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Motivational Interviewing Nurse With Patient Essay

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Updated: May 3rd, 2022

Motivational interviewing is critical in character transformation. It is a focussed, client-oriented counseling approach. The initiative is aimed at stirring the process of behavior and character change. Clients facing various challenges must be assisted to resolve their problems. Motivational interviewing concentrates on the capacity to support individuals to adopt positive lifestyles. Therefore, it is notable that this process is goal-oriented. The process has been widely applied in the assistance of people confronted by diverse complications. There is an evident application of motivational interviewing in mental assessments. The process aims to analyze and provide solutions for basic challenges affecting individuals. The counselor must be committed to pursuing these goals. This process is different from normal counseling in several ways. For instance, it directly advocates for the transformation in an individual’s lifestyle (Bundy, 2004). There is an eminent evolutionary process in the establishment of this concept. The development of motivational interviewing began in the analysis of the challenges faced by drinkers. Behavioral psychotherapy is the fundamental springboard for the development of this concept.

The applicability of this process in medical and psychiatric interventions remains beneficial. These advantages are important both to the counselor and the client. There are common health challenges associated with this process. These might include lifestyle diseases or conditions such as obesity, alcoholism, and heart complications (Webb, 2011). There are counseling conditions that must be met during any motivational interviewing process. For example, when attending to a client, the counselor must initiate a positive rapport with the client. This initiative creates a positive platform towards attaining the basic objectives of the conversation. Apart from this, it enables the client to have full disclosure of the challenge. Generally, any process of motivational interviewing must be done in a positive and open environment. This consideration enables the clients to be more open and ready for discussion. Perhaps, this indicates why effective training is necessary for motivational interviewers. In order to achieve this, establishing a positive rapport is appropriate. Basically, motivational interviewing is a critical process that aims at behavior change. There is need for a comprehensive analysis or examination of issues related to motivational interviewing.

Review of At Least 3 Current Literature about Motivational Interviewing

There exist several investigations and insights about motivational interviewing. It is important to analyze and compare some of the concepts and notions about this issue. Different people define and view motivational interviewing in a unique way. To some authors, it refers to a concise description of what individuals believe to be an important spirit of any approach (Bundy, 2004). On the other hand, others view it as a basic counseling process for enhancing behavior change amongst individuals. There are critical disparities noted from the analysis of the differentiation mechanisms for motivational interviewing. Authors differentiate this process from other counseling procedures differently. In addition, an examination of various past investigations on motivational interviewing reveals important lessons. For example, the results of most investigations indicate different levels of efficiency of motivational interviewing.

The application of motivational interviewing is increasingly becoming wide. Notably, there are several fields in which this process can be applied. Medical and psychiatric interventions are not the only fields of application (Snoddon, 2010). Observably, various personalities and organizations have potentiated the significance of the process in other fields. The human resources departments within most organizations have increasingly applied the process. This is critical in analyzing employee-related challenges and conflict resolution within organizations. The process might also be important in leveraging the level of employee performance. There is an eminent importance in the application of motivational interviewing within schools and other learning institutions. The facilitators have the capacity to diagnose the potential challenges faced by the students. The diagnosis is vital in assisting the learners to perform optimally. Indeed, there are notable developments of new insights on the concept of motivational interviewing (Nall, 2012). As indicated, different authors and scholars have diverse perceptions on the concept of motivational interviewing.

The Patient in a Pre-Contemplation Stage

Nurse

Welcome to our client support center. Kindly, feel free and open as we discuss the issues of behavior change. Due to your health condition, I know you must be presently worried about many issues (Carrier, 2009). However, I advise that you adopt a positive attitude. Courage and open-mindedness are very critical in this situation. You have to be positive about the issues we are going to discuss here. Know that you are an important guest in this facility.

Patient

Thank you for the warm welcome. Indeed, my health condition is distressing. I have undergone a lot of challenges due to my health status. Some of these are eminent within my community. I do appreciate the importance of transforming my lifestyle. I do not see the need to transform or adopt another lifestyle presently. Moreover, I do not know the basic reasons and benefits of changing my lifestyle. Presently, I have a conviction that it is too late for me.

Nurse

I have a deep understanding of your feelings about your health condition. It is important to recognize that you should be able to operate and make decisions autonomously. Therefore, you have control of your personal decisions and perceptions about life. My role may only be to provide critical advice. Otherwise, you have diverse life choices to choose from. I have a firm conviction that extra weight is a major contributory factor to your heart condition. There are very many benefits drawn from weight loss (Isoldi, 2003). Excessive body weight is a contributory factor to increased instances of lifestyle diseases. It is highly probable that your extra weight is the basic reason for the complication (Bundy, 2004). Observation of major life changes may help in the reduction of susceptibility to or severity of heart diseases.

Basically, initiating some changes in your lifestyle can help you to lose extra weight. It is important for you to realize that healthy behavior is important for an individual’s general wellbeing. Excess weight increases the constriction of the major blood vessels within the circulatory system (O’Donohue & Tolle, 2009). Consequently, this may cause great interference with the pumping mechanism of the heart. From this, you are able to observe that your weight might put you in great risk of developing heart complication. As medical personnel, it is important to know some issues concerning the history of your health (Webb, 2011). For instance, has this extra weight made you face any challenges in life? Now, I want you to personally envision how this extra weight may make you experience potential challenges in the future.

There are many challenges that you might encounter in the process of transforming your lifestyle (Nall, 2012). For instance, there are pressures that might emanate from external environments. Friends and relatives include some of the people who may make you stressed up. Personally, I must thank you for the cooperation today. Indeed, our conversation has made me draw some critical insights. In the beginning of our conversation, you indicated your unwillingness to lose the extra weight instantly. At this juncture, you might not be aware of the full benefits of reducing your extra weight (Presho, 2008).

It is vital for you to be aware that there are many people or clients who have undergone the same experience as yours. However, the decisions they have made after the motivational conversation are important. This is because these decisions dictate the manner in which most of these individuals or patients end up in life. You must categorically observe that it is completely upon you to choose whether this is the right course for you. My role is to purely provide necessary information regarding the conditions associated with excessive weight of your body.

There is an observable importance of cutting of extra weight (RCFPO, n.d). However, the most fundamental initiative is to be enlightened on the importance of losing weight (O’Donohue & Tolle, 2009). Indicatively, this is what we have just discussed about. Individual decisions remain critical and applicable within these situations. Ideally, this is what I would also advice you to undertake. Most persons who have suffered obesity or weight loss begin from this very stage that you presently are in. However, the start of positive developments is marked by the recognition of the basic reasons for losing their weight.

References

Bundy, C. (2004). Changing behavior: Using motivational interviewing techniques. Journal of the Royal Society of Medicine. 97(44), 43-47.

Carrier, J. (2009). Managing long term conditions and chronic illness in primary care: A guide to good practice. Melbourne: Routledge.

Chhajer, B. (2005). 201 Tips for Losing Weight. New Delhi: Fusion Books.

Isoldi, K. K. (2003). Woman’s day weight-loss plan: Lose weight, eat right, be fit, and feel great at every stage of life!. New York, NY: Filipacchi Pub.

Nall, R. (2012). Web.

O’Donohue, W., & Tolle, L. W. (2009). Behavioral approaches to chronic disease in adolescence: A guide to integrative care. Dordrecht: Springer.

Presho, M. (2008). Managing long term conditions: A social model for community practice. Chichester, U.K: Wiley-Blackwell.

RCFPO (Rudd Center for Food Policy and Obesity). (n.d.). Motivational Interviewing: Example Scripts. Web.

Snoddon, J. (2010). Case management of long-term conditions: Principles and practice for nurses. Chichester, West Sussex, U.K: Blackwell Pub.

Webb, L. (2011). Nursing: Communication skills in practice. Oxford: Oxford University Press.

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