J Korean Acad Psychiatr Ment Health Nurs.  2017 Dec;26(4):362-373. 10.12934/jkpmhn.2017.26.4.362.

Evaluation of Motivational Interviewing Training to Promote Client-centered Communication Competency for Nurses

Affiliations
  • 1Department of Nursing, Gachon University, Seongnam, Korea. illine@paran.com

Abstract

PURPOSE
Purpose of this study was to examine effects of Motivational Interviewing(MI) training for nurses.
METHODS
In this quasi-experimental study with before and after tests, evaluation of a 7-session workshop was done. Participants were 36 nurses enrolled in a graduate nursing program. They completed a questionnaire which included assessment of motivational interviewing skills as measured by Helpful Response Questionnaire (HRQ) and confidence (5 items) in using MI. Two coders independently and blinded rated the before and after HRQ self-reported responses. Data were analyzed using paired t-test, descriptive analysis.
RESULTS
The results showed increasing use of open-ended questions (score range of 0.94~2.67, p<.001), reflection (3.17~5.83, p<.001), and decreasing use of closed-ended questions (3.31~1.10, p<.001) and road blocks (4.79~2.63, p<.001), but did not show significant changes in confidence to use MI. Preferred training options, in order of priority, were DVD, written exercise, real play, role play and lecture.
CONCLUSION
Results of this study suggest the following: a) further research on developing and refining MI training programs as a leading strategy for actual increasing communication ability b) training trainers who can provide systematic feedback, supervision and evaluation c) developing standardized patients, clinical scenarios, training examples for clinical use in communication training.

Keyword

Motivational interviewing; Nurse; Evidence-based practice

MeSH Terms

Communication
Education
Evidence-Based Practice
Humans
Motivational Interviewing*
Non-Randomized Controlled Trials as Topic
Nursing
Organization and Administration

Cited by  1 articles

The Moderating Effect of Communication Competence in the Relationship between Emotional Labor and Job Stress in Nurses
Hee Jung Kim, Min Jeong Cho
Korean J Health Promot. 2022;22(3):143-152.    doi: 10.15384/kjhp.2022.22.3.143.


Reference

1. Lane C, Huws-Thomas M, Hood K, Rollnick S, Edwards K, Robling M. Measuring adaptations of motivational interviewing: the development and validation of the behavior change counseling index (BECCI). Patient Educ Couns. 2005; 56(2):166–173. DOI: 10.1016/j.pec.2004.01.003.
Article
2. Yoon JW, Park YS. Communication type related to job satisfaction of nurses in general hospital's emergency room. Keimyung J Nurs Sci. 2008; 12(1):1–12.
3. Kim HY, Kim JM, Lee MY. Development and its effect of empathy training program based on the cognitive behavior therapy for the student nurses. Cognitive Behav Ther Korea. 2016; 16(4):567–594.
4. Miller W, Rollnick S. Applications of motivational interviewing. Motivational interviewing: helping people change. New York: The Guilford Press;2013. p. 482.
5. Shin SK, Cho SH. Motivational interviewing easy to learn. Seoul: Hakjisa;2016. p. 446.
6. Bohman B, Forsberg L, Ghaderi A, Rasmussen F. An evaluation of training in motivational interviewing for nurses in child health services. Behav Cogn Psychother. 2013; 41(3):329–343. DOI: 10.1017/S1352465812000331.
Article
7. Childers JW, Bost JE, Kraemer KL, Cluss PA, Spagnoletti CL, Gonzaga AM, et al. Giving residents tools to talk about behavior change: a motivational interviewing curriculum description and evaluation. Patient Educ Couns. 2012; 89(2):281–287. DOI: 10.1016/j.pec.2012.08.001.
Article
8. Cole B, Clark DC, Seale JP, Shellenberger S, Lyme A, Johnson JA, et al. Reinventing the reel: an innovative approach to resident skill-building in motivational interviewing for brief intervention. Subst Abus. 2012; 33(3):278–281. DOI: 10.1080/08897077.2011.639696.
Article
9. Moyers TB, Manuel JK, Wilson PG, Hendrickson SM, Talcott W, Durand P. A randomized trial investigating training in motivational interviewing for behavioral health providers. Behav Cogn Psychother. 2008; 36(2):149–162. DOI: 10.1017/S1352465807004055.
Article
10. Simon P, Ward NL. An evaluation of training for lay providers in the use of motivational interviewing to promote academic achievement among urban youth. Adv Sch Ment Health Promot. 2014; 7(4):255–270. DOI: 10.1080/1754730X.2014.949062.
Article
11. Bell K, Cole BA. Improving medical students' success in promoting health behavior change: a curriculum evaluation. J Gen Intern Med. 2008; 23(9):1503–1506. DOI: 10.1007/s11606-008-0678-x.
Article
12. Martino S, Haeseler F, Belitsky R, Pantalon M, Fortin AH 4th. Teaching brief motivational interviewing to year three medical students. Med Educ. 2007; 41(2):160–167. DOI: 10.1111/j.1365-2929.2006.02673.x.
Article
13. Howard LM, Williams BA. A focused ethnography of baccalaureate nursing students who are using motivational interviewing. J Nurs Scholarsh. 2016; 48(5):472–481. DOI: 10.1111/jnu.12224.
Article
14. Nesbitt BJ, Murray DA, Mensink AR. Teaching motivational interviewing to nurse practitioner students: a pilot study. J Am Acad Nurse Pract. 2014; 26(3):131–135. DOI: 10.1002/2327-6924.12041.
Article
15. Black B, Lucarelli J, Ingman M, Briskey C. Changes in physical therapist students' self-efficacy for physical activity counseling following a motivational interviewing learning module. J Phys Ther Educ. 2016; 30(3):28–32.
Article
16. Cho YA, Kim KS. Effects of assertiveness training for ICU nurses. J Korean Clin Nurs Res. 2013; 19(2):255–264. DOI: 10.22650/JKCNR.2013.19.2.255.
17. Kim SJ, Yang JW. The effects of motivational interviewing training program on communication skills and self-efficacy of home visiting nurses. J Korean Public Health Nurs. 2016; 30(2):274–287. DOI: 10.5932/JKPHN.2016.30.2.274.
Article
18. Moyers T, Martin T, Manuel J, Miller W, Ernst D. Revised global scales: motivational interviewing treatment integrity 3.1.1 (MITI 3.1.1). Albuquerque, NM: University of New Mexico;2010. Unpublished manuscript.
19. Miller WR, Hedrick KE, Orlofsky DR. The helpful responses questionnaire: a procedure for measuring therapeutic empathy. J Clin Psychol. 1991; 47(3):444–448. DOI: 10.1002/1097-4679(199105)47:3<444::AID-JCLP2270470320>3.0.CO;2-U.
Article
20. Gordon T. Teacher effectiveness training. New York: PH Wyden;Crown;1974. p. 384.
21. Poirier MK, Clark MM, Cerhan JH, Pruthi S, Geda YE, Dale LC. Teaching motivational interviewing to first-year medical students to improve counseling skills in health behavior change. Mayo Clin Proc. 2004; 79(3):327–331. DOI: 10.4065/79.3.327.
Article
22. Miller WR, Moyers T. Eight stages in learning motivational interviewing. J Teach Addictions. 2006; 5(1):3–17. DOI: 10.1300/J188v05n01_02.
Article
23. Shin SK, Cho SH, editors. Motivational interviewing: Professional training. Miller DVD handbook. Seoul: Sigma Press;2009.
24. Lewis EK, Jennifer JA, Robert FM. Effect sizes for interpreting changes in health status. Med Care. 1989; 27:3 Suppl. S178–S189.
25. Handmaker NS, Hester RK, Delaney HD. Videotaped training in alcohol counseling for obstetric care practitioners: a randomized controlled trial. Obstet Gynecol. 1999; 93(2):213–218. DOI: 10.1016/S0029-7844(98)00377-9.
Article
26. Bohman B, Forsberg L, Ghaderi A, Rasmussen F. An evaluation of training in motivational interviewing for nurses in child health services. Behav Cogn Psychother. 2013; 41(3):329–343. DOI: 10.1017/S1352465812000331.
Article
27. Miller WR, Yahne CE, Moyers TB, Martinez J, Pirritano M. A randomized trial of methods to help clinicians learn motivational interviewing. J Consult Clin Psychol. 2004; 72(6):1050–1062. DOI: 10.1037/0022-006X.72.6.1050.
Article
28. Miller WR, Sorensen JL, Selzer JA, Brigham GS. Disseminating evidence-based practices in substance abuse treatment: a review with suggestions. J Subst Abuse Treat. 2006; 31(1):25–39. DOI: 10.1016/j.jsat.2006.03.005.
Article
29. Rollnick S, Kinnersley P, Butler C. Context bound communication skills training: development of a new method. Med Educ. 2002; 36(4):377–383. DOI: 10.1046/j.1365-2923.2002.01174.x.
30. Miller WR, Moyers TB, Arciniega L, Ernst D, Forcehimes A. Training, supervision and quality monitoring of the COMBINE study behavioral interventions. J Stud Alcohol Suppl. 2005; (15):188–195. DOI: 10.15288/jsas.2005.s15.188.
Article
Full Text Links
  • JKAPMHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr