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The Role Of Engaging In Nursing

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As Ireland’s health care system is evolving on a daily basis so too is the role of a nurse. The role of a nurse is progressing into the area of health promotion. Nurses are in a “unique position to not only accommodate change, but to also help patients endure the path to change (Dart, M 2010)”. The Ottawa Charter for health promotion was established in 1986, a guide for health care professionals that would ultimately improve the overall health of our nation by the year 2000. It primarily focused on prevention as well as directing focus on the current problems of our country. For this reason, integrating motivational interviewing into nursing practice is essential for the promotion of behavioural change.
Motivational interviewing incorporates …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 …show more content…

O.A.R.S skills are based on communication techniques which facilitates engagement (Miller & Rollnick, 2002). Throughout the interview, the use of open ended questions were applied although not effectively as I did not focus specifically on the subject which needed to be addressed. Take for example, I asked the patient “you were smoking a couple of years ago and then gave up or…”, I then asked the patient “do you think you could do something else besides smoking to deal with stress?” and then went on to ask the patient “are you communicating with your wife? Are you staying at home?”. Although I used open ended questions, I feel I should have focused on the specific subject and even though reflective listening and understanding the patient's dilemma is important aspects of engaging also, I should have emphasized the positive and asked the patient “so you stayed off cigarettes for four years, how were you able to stay off them for that long?”. This applied the use of open-ended questions but it focused on the specific topic. As well as the use of open-ended questions and affirming, reflection and summaries are also essential. However, throughout my motivational interview I did not apply these two key skills. With the use of these two skills, it would have added meaning and emphasis on the unspoken context

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890 Words | 4 Pages

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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508 Words | 3 Pages

Grant takes great length to emphasize that a patient is just a person that needs to be treated without bias or prejudice. Using her technique from a “patient centered interview skill that [she] [had] learned in medical

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640 Words | 3 Pages

• 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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463 Words | 2 Pages

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.

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397 Words | 2 Pages

It is better to use an evidence-based evaluation method to identify the best and most applicable nursing theory or model. Therefore, this discussion is widely based on an evidence-based evaluation of the Orem’s theory as a health promotion model. In the assessment of any theory, it is better first to determine whether it is compatible with the nursing care standards and practices in the modern practices (Fawcett &Desanto-Madeya, 2012). The major question to ask is whether the theory is applicable in proper nursing interventions (Fawcett &Desanto-Madeya, 2012).

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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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2686 Words | 11 Pages

I was able to successfully assess the situation, get the necessary information from the client for the assessment and identify the clients and her family’s needs. I did this by asking direct yes or no questions for required information and asking open ended questions to explore the situation and the client’s feelings. By asking a good set of questions I was able to effectively identify support systems, create an ecomap, explore the history of the presenting problem, and create an intervention plan based on the goals and needs of the

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1265 Words | 6 Pages

Refection –on-Action and Clinical Learning: Describe three ways your nursing skill expanded during this experience. I believe my nursing skills expends every time I go to clinical, every time I have new patients, and every time I have new task to do. I get more experience during each clinical. I get more used to clinical system, and I to know the patient and how to assesse them. Name three things you would do differently if you encounter this kind of situation again.

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133 Words | 1 Pages

To begin with, Motivational Interviewing is a therapeutic approach for the clients will for change using the five stages of change; pre-contemplation, contemplation, preparation, action/willpower and maintenance. Most importantly, MI technique provides a foundation for the therapist consisting of five principles beginning with Support Self-Efficacy, Develop Discrepancy, Express Empathy, Avoid Argumentation, and Roll with Resistance a direct type of therapy which determines the client's current state of being and the changes affecting the client. Equally important, MI benefits the client and the therapist with collaborative conversations or actions, which assist the therapist in helping the client understand the benefit of avoiding conflict

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649 Words | 3 Pages

week 6 was all about nonverbal communication and motivational interviewing, and behave change using the appreciative inquiry. The chapter in the text book introduced a bunch of new coaching strategies. The goal of motivational interviewing is to encourage “change talk” which is talking about wanting to change. Getting clients to realize they need to change will start off the who process on the right foot. Sometimes the client can become stuck when trying to positively talk about change, which means that they are dealing with some unhealthy emotions.

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1293 Words | 6 Pages

In order to empower service users, nurses should apply health promotion theories to their approach to care (Mutsatsa, 2015). Theories include the Health Belief Model (Becker et al, 1974) and the Self-Efficacy Theory (Bandura, 1977b). All these theories are based on actions by the nurse provide the service user with sufficient information that allows them to understand their health, triggers, their ability to improve and how they go about doing so. Nurses should also provide cognitive behavioural therapy in their approach to person-centred care when dealing with service users as it can have a positive impact on the way

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1173 Words | 5 Pages

a. Motivational interviewing Motivation is elicited from within the patient. Rather than externally imposed upon a patient by a practitioner. Motivational interviewing theory is based on the fact that individuals have within them their own reasons for changing. The role of practitioner is to bring out and reinforce these reasons. Motivational interviewing was to begin with, started in the field of addictive behavior change problem.

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709 Words | 3 Pages

Motivational Interviewing is a process in which you are trying to change someone’s emotional beliefs. In this situation, I am trying to bring to my mom’s attention that I am not a little girl anymore and that she taught me how to defend myself whenever I needed to. I realized that during this conversation I was about to have with my mother, I should not come off as trying to tell her what to do. As Grant states, “The goal isn’t to tell people what to do; it’s to help them break out of overconfidence cycles and see new possibilities.” (136) I was simply just going to try and help her decide

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940 Words | 4 Pages

Being the clinician and conducting an intake interview was one of the most the practical, informative, and thought-provoking assignments I have completed throughout undergrad thus far. While allowing me to practice clinical interviewing skills, I learned how difficult yet essential various skills were in order to successfully complete an intake process. Specifically, I found taking a direct approach and asking specific questions was most successful. For example, with my client, Ian, I was able to find out the most relevant information about his manic tendencies through asking him specific questions. His intake form described having manic tendencies in the past, though there was not enough information there to really get to the core reason for

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What does nursing mean to me? Nursing means helping people heal, meeting their needs while they are in your care, listening to concerns, protecting them from harm, and educating them how to care for themselves while treating them with dignity, compassion and respect and giving of yourself to the care of people and community. It is having compassion for people and their health and being a humanitarian, making sure they receive the best care possible. Nurses must also treat families of patients with kindness, realizing they are going through a stressful situation also. Nursing is a responsibility to provide the best care regardless of the patient’s age, race, religion, sex, disability, ethnicity, sexual orientation, or their past.

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