Sandra Olguin
University of Nevada, USA
Title: Teaching Nurses Who Provide Direct Patient Care to Persons Diagnosed with a Chronic Disease, How to do Motivational Interviewing
Biography
Biography: Sandra Olguin
Abstract
Chronic disease affects individuals, families and populations and is often associated with lifestyle choices. Unmanaged, it can be debilitating and fatal. Caregivers have traditionally used threatening and consequential communication when attempting to institute behavioral change in patients. Patients are told what to do, when to do it and given the consequences of non-compliance. Non-compliance leads to disappointment, shame and frustration for patients and providers. Patients desire healthcare involvement and choices and deserve respect and support. Motivational Interviewing (MI) is an evidence based communication style designed to help people create change, allowing providers to impact the health and wellness of persons with diabetes. This scholarly project was designed to deliver a four-hour educational program on MI to nurses who provide direct care to persons with diabetes. Orem’s Theory of Self-Care Deficit and the Transtheoretical Model of Change were utilized and pre and post tests, demographics, evaluation and analytical process were completed. The findings identified enhanced confidence and basic MI skills in the participants. Nurses who participated in the training reported the information and skills learned enhanced their professional competence or ability and will improve the treatment outcomes of their patients. Future recommendations include integrating MI into curriculum throughout nursing education and practice. Since nurses naturally use many MI techniques, fully incorporating its principles is felt to be ethically correct, as well as obligatory for patient-assisted behavioral change.