Motivational interviewing: Review Table 8-4 from Chapter 8 in

Hamric et al. (2014). Discuss motivational interviewing

principles and how this technique may improve patient
outcomes. Describe briefly how this may differ from a bedside
nurse interaction with the patient, or physician interaction, or
would it differ it at all? How would implementing these
principles impact teaching, guiding, and coaching your
patient? Please cite one additional resource to support your
position.

Motivational interview (MI) is a counseling method to resolve ambivalent feelings and

insecurities of a patient and motivating them. It is an approach that aims to engage client's
intrinsic motivation to change their behavior. It is base on client-centered directive method
for enhancing internal motivation.
Principles of MI:
• Express and show empathy towards clients.
-The coaches can develop rapport with the patients by expressing empathy.
• Support and develop discrepancy
The coaches should make the client understand the gap between behavior and goals. This
will help them to differentiate between changing behavior and goals.
• Deal with Resistance
The coaches should change their discussion when the client becomes resistant to a
particular view, by working with the client to view and examine different viewpoints and
give them a chance to select the viewpoint, which suits the client.
• Developing Autonomy
Coaches explain to the clients the willpower for change should come within oneself and
explains that it is the responsibility of the client to bring that will power to change.
• Support Self Sufficiency
The previous strengths of the patients are discussed, making them remember of what they
were capable of doing before and increase the client’s belief that they can change.
Motivational interviewing (MI) principles are used effectively in public health, primary
care and in heath promotion to support lifestyle change. It complements well with the other
treatments and is a scientifically tested method of counseling clients. It is mainly based on
client’s inherent resources rather than on the extrinsic problem solving. The technique did
much more than merely giving simple advice. The positive aspect of MI is change talk,
which is recognition of action towards achievable goal which client considers it as a
significant outcome. It helps in deviating the negative perspectives of the client towards
confidence and motivation. It is much different than health education, which has a sole aim
of merely giving health information on a specific topic. But in this case the clients
permission need to be sought before the coaches could make suggestions, as the health
providers prefer the clients to find solutions for themselves.
It is quiet differ from physician-patient interaction because:
- Improve adherence with behavioral change
- Prepare individual for further specific therapy.

MOTIVATIONAL INTERVIEWING IMPACT ON TEACHING, GUIDING AND

COACHING THE PATIENT: The systemic provision of education and supportive
interventions is to increase patients skills and confidence in managing their health
problems, including regular assessment of progress and problems, goal setting and problem
solving support. The importance of implementing interventions as intended has increased
pressure for instructional support providers. Coaching has emerged to support the
successful deployment of evidence-based interventions. Coaching models can be compared
and contrasted by the skills required to complete their daily activities. This guidance helps
them to increase their confidence with which the supervisor helps to approach the changing
process.