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The Four Processs Of Motivational Interviewing

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In 2011, the Health service executive released a health promotion strategy framework which commits to improving and promoting the health of the population. This framework is an essential part of the healthcare process as it will empower healthcare professional to deliver holistic patient centred care. Ultimately, the goal of the healthcare professional is to inspire patients to have control over and improve their overall health (The Ottawa Charter, 1986). Nurses play a vital role within this process as they are in a “unique position to not only accommodate change, but to also help patients endure the path to change (Dart, 2010). In order for nurses to help change a patient’s perspective of their lifestyle, they must incorporate the use of motivational interviewing into their practice. According to Miller & Rollnick (2013), motivational interviewing incorporates a patient centred approach as a way of tackling patient’s ambivalence about change. Motivational interviewing includes four processes; engaging, focusing, evoking and planning. However, for this assignment the author of this text will address the key areas of engaging and focusing. These areas will be critically …show more content…

Through effective engagement with the patient it can instil a sense of connection and in turn the patient will actively participate throughout the interview. Effectively engaging is ultimately the foundation for motivational interviewing. In order for patients to feel connected and comfortable, nurses must be open minded, compassionate as well as providing reassurance in order to create relaxed environment for patients to voice both positive and negative feelings in relation to behavioural change (Resnicow, K & Blackburn. D

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Selected Intervention Motivational interviewing was designated method of Nancy’s treatment. Motivational interviewing is therapeutic style that is client centered, helps people work through problems, and enhances individuals to readiness to commit to change (Hettema, Steele, & Miller, 2005). According Hettema, Steele, & Miller (2005), “Motivational interviewing places strong emphasis on eliciting the client 's own perceptions, values, and motivations for change.” Measurement Tools After beginning treatment and social services implemented the instrument tool short survey. According to Institute for Healthcare Improvement (2004), “Short surveys are intended to provide just enough simple and prompt feedback to tell you whether your attempts to improve are going in the right direction.”

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• 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

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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.

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The article, “How to Interview for Clients’ Strengths” by Peter De Jong and Scott D. Miller detailed the idea of focusing on clients’ strengths when interviewing them. The strengths perspective focuses on strengths, no matter how discouraged the client is, or how terrible their situation, they possess strengths necessary to improve their life. The article describes solution-focused interviewing, which is collaborating with the client to formulate goals and finding solutions based on exceptions. The article listed seven characteristics of well-formed goals: 1.

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Module 3 Discussion 1. Evaluate the motivational interview (MI). a. How did you feel during the interview? I chose to interview a neighbor, a 79 year-old, man who asked me previously about heath care matters. He specifically was interested in his “cholesterol” and A1C values.

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First, we are clinicians to which these patients seek for our expertise to address their health problems. Secondly, we are diagnosticians whereby we seek the underlying causes of our patient’s health issues. Third, we are educators to which we help our patients cope and understand their health conditions. And lastly, we aspire to be the catalyst for a positive change in our patient’s concept of wellness and health. And truly, when we achieve our roles as catalysts for change for our patients we exude the transformative power of physical

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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.

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Different stories, Same goal. Do you think democracy in fair? In “12 Angry Men” by Reginald Rose and “Democracy” by Langston Hughes both authors want justice for people . However, Rose states that everyone has a say in democracy while Hughes wants blacks to have freedom in democracy.

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The motivation I possess to continue my professional nursing career has always been the need to increase my critical thinking skills, the personal satisfaction achieved when I complete my goals, financial compensation, as well providing excellent patient

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My mock motivational interview was done by myself as the therapist and Ph.D. student.  Rachel, as my mock client. In the mock interview, Rachel was newly diagnosed with type 2 diabetes and was having trouble with changing her eating habits. She is an active young adult who enjoys having drinks and going out to eat with friends and family. She try’s to eat healthily but is not ready to just stop eating her favorite foods cold turkey.

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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.

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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.

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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.

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(Kitson et al, 2013) Patient care is initial assessment collaborated with commitment for the nurse to care for the patient and build a trusting comfort relationship to meet patients’ fundamental needs (Kitson et al, 2014). Patient-centred care focuses on involving patients’ by allowing choice and decision-making. It takes into consideration patients’ individual physical, psychosocial, cultural and emotional needs (Feo and Kitson,

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720 Words | 3 Pages

Working in the Intake team is really challenging me because it is the first contact with client and it is important to engage client in the first time. At here, I have not only learned how importance to engage a client into the process; but also, it is a good practice that I can apply theories and be sensitive on the way of engaging clients. As Egan and Maidment (2009) emphasizes engagement is the first step where a practitioner starts to build up a trust relationship and partnership with a client in the helping process. This is also the first notion that a social worker and a client starts to create a connection and climate in which the client can participate (Egan & Maidment, 2009; Thompson, 2000). Reflecting on my first interview with Mrs Lee, the first time she came to our office, she was nervous, shaking.

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