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.
• 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
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 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 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
I will gain patient trust and respect by verbalizing and reaffirming at least one positive aspect of each patient I encounter, whether it be a positive health behavior, a decision to seek health care, or a commitment to healthier lifestyle choices. To understand cultural values and practices and individual expectations and goals, I will elicit patient preferences by using open-ended questions and clarifying them using reflective listening techniques such as “restating, rephrasing, reframing, and reflecting thoughts, feelings, and emotional undertones.” 4 I also maintain a keen self-awareness of my own biblical beliefs and values as a Christian. To ensure that my own biases do not interfere with my provider-patient relationships, I will verbally remind patients that my role as a clinician is to simply present medical facts and clinical options, while supporting their healthcare decisions. When necessary, I will debrief on interactions with my colleagues so that I can determine when it is appropriate to involve another clinician.
The faculty member I interview was Mary Menninger-Corder, a nursing professor. Mary was born and raised in California. She studied History at Berkeley University, then came to Washburn University in August of 1976. She started studying Nursing because they had an accelerated program for that. She then moved to New York City, and worked at the 1800 Bin hospital for awhile, then she moved back to Topeka, KS to find her job.
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
the why we approach patients in a certain way. Look forward to broadening my knowledge base, learning theory behind nursing and approaching patients in a different way. When caring out orders and discharging patients today I'm thinking of the learning style and
Outcome 5: Use Basic Communication and Collaborative Skills to Optimize Patient Outcomes Brenen Dapkiewicz NU 311 Fundamentals of Nursing Practicum Washburn University School of Nursing Knowledge Q1: Describe how you utilized several communication skills you were introduced to in class. During my long-term care experience last Friday, I was exposed to many forms of communication. There was non-verbal communication, where you could just see that a patient was maybe anxious or content.
I used open-ended questions to extract solutions and answers to his questions and asked him to choose what would be the course of action he wanted to follow. SMART goal setting was also part of the practice and helped to determine the amount of time the resident practiced before making real calls. My personal goal of becoming comfortable with silence was achieved through “sharing space” with the residents and following their cues as to whether or not they wanted to talk.
Showing a genuine interest in the patient's life and
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
introduction Motivation has been defined as some driving force within an individual by which they attempts to achieve some goal in order to fulfill some needs or expectations (Mullins, 1996). Beside Mullins, some scholar also define motivation as the psychological process that gives behavior purpose and direction (Kreitner, 1995) ; A predisposition to behave in a purposive manner to achieve specific unmet needs (Buford, Bedeian, and Linder, 1995); An internal drive to satisfy an unsatisfied need (Higgins, 1994); and the will to achieve (Bedeian, 1993); All those inner-striving conditions described as wishes, desires, drives, etc. (Donnelly, Gibson, and Ivancevich 1995); and the way urges, aspirations, drives and needs of human beings direct