Welch Joanne
J Contin Educ Nurs. 2014 Dec;45(12):566-72. doi: 10.3928/00220124-20141120-03.
The use of collaborative communication styles such as motivational interviewing promotes patient engagement, health literacy, self-management, and improved outcomes for individuals with chronic illness. Brief motivational interviewing is an adaptation developed for use with medical populations in time-limited encounters. Inpatient nurses caring for individuals with chronic diagnoses may lack knowledge regarding brief motivational interviewing. This evidence-based quality improvement project used an online approach to introduce continuing education regarding brief motivational interviewing within the constraints of the inpatient setting. Nurses on four units in a community hospital completed a web-based learning module in preparation for context-based skills training. A significant increase in knowledge scores, combined with strong positive attitudes prior to and following the module, indicated a reliable foundation for skills training within the practice setting. Nurses' enhanced ability to recognize the practice of motivational interviewing in scenarios following online education supported the potential value of a hybrid approach to education.
使用诸如动机性访谈等协作沟通方式可促进患者参与、健康素养、自我管理，并改善慢性病患者的治疗效果。简短动机性访谈是为在时间有限的医疗场景中与医疗人群使用而开发的一种改编形式。照顾慢性病患者的住院护士可能缺乏关于简短动机性访谈的知识。这个基于证据的质量改进项目采用在线方式，在住院环境的限制下引入关于简短动机性访谈的继续教育。一家社区医院四个科室的护士完成了一个基于网络的学习模块，为基于情境的技能培训做准备。知识得分显著提高，且在模块前后都有强烈的积极态度，这表明在实践环境中进行技能培训有可靠的基础。护士在在线教育后识别动机性访谈实践场景的能力增强，支持了混合教育方法的潜在价值。
