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An essay on motivational interviewing
An essay on motivational interviewing
An essay on motivational interviewing
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Motivational Interviewing in the Care of Diabetics Motivational interviewing is a holistic approach where a nurse may elicit motivation for change in many patient health problems. According to Dossey & Keegan (2016), “Motivational interviewing (MI) is a well-known, research-based method of interacting with patients that were developed in the 1980s to improve outcomes…” (p. 207). Dossey & Keegan also notes the idea behind this methodology is the ultimate goal is to not point out discrepancies but to have the patient utilize a tool called self-discovery (2016, p.108). Determining one’s own individuality helps people develop a sense of what their strengths and weaknesses are, so they may develop a plan that works for the person. Motivational
When Imogene King developed her Goal Attainment Theory she focused on the relationship between the nurse and the patient. When a patient seeks out health care the relationship between the patient and the nurse will play a crucial role in the patient’s outcome. For health promotion to occur the nurse and the patient must establish goals that are mutually agreed upon. The goals are establish when a positive interaction occurs between the nurse and patient. If the interaction is positive and effective the goals are more likely to be reached. Imogene King’s Goal Attainment Theory is broken down into a systematic framework to promote successful interactions between the nurse and patient. The framework includes the personal system, the interpersonal
Coronary heart disease is a common term for the build-up of plaque in the heart’s arteries that could lead to heart attack (Coronary Heart Disease, 2017). Furthermore, there are many known coronary heart disease factors that can be controlled. These are high blood cholesterol, high blood pressure, diabetes and pre-diabetes, obesity, smoking, lack of physical activity, unhealthy diet and stress (Coronary Heart Disease Factors, n.d). The techniques of motivational interviewing are more persuasive than coercive and more supportive than argumentative. The motivational interviewer must advance with a firm sense of purpose, clear methods and skills for seeking that purpose, and a sense of timing to mediate in specific ways at quick brief periods of time (Miller and Rollnick, 1991). The clinician uses motivational interviewing on account of four general principles in mind. The key principles are to express empathy, avoid argument, roll with resistance and support self-efficacy (Treatment, C. for S. A.,
This paper will explore and analyze assessment and interventions pertaining to self-concept and patient behavior. It will also define and compare methodology and nursing process. This paper will be responding to the case studies and questions provided on Canvas.
The case scenario is of a homeless young guy named Jim who appears to have an intellectual disability. Jim is addicted to marijuana and abuses alcohol and has suicidal thoughts. He has anger control issues where he is known to verbally threaten others. He currently has a counsellor who he had established a therapeutic relationship. From these sessions, the counsellor has learned that Jim had been physically abused by his stepfather. From reading this case scenario about Jim, it is evident that he would benefit from several different approaches or interventions including motivational interviewing and cognitive behavioural therapy.
What is Motivational Interviewing? Motivational interviewing (MI) is a patient-centered method for enhancing intrinsic motivation to change health behavior by exploring and resolving ambivalence. What will be discussed is how can organizations help the patients change negative behavior to a positive behavioral change, diminishing the lack of motivational behavior. (Miller & Rollnick, 2002) states that we have to help clients overcome their ambivalence or lack of motivation toward changing their behavior in positive way. Also, figuring out a solution on how to overcome this negative behavioral challenge of lack of intrinsic motivation to change. How will we overcome it? by focusing on the MI (Motivational Interviewing) approach, and finding
The Motivational Interviewing film was very informative. I was able to get a clear understanding of what is to be expected by the therapist during a session. The film explained the therapist should engage in reflective listening, develop a growing discrepancy, avoid arguing with clients, roll with resistance and support self-advocacy. Miller believed that this approach was far more effective than traditional methods, where the therapist pushed for change. In contrast, Miller explained that motivational interviewing focused on empowerment and helping clients to become motivationally driven to change. Also, Miller stressed the importance of working alongside clients, a term he referred to as dancing. The process in which the client leads
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
Menu: Provide a choice or menu of options related to the goals and means the patient wishes to implement to reduce alcohol consumption.
This paper will discuss what motivational interviewing is , who developed motivational interviewing and why it was developed. In addition, the most important aspects of motivational interviewing will be covered. Furthermore, the paper will discuss how I hope to use motivational interviewing in the future. At the conclusion of the paper the reader should have a better understanding of motivational interviewing.
Rebecca Kreman, Bernice C. Yates, Sangeeta Agrawal, Kathryn Fiandt, Wayne Briner, Scott Shurmur, The effects of motivational interviewing on physiological outcomes, Applied Nursing Research, Volume 19, Issue 3, August 2006, Pages 167-170, ISSN 0897-1897, DOI: 10.1016/j.apnr.2005.10.004.
Interpersonal communication within the field of nursing is imperative in all areas to deliver a holistic positive outcome in patient care. Specifically, active listening, questioning with intent and reflective feedback ascertain an understanding of a patient’s health, illness, and healthcare. Active listening allows the patient to convey their concerns and presents the nurse with an understanding of the patient when implementing a personalised care plan. Questioning with intent builds an appreciation of the situation, and reflective feedback promotes improvements to enrich work ethics of the nursing cohort. Listening actively involves many different styles whereby information is gathered through verbal and non-verbal communication. Questioning
Nurse leaders should ensure that nurses are trained to understand the complete person, interested in discovering the whole experience of each individual patient, and skilled at eliciting information from each patient so that both the nurse and patient learn about the patient’s whole life experience. Using Newman’s theory, the nurse can help patients to understand their own realities better and find the “choice point” that allows the patient to decide to live a healthier life. The nurse, as part of the patient’s environment, can offer emotional, spiritual, and intellectual support that encourages a healthier choice once the patterns of the patient’s life experience become clearer through the nurse-patient
Of the five caretakers interviewed, many common perspectives emerged. Four of the interviewees agreed that Calvin’s father, Hans, is the most likely to get a response out of him (H. MacDonald, B.S.C. P.T., personal communication, January 25, 2017; Brooklyn, M.S., Ph.D., personal communication, February 2, 2017; Hans, J.D., LL.M., personal communication, January 29, 2017; J. Bartholemeo, L.P.N., personal communication, February 8, 2017); “He works harder for me when dad is there,” explained MacDonald during her interview (H. MacDonald, B.S.C. P.T., personal communication, January 25, 2017). Similarly, all five agreed that Calvin’s most distinctive feature and the most reliable thing that he does is to demonstrate
When we were first given this assignment I had not put much consideration into it. I thought we were to ask a couple of questions, it would all work itself out and I would be done. But this was not the case. The thought and reflection put into interview questions really surprised me. There was far more factors other than the questions you were asking, because you were also dealing with people, people who are giving you there free time, their attention and opening themselves up to you a stranger, so there were far more responsibilities then what were initially at hand.
The nurse will then help the patient seek support in that area of concern raised by encouraging the patient to call their physician. Eliciting your patient's feelings and self-perceptions of taking the medicine. The patient may view you as an “addict.” The nurse can provide information or guide your patient by using motivational interviewing techniques to support lifestyle and behavior changes. Change talk requires recognition of relevant actions directed towards a significant and attainable goal which clients consider important as a chosen outcome.