Primary care nurses' communication and its influence on patient talk during motivational interviewing
2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 11, 2844-2856 p.Article in journal (Refereed) Published
To describe what verbal behaviors/kinds of talk occur during recorded motivational interviewing sessions between nurses in primary care and their patients. The aim was also to examine what kinds of nurse talk predict patient change talk, neutral talk and/or sustain talk.
Motivational interviewing is a collaborative conversational style. It has been shown to be effective, in addressing health behaviors such as diet, exercise, weight loss and chronic disease management. In Sweden, it is one of the approaches to disease prevention conversations with patients recommended in the National Guidelines for Disease Prevention. Research on the mechanisms underlying motivational interviewing is growing, but research on motivational interviewing and disease prevention has also been called for.
A descriptive and predictive design was used.
Data were collected during 2011-2014. Fifty audio-recorded motivational interviewing sessions between 23 primary care nurses and 50 patients were analyzed using Motivational Interviewing Sequential Code for Observing Process Exchanges. The frequency of specific kinds of talk and sequential analysis (to predict patient talk from nurse talk) were computed using the software Generalized Sequential Querier 5.
The primary care nurses and patients used neutral talk most frequently. Open and negative questions, complex and positive reflections were significantly more likely to be followed by change talk and motivational interviewing-inconsistent talk, positive questions and negative reflections by sustain talk.
To increase patients’ change talk, primary care nurses need to use more open questions, complex reflections as well as questions and reflections directed toward change.
Place, publisher, year, edition, pages
2016. Vol. 72, no 11, 2844-2856 p.
communication, behavior, in-session, motivational interviewing, nurses, primary care, sequential analysis, talk
Research subject Caring Sciences
IdentifiersURN: urn:nbn:se:hig:diva-20561DOI: 10.1111/jan.13052ISI: 000386079500025PubMedID: 27345818ScopusID: 2-s2.0-84990855858OAI: oai:DiVA.org:hig-20561DiVA: diva2:867194
Funding: University of Gävle, STROKE-Riksförbundet (The Swedish Stroke Association), The Swedish Heart and Lung Association and the Erik, Karin and Gösta Selander Foundation, all located in Sweden.2015-10-072015-11-042016-11-25Bibliographically approved