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Motivational interviewing: Experiences of primary care nurses trained in the method
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences. Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
2015 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, no 2, 111-118 p.Article in journal (Refereed) Published
Abstract [en]

Motivational interviewing is a person-centered counseling style used to promote behavioral change regarding a wide variety of lifestyle problems. Use of motivational interview is growing worldwide and among many different healthcare professions, including primary care nursing. The study aim was to describe motivational interview trained nurses' experiences of motivational interviewing in primary care settings. The study had a qualitative descriptive design. It was carried out in Swedish primary care settings in two county council districts, with 20 primary care nurses trained in motivational interviewing. Half of them used the method in their work, half did not. Qualitative semi-structured interviews were used. Data were analyzed using qualitative content analysis. The nurses experienced that openness to the approach and an encouraging working climate are required to overcome internal resistance and to increase use of motivational interviewing. They also experienced mutual benefit: motivational interviewing elicits and develops abilities in both nurses and patients. For the nurses using it, motivational interviewing is perceived to facilitate work with patients in need of lifestyle change. Lack of training/education, support, interest and appropriate work tasks/patients are reasons for not using motivational interviewing.

Place, publisher, year, edition, pages
2015. Vol. 15, no 2, 111-118 p.
Keyword [en]
Experiences, Motivational interviewing, Nurses, Primary care, Qualitative study, Training/education
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-17959DOI: 10.1016/j.nepr.2014.11.005ISI: 000352330500005PubMedID: 25432584Scopus ID: 2-s2.0-84925444273OAI: oai:DiVA.org:hig-17959DiVA: diva2:762687
Projects
LivMI
Available from: 2014-11-12 Created: 2014-11-12 Last updated: 2015-12-21Bibliographically approved
In thesis
1. Motivational Interviewing in Primary Care: Nurses' experiences and actual use of the method
Open this publication in new window or tab >>Motivational Interviewing in Primary Care: Nurses' experiences and actual use of the method
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Aim: The overall aim of the present thesis was to describe and examine primary care nurses´ self-reports on training, use and performance as well as experiences and actual performance of MI.

Method: One qualitative and three quantitative studies were conducted among primary care nurses. A study-specific questionnaire was sent to 980 primary care nurses and 673 (69%) responded (Study I). Semi-structured interviews were conducted with 20 MI trained primary care nurses (Study II). MI sessions between 12 (Study III) respective 23 (Study IV) primary care nurses and patients (total 32 respective 50 sessions) were audio-recorded. Data were analyzed using qualitative content analysis, Motivational Interviewing Integrity Code, Motivational Interviewing Sequential Code for Observing Process Exchanges and statistical analysis.

Results: The findings showed that primary care nurses reported and experienced lack of training in MI and lack of prerequisites for using MI (Study I-II), while training, knowledge, prerequisites and time were associated with use of MI. They also reported and experienced that MI facilitated their work with patients (Study I-II) as well as elicited their own ability to motivate and be empathetic (Study II). About half of the primary care nurses reported that they used MI (Study I), and none of the nurses (Study III) achieved the approved skill levels in MI in their recorded sessions. They overestimated their performance on six of eight aspects of MI (Study III). The most frequently used nurse talk in the recorded sessions was neutral, which is not consistent with MI. Questions and reflections directed toward change were most likely to be followed by change talk among patients (Study IV).

Conclusions: Self-reported knowledge about MI and personal as well as workplace prerequisites for using it were associated with self-reported use of MI. Participating nurses´ experienced that MI requires openness, practice, support, feedback and willingness. The participating primary care nurses did not achieve approved levels of MI skills in their recorded MI sessions. Patients´ change talk is more likely to occur after open questions, complex reflections as well as after questions and reflections directed toward change.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2015. 82 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 1142
Keyword
communication, experiences, health promotion, motivational interviewing, nurses, performance, primary care, talk, training, use
National Category
Nursing
Research subject
Caring Sciences
Identifiers
urn:nbn:se:hig:diva-20560 (URN)978-91-554-9365-3 (ISBN)
Public defence
2015-11-25, Sal IX, Universitetshuset, Biskopsgatan 3, Uppsala, 13:00 (Swedish)
Opponent
Supervisors
Note

Finansiärer: Högskolan i Gävle, STROKE-Riksförbundet, Hjärt-Lungfonden och Erik, Karin och Gösta Selanders Stiftelse

Available from: 2015-11-04 Created: 2015-11-04 Last updated: 2016-08-12Bibliographically approved

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