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 …show more content…
According to Herman et al 2011, when we, as humans, hear reasons why we should change, our minds automatically contemplate reasons why we shouldn’t. In this situation the patient has other “issues” going on in her life at the present moment rather that quitting smoking. As a nurse I have to accept this. It was poorly portrayed in the digital recording in my opinion. Resistance is the active process of pushing against reason for change (Herman et al 2011). This active process can be influenced by nurses either positively or negatively. Increased resistance may occur by convincing the patient they have a problem, arguing the benefits of change if the patient changes, by telling the patient how to change and by warning the patient of the consequences if they do not change (Moyers et al, 2007). In the digital recording, I can see myself using these negative influences, I warn the patient of serious health consequences caused by smoking, I also say that her “angina is linked with smoking”. In future I will not take such a harsh approach and let the patient realise him/herself the situation with guidance from myself. I can see I interrupt the patient quite frequently which naturally enough puts strain on the conversation. However, as nurses we can positively influence the patient by using the concept developed by Rollnick and Miller (2002);
As a nurse, communication is an essential and important factor to building a therapeutic relationship between a nurse and patient as it is the difference between average and excellent nursing care, as it helps maintain a good quality of life and allows nurses’ and patients to interact and provide comfort when needed. The importance of good communication can become apparent with patients especially when they are in the hospital, as it helps the nurses build a positive relationship with patients and helps overcome barriers including physical, psychological and social. A therapeutic relationship is built on many factors which include both verbal and non-verbal communication which helps maintains the relationship and strengthens it due to the positive impact it has not only on the patient’s experience but also the nurse’s.
Motivational Interviewing is much more difficult to practice than anticipated and week 3, learning module G enhanced clarification, intention and appropriate use. The strategies and techniques of motivational interviewing by Sobell & Sobell (2008), Motivational Interviewing Strategies and Techniques: rationales and examples, serves as a helpful guide to quickly reference a variety of MI methods, rationales, and examples of application (Sobell & Sobell, 2008). I can use this intervention to assist members
The interview served as a fundamental example which enabled me to further my role as a student nurse for future experiences. Nurses have a role in promoting health and preventing illness among the elderly through teaching and encouraging self-care (Taylor, 2015). The interview showed me that each patient is unique. Nursing diagnoses and interventions must be individualized since there is no standardized plan of care. Each patient’s medical history and degree of the health problem differs. I must take into consideration all the factors that may play a role in a patient’s life. Health is much more than the physical aspect because emotional and mental health are equally as important. I also learned to stray away from
Motivational interviewing (MI) is now widely acknowledged as an effective treatment for many different health, substance, and mental health problems. Asking open questions is a fundamental MI skill. Helping clients articulate goals and acknowledge potential benefits of positive change. Even when exploring the client's emotional pain, you can listen for and resonate with the unfulfilled positive goals contributing to that pain.
The motivational interviewing relates to the motivational support formulated as an intervention for creating educational awareness as well as presenting the
In nursing, communication should be patient-centered care. This indicates that the communication between a practicing nurse and their patient should focus on supporting the physical and mental well-being of the patient (Lima et al., 2012). Through this, the nurse is able to derive important information that would be useful in delivering quality services to the patient. It is, therefore, the endeavor of every nurse to employ communication techniques that foster quality patient-centered care.
It is also a conversational approach designed to help people discover their own interest in considering and/or making change in their life. Samantha during our session demonstrated her strength and value as she stated that that one of her interest is to finish school, raise her child and she can do this by finding a job. She acknowledge understanding that as her pregnancy developed her peers will be asking questions. She acknowledge that she is receiving great support from her foster parents, to transition to a new home, school and to become a new mother, and this was the main reason I choose MI.
Motivational interviewing is constructed from Carl Rogers Theories of Humanism and Optimism. These theories express that everyone has the free will to make the right choices and make positive changes through the realization of their own abilities. The strength of Motivaional Interviewing is that it is supportive, empathic, directive, non confrontational, embtaces resistance, and addresses the problem of ambivalence. Not only does MI stress the importance of
As a new teacher, what do you feel is the most impactful strategy to motivate your students to develop an interest in their learning? How would you implement this strategy in the classroom?
During the motivational interview, I learned that Morgan would like her teacher to read to the class every day and multiple times a day. She enjoys when her teacher reads books to the class since the teacher changes her voice for each character, makes faces, and acts the way the characters in the book acts. Additionally, Morgan enjoys reading by herself occasionally, but prefers that someone read to her. She will read in her free time sometimes, but would prefer doing other activities like art, dance, or cheer. Morgan often reads to her younger siblings since their books are easy to read and she can easily recognize the words. They often read the same book repeatedly. Morgan describes herself as an okay reader, but she feels like learning to read is hard. Morgan dislikes reading aloud books that are on her level since she becomes frustrated when she cannot figure out the words. She said it made her feel bad when she reads aloud since she struggles with many of the words. If Morgan reads a book she enjoys she will sometimes tell her friends about the book, but she admits that books is not what she usually talks about when she is talking to her friends. Furthermore, if Morgan received a book as a gift, she would be happy since she enjoys receiving presents. However, if she had a choice she would prefer to have new clothes. Morgan chooses not to bring books home from school to read even though the class has a cart full of books that students
The concept of motivational interviewing was first described by William Miller in 1983 in an article published in Behavioral Psychotherapy. Motivational interviewing was acquired from his experiences in the treatment of problem drinkers. Years later, in 1991, William Miller and Stephen Rollnick expounded on the fundamental concepts and approaches of this topic with a more detailed
The overall skills learned attending the motivational interviewing communication for health behavioral change was interesting. The support autonomy by using ask-tell-ask instead of providing unsolicited advice was very informative and a useful skill. The workshop of motivational interviewing when working with clients offered a menu of options rather than suggesting them one at a time to a client; meaning the client may come up with suggestion and possibilities of his or her own personal ideal of care. Also, when clients freely choose a course of action they are more likely to want to follow through with certain tasks or goals and be
Cliff explained motivational interviewing is difficult to teach in the limited class time. He has expanded the role playing in class. If a student did not have the background it is extremely difficult to use motivational interviewing. A CHW needs to listen, engage, practice safety and go back to team with findings. More experience is needed in Heath care.
Therapeutic Communication has a huge impact on patients, whether, we, as nurses, see it or not. It is very important for a nurse to gain a patient’s trust. Many patients are already filled with sadness, nervousness and unsure thoughts of their current situation. Such thoughts may make a person scared to trust or open up to a nurse or doctor. Developing a close rapport with a patient can help to create a safe, warming environment, resulting in a positive experience throughout their time in the hospital or even nursing home. In “Therapeutic Communication”, Anna Lauria opens saying, “What we say or do not say can influence whether a client is able to quiet his mind, relax his body and initiate a healing response” (Lauria). Being a nurse, we automatically have the opportunity to create a strong influence on patients’ lives during, and even after, their hospital experience.
I am writing to apply for the PhD program, Neuroscience, at the University of Miami’s Miller School of Medicine (UMMSM). I am a graduate of Montclair State University, NJ, with a double major in biology and psychology. I have completed my high school in a war-torn country, Afghanistan. In 2006, after high school, alongside, it was not safe for women, I did not have adequate for options to continue my higher education in sciences. Therefore, it was feasible to start working for international organizations in database related position, so started as a database operator and resigned from as database developer, as I received a fully funded scholarship to continue my education in Bishkek, Kyrgyzstan at American University of Central Asia