Motivational interviewing

Motivational interviewing

1. Theoretical model for change

   • 1. Pre-contemplation, 2. Contemplation, 3. Preparation, 4. Action, 5. Maintenance, 6. Relapse

2. What is it?

   • Directive, client-centred counselling style for increasing motivation for change. Help client to explor and resolve ambivalence

3. Important skills

   • Reflective listening
   • Build a collaboration
   • Open ended questions
   • Reinforce that the patient is in change of their own decisions and responsbility
   • Empathy

4. The nurse can

   • Promote a positive climate for change
   • Serve as a catalyst for change
   • Assist clients with various steps in the change process
   • Develop the clients capacity to initiate and maintain change

5. How to do it

   • Form rapport
   • provide feedback
   • Evoke personal meaning
   • Pros and cons
   • Enhance motivation - relate to personal life
   • Summarise
   • Reflect
   • Readiness ruler
   • Affirmation - what can I do to help?
   • Negotiate commitment