222418 Motivational Interviewing education leading to a social justice learning outcome

Monday, November 8, 2010 : 12:50 PM - 1:10 PM

Kathlynn Northrup-Snyder, PhD, RN, CNS , Community Health Concepts, Dallas, OR
Yupawan Thongtanunam, BNS, MNS, PhD c , School of Nursing, Oregon Health Sciences University, Portland, OR
Background: Social justice concepts of advocacy, collaboration, and equality are important components in health communication when the goal is to facilitate change by understanding behavior choices. Motivational Interviewing (MI) is a guiding communication style that has demonstrated significant impact in trials on patient change moving beyond traditional advice giving. Evoking change talk, honoring autonomy and collaboration are MI cornerstones. Various health care providers use MI in clinical practice, yet the fit for nursing needs to be assessed. Researchers of MI communication are moving toward a theory of MI to support best practice in training, therefore, exploring MI training techniques is a necessary step. This qualitative study focused on exploring the perceptions and understanding of RN students about MI and assessed learning differences between online or face to face MI education. Methods: This retrospective study analyzed online discussion forums and reflective assignments in hybrid and fully online courses conducted from Fall 2005 – Spring 2008. Students are post-licensure nurses returning for their baccalaureate degree. Results: Analysis demonstrates levels of MI proficiency in online and face to face sessions. Qualitative themes reflect the perceptions of the RN on the use of MI in practice and the social justice themes inherent in the MI spirit. For example: “During interactions with older immigrants I learned about their health by just listening. I used reflection, affirmation, and summarizing, and, at the time, advice giving. I knew they had heard my information many times before, but I felt that it was my professional duty to "educate" them again and again. Now I know I would try to elicit solutions from the clients themselves.” “Open ended questions and reflective statements are great tools for assessments, I felt my patients could confide in me more …I had patients complain about an ailment saying, ‘I waited to tell you because you listen better and will do something about it.'" Conclusions: MI has potential as a component within nursing communication competencies. Beyond the impact of MI on behavior change, it provides a practical application of social justice for individual and population based practices.

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Communication and informatics
Diversity and culture
Public health or related education
Public health or related nursing

Learning Objectives:
By the end of this presentation, attendees will able to: 1) Compare the benefits of teaching Motivational Interviewing concepts online or face to face. 2) Evaluate the social justice elements demonstrated when nurses learn Motivational Interviewing.

Keywords: Nursing Education, Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I teach & research Motivational Interviewing in a variety of settings including as a faculty member in a School of Nursing and consultant in practice. As a Community Health CNS, I have the background and clinical experience to apply social justice concepts in nursing.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Community Health Concepts Health Promotion Consultant

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.