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初级保健护士在健康促进实践中进行动机性访谈的体验。

Primary healthcare nurses' experiences with motivational interviewing in health promotion practice.

机构信息

Halland County Council, Falkenberg, Sweden.

出版信息

J Clin Nurs. 2011 Dec;20(23-24):3322-30. doi: 10.1111/j.1365-2702.2011.03874.x. Epub 2011 Oct 21.

DOI:10.1111/j.1365-2702.2011.03874.x
PMID:22017587
Abstract

AIM

The aim of the study was to describe primary healthcare nurses' experiences with motivational interviewing as a method for health promotion practice.

BACKGROUND

A person's lifestyle has a major effect on his or her health. Motivational interviewing is one way of working with lifestyle changes in health promotion practice. The basic plan of motivational interviewing is to help people understand their lifestyle problems and make positive lifestyle changes. Motivational interviewing has been proven to be more effective than conventional methods in increasing patient motivation.

DESIGN

This study has a descriptive design and uses a qualitative method.

METHODS

Twenty nurses who worked in primary health care and actively used motivational interviewing in their work were interviewed. Qualitative content analysis was used to process the data.

RESULTS

The primary healthcare nurses' experiences with motivational interviewing as a method of health promotion practice demonstrate that motivational interviewing is a demanding, enriching and useful method that promotes awareness and guidance in the care relationship. The results also show that motivational interviewing is a valuable tool for primary healthcare nurses' health promotion practice.

CONCLUSION

This study shows that motivational interviewing places several different demands on nurses who use this method. Those who work with motivational interviewing must make an effort to incorporate this new method to avoid falling back into the former practice of simply giving advice. Maintaining an open mind while implementing motivational interviewing in real healthcare settings is crucial for nurses to increase this method's effectiveness.

RELEVANCE TO CLINICAL PRACTICE

The nurses in the study had a positive experience with motivational interviewing, which can contribute to the increased use, adaption and development of motivational interviewing among primary healthcare professionals. Increased motivational interviewing knowledge and skills would also contribute to promotion of health lifestyle practices.

摘要

目的

本研究旨在描述初级保健护士在健康促进实践中使用动机访谈作为方法的经验。

背景

一个人的生活方式对他或她的健康有重大影响。动机访谈是健康促进实践中改变生活方式的一种方法。动机访谈的基本计划是帮助人们了解他们的生活方式问题并做出积极的生活方式改变。动机访谈已被证明比传统方法更能提高患者的积极性。

设计

本研究具有描述性设计,并使用定性方法。

方法

对 20 名在初级保健中工作并积极在工作中使用动机访谈的护士进行了访谈。使用定性内容分析来处理数据。

结果

初级保健护士在健康促进实践中使用动机访谈的经验表明,动机访谈是一种要求很高、丰富和有用的方法,它可以促进护理关系中的意识和指导。结果还表明,动机访谈是初级保健护士健康促进实践的一种有价值的工具。

结论

本研究表明,动机访谈对使用这种方法的护士提出了不同的要求。那些使用动机访谈的人必须努力将这种新方法融入其中,以避免重新陷入简单提供建议的旧做法。在实际医疗保健环境中实施动机访谈时保持开放的心态对于护士来说至关重要,这有助于提高这种方法的效果。

临床实践相关性

研究中的护士对动机访谈有积极的体验,这有助于增加初级保健专业人员对动机访谈的使用、适应和发展。增加动机访谈的知识和技能也将有助于促进健康生活方式的实践。

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