N Engl J Med. Sobell!and!Sobell!©2013.!Availableonlineat!http://www.nova.edu/gsc/online_files.html. ahrq.gov/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-6/index.html, health.gov/communication/literacy/issuebrief, Short peripheral and midline catheter complications, Treating Teenagers with Opioid Addictions. SAMPLE MOTIVATIONAL INTERVIEWING SESSION SCRIPT HANDOUT Ensure that the Readiness Ruler is administered just before the session, ideally by someone other than you. When he tells you that his daughter has made a list of his medications and the correct times to take them in a large, easy-to-read font, you can affirm this by saying, “That is a great way to help visually remind you when to take your medications. Summarize and teach-back. ,ph�;N��!�,D*M���w�N��ţ��N��=�G8B��� E$#�AljR The nurse reframed and summarized what she heard the patient say: “It sounds like that was frightening and that your body’s response to the morphine may be similar to what you experienced in the emergency department.” Summarizing and reframing affirmed the patient’s experience and allowed the nurse to provide education about the benefits of morphine to manage the nocturnal dyspnea. For example, when a nurse was speaking with a patient about possible neglect in a skilled nursing facility, the patient abruptly asked the nurse to leave and come back another day. When talking with the patient, listen for and remember examples of good decision-making, health management, and behavior change that you can affirm later. I believe people know what’s best for them. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. (n.d.). Opening Statement • I’m not here to preach to you or tell you what you “should” do; how would I know, it’s your life and not mine! She said she would come back the next day and then added: “You have something to tell me tomorrow.” The patient eagerly responded, “Yes, I absolutely want to talk with you tomorrow.” The follow-up investigation revealed deficiencies in quality of care for this patient. RESEARCH has shown that 60% of the factors that affect the risk of premature death can be attributed to individual health behaviors (40%) and social and environmental factors (20%). 59 0 obj <>stream By the end of this Learning Module, you will be able to describe the stages of change, delineate some of the principles of motivational interviewing or MI, summarize evidence of its National Inspirational Role Models Month, December 1 - 7: National Handwashing Awareness Week, December 1 - 7: National Influenza Vaccination Week, © 2020 HealthCom MediaAll rights reserved. Strategies of Motivational Interviewing – OARS Strategies Description Examples Open-Ended Questions Elicits descriptive information “tell me about” or “describe.”Requires more of a response than a simple yes or no Encourages student to do most of the talking Helps us avoid premature judgments For example, “You’re feeling hopeless” rather than, “Are you feeling hopeless?” This strategy allows you to check in with the patient in a nonthreatening way to uncover deeper meaning and to encourage healthy self-awareness—a critical first step in the process of changing health behaviors. 38 0 obj <>/Filter/FlateDecode/ID[<977DADEF50F17EA4F5BD68F84DC9949B>]/Index[14 46]/Info 13 0 R/Length 104/Prev 72232/Root 15 0 R/Size 60/Type/XRef/W[1 2 1]>>stream This website uses cookies to improve your experience while you navigate through the website. h��W�O�8�W�����!�� In Motivational Interviewing assessment: Supervisory tools for enhancing proficiency. To effectively engage patients, care managers need the right interviewing techniques and the right technology to support and sustain patient engagement. OARS is a set of communication techniques that achieve two basic goals in patient care – building rapport and understanding the problem. Ask clients to give voice to how ready they are to change using a 10-point scale ruler where 1 = definitely not ready to change and 10 = definitely ready to change. Consider, for example, a patient who’s having trouble remembering when to take his medications. By clicking “Accept”, you consent to the use of ALL the cookies. Motivational)Techniques)and)Skills)) ) 1)! endstream endobj startxref Understand the conditions under which most clients are willing to attempt behavioral change (the change trifecta: importance, confidence, readiness); 3. Passmore,!J.!(2013).!MI!techniques:!Agenda!Mapping.The$CoachingPsychologist.9(1),!32A35.! For instance, a patient on hospice refused to take the morphine prescribed to address her nocturnal dyspnea. ��� �Ҋ("`���я��lP�U�ـ���� Professional > Techniques > Motivational Interviewing Motivational Interviewing (MI) It is defined as a “collaborative, goal-oriented type of communication with particular attention to the language or change” and “is designed to strengthen personal motivation for change” (Miller & Rollnick, 2013). We also need to learn if patient satisfaction increases when MI techniques are used and if nursing students experience less stress and engage more effectively with patients when using MI. The teach-back method promotes healthcare literacy by reinforcing key learning concepts and providing an opportunity to correct any misunderstandings. 2008. health.gov/communication/literacy/issuebrief. 1 Necessary cookies are absolutely essential for the website to function properly. The SHARE approach— Using the teach-back technique: A reference guide for health care providers. Integrating MI into day-to-day interactions with patients can reduce stress in patient and nurse-to-team member interactions, improve patient-centered care delivery, and enhance nurse satisfaction. 1. The counselor often uses techniques to engage the client such as open-ended questions, affirmation, and reflective statements (SAMHSA). And the transfer of these skills to other interpersonal relationships is a natural – again, leading to decreased stress and more effective conflict resolution. Asked to repeat information, make it about you and improve healthcare literacy reinforcing! Ahrq.Gov/Professionals/Education/Curriculum-Tools/Shareddecisionmaking/Tools/Tool-6/Index.Html, health.gov/communication/literacy/issuebrief, Short peripheral and midline catheter complications, Treating Teenagers Opioid! 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