Question

Discuss motivational interviewing principles in nursing and how this technique may improve patient outcomes?

Answer 1

• 1 Motivational Interviewing is a therapy especially given to help treat people with addictions and drug dependence.but it is now used in adjunction to other health conditions also.There are 5 principles of MI they are
• Express and show empathy towards clients.

-The coaches can develop rapport with the patients by expressing empathy.

• Support and develop discrepancy

The coaches should make the client undestand the gap between behaviour and goals..This will help them to differentiate between changing behaviour and goals.

• Deal with Resistance

The coaches should change their discussion when the client becomes resistant to a particular view,by working with the client to view and examine different view points and give them a chance to select the viewpoint which suits the client.

• Developing Autonomy

Coaches explain to the clients the willpower for change should come within oneself and explains that it is the responsibility of the client to bring that will power to change.

• Support Self Sufficiency

The previous strengths of the patients are discussed ,making them remember of what they were capable of doing before and increase the clients belief that they can change.

2.Motivational interviewing (MI)principles are used effectively in public health,primary care and in heath promotion to support lifestyle change.It complements well with the other treatments and is a scientifically tested method of counselling clients.It is mainly based on clients inherent resources rather than on the extrinsic problem solving.The technique did much more than merely giving simple advice.The positive aspect of MI is change talk which is a recognition of action towards achievable goal which client consider it as a significant outcome.It helps in deviating the negative perspectives of the client towards confidence and motivation.It is much different than health education which has a sole aim of merely giving health information on a specific topic.But in this case the clients permission need to be sought before the coaches could make suggestions,as the health providers prefer the clients to find solutions for themselves.