for educators and health professionals
Breaking the Cycle: Helping the ‘Stuck’ client/patient prepare for change - Solutions Focused approaches and motivational interviewing
Nurses must impact patient behaviours. Carrot or stick? As medical practioners do you persuade patients/clients through the use of (or threats of) sanctions - or influence through assistance, motivation, inspiration? Motivation is one of the most complex and fascinating aspects of human behaviour. How to motivate groups of or individual patients/clients is a question crucial to success.
Goal setting is the process of specifying what needs to be done, when and how to do it, and what the anticipated outcomes will be. Medical practitioners can play a vital role by directing patients/clients to set goals in certain key areas including behaviour.
Solutions Focus offers patients/clients a way of moving ahead instead of being trapped in the bear-trap of history or fears about an unknown future. Goal setting is a part of the overall process which also includes solution building questions.
Many practitioners believe that motivational interviewing (MI) can be effective in helping people make positive changes in their lives. It is a client centred technique which seeks to explore and resolve ambivalence.
This course aims to promote an understanding of Motivation, Goal setting and the Solutions Focused approach in order to help patients/clients to learn to take action. This can help demonstrate to patients/clients the amount of control they have over many segments in their lives. In addition participants will investigate aspects of Motivational Interviewing.
Objectives
At the conclusion of the seminar(s), participants should be able to:
- Outline the key reasons why goal setting does not always work
- Describe how Solutions Focused approach helps achieve a partnership with patients/clients
- Explain the key elements, principles and strategies in Motivational Interviewing
- Outline the basic factors in engaging clients in one-to-one interview situations
- Outline the stages of change
- Evaluate the client's readiness to change and ways to engage the reluctant client
Participants will be given the opportunity to consolidate their knowledge and practice a number of the early strategies employed in supporting individuals to make or maintain changes in behaviour
Outline of Programme
Participants could consider the following:
- How a medical practitioner can work alongside patients/clients, considering their views and respecting their informed decisions to arrive at a mutually agreed treatment plan.
- What are the problems in helping patients/clients set and adhere to goals?
- Priorities in goal setting: what the patient/client wants/what the nurse wants
- Identifying limitations, pruning and pushing forward
- I'm a person - not just a condition: motivating the patient/client to take ownership of their goals and stick to the plan
- If it ain’t broke - then don’t fix it - working with a solutions based approach
- Why do people change?
- What is motivational interviewing?
- Change and change talk | managing resistance | ambivalence and change | responding to resistance | Avoiding arguments | empathetic listening
- Using MI in group situations
- Conducting a review discussion - how to ensure that the patient feels supported
- How to have that difficult conversation - how to help patients/clients accept what they can and cannot change
