Motivational Interviewing Reflection And Analysis

McCabe C. (2004) Nurse-patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing. 13, 41-49.

Motivation is a key aspect in the organization or workplace, and it is imperative to know the basic theory application and methods dealing with any problems that usually unavoidable for the employee and will come up in any work environment. This is a mandatory skills for a leader or future manager to know how important on how to motivate his or her employee to work more efficient. Motivating employees is a big dilemma for managers. To produce a higher level of performance and productivity, manager’s today are obliged to pay more attention on this matter. Every employee needs different types of motivation. In this paper will elaborate three motivational methods that a

Afterwards, the essential concepts and methods were later particularized by Miller and Stephen Rollnick, Ph.D., in 1991. This involved a more comprehensive description of the clinical procedures of motivational interviewing. Motivational Interviewing is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence (Miller & Rollnick, 1991). Motivational Interviewing is goal directed and more focused when compared with nondirective therapies. The central purpose is to examine and resolve ambivalence, with an intentionally directive therapist to carry out this goal (Miller & Rollnick, 1991).

Psychologists William Miller, PhD. and Stephen Rollnick, PhD. developed the counseling approach known as Motivational Interviewing (MI). Motivational Interviewing evolved out of experience in the treatment of persons who were problem drinkers, and was first described by Miller in 1983. In 1991 Miller and Rollnick provided these techniques as a method that promotes and engages intrinsic motivation within the client in order to change behavior. MI is a client-centered counseling style that is goal -directed and brings about behavior change by helping clients to explore and resolve ambivalence. Traditional Rogerian client-centered therapy does not guide or direct or focus in the way that MI therapists do to influence individuals to consider making changes, instead of non-directively explore themselves.

The process of motivational interviewing is essentially about creating "intrinsic motivation to change" within the client (Moyers, 1998). The choice to change must originate with the client and the process for helping this occur begins with motivational interviewing. There are two phases within motivational interviewing, the first focuses on increasing the client’s motivation to change and the second phase is negotiating a plan and consolidating commitment. It is important to understand the traps that can be encountered within this process, such as the question/answer trap. In this trap the client is led by the counselor with little chance to have free speech to explain themselves because the counselor is just focused on the next question instead of focusing on where the client is leading them. This trap is very similar to the expert trap in the fact that the client is left to believe they cannot find answers for themselves; they instead must listen to the expert who is giving them the answers. This is most definitely not the way to motivate a client to make changes for themselves. Other traps include premature focus, denial, labeling, and blaming; all of which can prevent the client from opening up in the treatment process.

The concept of motivational interviewing evolved from experience in the treatment of problem drinkers, and was first described by Miller (1983) in an article published in Behavioral Psychotherapy. These fundamental concepts and approaches were later elaborated by Miller and Rollnick (1991) in a more detailed description of clinical procedures. Motivational interviewing is a semi-directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it 's more focused and goal-directed. Motivational Interviewing is a method that works on facilitating and engaging intrinsic motivation within the client in order to change behavior. The examination and resolution of ambivalence is a central purpose, and the counselor is intentionally directive in pursuing this goal.

An interview utilizing motivational interviewing techniques was conducted by a nurse practitioner student and a consenting patient. The patient is a 55-year-old, male, with occupation as a heating, ventilation, and air conditioner technician that the nurse practitioner student identified on physical examination to have mild hearing loss. Hearing protection is admittedly not worn consistently at the jobsite during the history taking portion of the exam. This paper will discuss the behavioral health problem of noncompliance with hearing protection, the evidence supporting motivational interviewing strategies to support behavior change, and a discussion of the techniques used during the interview.

Motivational interviewing is a way of conducting and occupy the essential motivation within the client in order to change behavior. It is “an efficient and collaborative style of clinical interaction that can boost the effectiveness of the therapeutic alliance” (Jellinek, Henderson, Dilallo, & Weiss, 2009, p.108). Motivational

Motivational Interviewing (MI) refers to a client centred counselling approach, which is directed to enhance motivation in an individual for behaviour change Miller & Rollnick (as cited in Christopher & Dougher, 2009). MI as a method understands and accepts that the clients are at different levels of readiness to change their behavior. It consistently focuses on goals to prepare the client for transformation by providing motivation for commitment to change (Bricker & Tollison, 2011) in the domains of substance abuse, addiction and risky health problems. It proceeds to make the client aware of the causes, consequences and risks that could be a result of the behavior. Through this, the client foresees the possibilities of enhancement and becomes motivated to achieve it (Jenson, Cushing, Aylward, Craig, Sorell & Steel, 2011). MI is coherent with the

Combined Motivational Interviewing and Cognitive-Behavioral Therapy with Older Adult Drug and Alcohol Abusers is an article written by Lyle Cooper concerning the abuse or misuse of illicit drugs, prescription medications, and alcohol in older populations. Due to lack of knowledge or resources, elderly individuals are falling victim to substance use problems and the numbers are projected to rise. Therefore, an assistance program called HeLP was created to provide evidence-based treatment to the specific cohort of 50 and up age range. Motivational interviewing is used to eliminate internal uncertainties clients may have concerning their treatment; hence, opening themselves up to behavioral changes. Clients who decide to move on to the next stage and if HeLP workers deem it necessary, cognitive-behavioral therapy is implemented to promote changes in thoughts, behaviors, and prevention of future relapse.

Solution-Focused Interviewing, The Transtheoretical Model, and Motivational Interviewing are three approaches used by practitioners to assist and guide people in changing their behavior. Each approach has its own format and process and this paper will compare and contrast some similarities and differences between these three approaches. This will be done by looking at five client scenarios and comparing and contrasting them with the approaches. The five client scenarios are; the client who wants something and sees themselves as part of the solution, the client who says someone else needs to change, the client who seems uninterested or resistant to changing, the client who wants what is not good for them and finally the client who does not seem to want anything.

Motivational interviewing is a counseling approach that was studied and understood as an applicable theory of practice that would be beneficial in the environment where I currently work which is an alcohol treatment facility. Whereas, it is understood that clinical and applied aspects of Motivational Interviewing (MI) have shown effective as a relatively brief intervention (Levensky, Cavasos, & Brooks, 2008), especially those dealing with an alcohol dependency. According to Miller and Roderick, MI, has been defined mostly as a directive, client centered counseling approach for eliciting behavior change by helping clients to explore and resolve ambivalence. In addition, with its goal-orientated approach it can help break down resistance to change (Corey, 2013, pp. 191-194). This theoretical approach is the most favored for the environment in my profession of choice, in addition, integrating it with the practice of Cognitive Behavioral Therapy (CBT) which is already in use.

The spirit of motivational interviewing (MI), which entails collaboration, evocation and autonomy, is the fundamental approach to elicit intrinsic motivations (1, 2). Throughout the video, the therapist appears to have applied the MI spirit in accordance with Miller and Rollnick (2). The therapist firstly created an encouraging atmosphere for change by monitoring and accommodating the client’s aspirations (collaboration). The therapist then evoked the client’s motivation through their perceptions, goals and values (evocation) and also informed about the right for self-direction leading to commitment to change (Autonomy). However, to sustain the MI spirit, a breakdown of the requirements will be discussed below.

Motivation is the force that makes us do things, whether accomplishing personal goals or completing tasks at work. Most people are motivated as a result of their individual needs being satisfied, which gives them the inspiration to perform specific behaviors for which they receive rewards (Kinicki & Williams, 2011). These needs vary from person to person, as everybody has specific needs to be satisfied. When we consider factors that determine the motivation of employees, many of us think of a high salary. This answer is correct for the reason that some employees will be motivated by money, but mostly wrong for the reason that it does not satisfy other needs to a lasting degree (Bizhelp24, 2010). This supports the idea that human

A thematic analysis of an interview was used to help students develop an understanding of the role of an RC. This role is dynamic and challenging; it offers great opportunities to grow and work in an academic team based environment that fosters constant learning. Often RCs play a significant role in the process of bringing a project from conception to completion which requires a variety of qualifications and leadership qualities. An inductive approach to this process, beginning with data collection and analysis, allowed me to consider specific aspects of the topic and progress on to more general concepts. Eventually, I was able to discover connections between existing knowledge and the data I analyzed. The finalized themes included Qualifications; Role of Team Leader; Rewards and Challenges.