’s healing is not an easy task. Understanding different approaches to medicine, how different personality types function, how to be mindful rather than distracted, and what promotes an optimal healing environment are essential facets to provide exceptional care.
Nonadherence is an invisible epidemic, which not only increases the total economic burden, but also complicates the patients’ health problem which also helped me to understand the Health Economics course. This course discussed Motivational Interviewing (MI) and now we understand how MI can improve adherence by not diminishing the patient’s autonomy.
Motivational Interview Motivational interviewing is a client-centered technique that uses positive reinforcement in a situation that the client is struggling with and needs to see positive reflections around everyday life events. It’s used to help resolve that in-between struggle of yes should I do this and no should I not do this. When it comes to increasing adherence to physical activity it is very important to initiate a motivational interviewing technique towards your client. It’s very crucial to use the OARS skill set which is open ended questions, affirmation, reflective listening and summary reflection. Open ended questions provide more communication with your client.
From the ideas and techniques that Mrs. Perez used, I realized how these interviews could be helpful if utilized and applied in the proper way. To me, this assignment was the best and it helped me further my development and growth as a future mental health counselor. The most interesting and educative aspect of this interview was how Mrs. Perez applied most of the counseling techniques, such motivational stage that we have been taught in class. Aspects such as paraphrasing the words of your clients, tone, and facial expressions are critical in a counseling session and students always overlook these techniques. The way Mrs. Perez employed according to her explanation was excellent and her ideas justified the importance of such points in any counseling session.
The four processes that are used in motivational interviewing are engaging, focusing, evoking, and planning. Engaging is the process of building and supporting a relationship where trust and respect go both ways, focusing is the ongoing process of choosing and keeping a specific direction, evoking is bringing out another’s strengths and knowledge about the situation and themselves, planning is being with someone while they form specific actions to
Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.
Task LO3: LO3 Understand ways of using motivational theories in organizations. ACs 3.1: The Impact of Different Leadership Styles - motivation in organizations in periods of change. Authoritarian Leadership (autocratic) - The Autocratic leadership style is used when leaders tell their employees that what they want done and how they want it accomplished, without getting the advice of their followers.
supportive work environment exists in order to empower clients and advocate for change where barriers exist. Conclusion Empowerment is a novel nursing concept than can be used to support a client to greater health, a community to greater change, and a nurse to attain their goals. Importantly, profound and effective communication skills of the nurse is a key cornerstone of empowerment and person centred care (Burkhardt & Nathaniel, 2014; RNAO, 2015). Of equal importance, in empowerment, is the delicate balance of power and Walker (as cited in Burkhardt & Nathaniel, 2014) substantiates “the most common way for people to give up power is by thinking that they don’t have any” (Facilitating Patient Empowerment section, para. 1). This may be