motivational interviewing
Module Title: Promoting Health
Module Coordinator: Mary Murphy
Word Count: 1750
Actual Word Count: 1894
Introduction Motivational interviewing may be defined as “a collaborative, goal-oriented style of communication with particular attention to 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 and Rollnick 2012). It is this students aim to demonstrate an understanding of this concept. This will be achieved by critiquing a digital recording of a case scenario that this student previously recorded. Throughout this essay an understanding of the guiding principles used in motivational interviewing will be discussed along with interviewing skills. This student will critique herself on the use of the guiding principles and skills during the digital recording.
Skills
Motivational Interviewing (MI) involves certain techniques that help bring MI ‘to life’ so to speak. These skills demonstrate the MI principles; they guide the process toward provoking patient change talk and commitment change. Change talk in a patient is an indication for the nurse the patient is considering the possibility of change. There are different types of change talk which can be described using the acronym DARN. D- Desire (I want to change) A- ability (I can change) R- reason (the importance of change) and N-need (I should change). Another set of vital skills are used to bring about this ‘change talk’. This time the acronym OARS is used. O- Open ended question; these questions are not easily answered by simply saying ‘yes/no’. These questions encourage elaboration. A- Affirmation; these are statements that help recognise patients strengths; this helps the patient feel that change is possible. R- Reflection; this is an important skill in MI; it links in the principle ‘listen
Module Coordinator: Mary Murphy
Word Count: 1750
Actual Word Count: 1894
Introduction Motivational interviewing may be defined as “a collaborative, goal-oriented style of communication with particular attention to 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 and Rollnick 2012). It is this students aim to demonstrate an understanding of this concept. This will be achieved by critiquing a digital recording of a case scenario that this student previously recorded. Throughout this essay an understanding of the guiding principles used in motivational interviewing will be discussed along with interviewing skills. This student will critique herself on the use of the guiding principles and skills during the digital recording.
Skills
Motivational Interviewing (MI) involves certain techniques that help bring MI ‘to life’ so to speak. These skills demonstrate the MI principles; they guide the process toward provoking patient change talk and commitment change. Change talk in a patient is an indication for the nurse the patient is considering the possibility of change. There are different types of change talk which can be described using the acronym DARN. D- Desire (I want to change) A- ability (I can change) R- reason (the importance of change) and N-need (I should change). Another set of vital skills are used to bring about this ‘change talk’. This time the acronym OARS is used. O- Open ended question; these questions are not easily answered by simply saying ‘yes/no’. These questions encourage elaboration. A- Affirmation; these are statements that help recognise patients strengths; this helps the patient feel that change is possible. R- Reflection; this is an important skill in MI; it links in the principle ‘listen
References: Herman KC, Reinke WM and Sprick R. (2011). Motivational interviewing for effecrive classroom management; The classroom checkup. The Guilford press. McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49. Miller W. & Rollnick S. (2002) Motivational Interviewing. 2nd edn. The Guilford Press, New York. Miller W & Rollnick S. (2012). Motivational interviewing: Helping people change. The Guilford press. Moyers TB, Martin T, Christopher PJ, Houck JM and Amrhein PC. (2007). Client language as a mediator of motivational interviewing efficacy: where is the evidence? Alcoholism: clinical and experimental research, 31 (40-47). Rollnick, S., Miller, W. and Butler, C. (2008) Motivational Interviewing in Health Care. London: The Guilford Press. Rosengren DB. (2009). Building motivational interviewing skills; A practitioner workbook. The Guilford press. Tobutt C. (2011). Alcohol at work; managing alcohol problem and issues in the workplace. Gower publishing limited. .