Assignment: Experience with Motivational Interviewing
Assignment: Experience with Motivational Interviewing
Utilize at least two scholarly references per post. What did you learn from your experience with Motivational Interviewing this week that could help your peer better address the preventive guidelines for the women in the scenarios?
Scenario 1
In the first scenario, a 34-year-old woman is 36 weeks pregnant. She has one child and this is her second pregnancy. The patient is complaining of shortness of breath and swollen ankles. She associates having the flu with her coughing for several days. While talking, she is noticeably out of breath. Upon reviewing her chart, she has a history of hypertension. She reported stopping her blood pressure medications when she found out she was pregnant and admitted to seldomly taking her pills in general. She does not think it is a big deal. The purpose of this discussion is to apply the technique of motivational interviewing with the female in the scenario. Positively influencing her as an Advanced Practice Nurse (APRN) will be discussed and my experience with motivational interviewing will be described.
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During pregnancy, the diagnosis of hypertension will negatively affect the mother and her unborn baby if it is not appropriately controlled. De Chesnay and Anderson (2020), explains that a fatal condition called peripartum cardiomyopathy (PPCM), is heart failure that that arises in pregnancy. The woman can also be affected from the condition five months after pregnancy. It is possible that the patient in the scenario developed PPCM due to stopping her blood pressure medications, which should have been continued in order to manage and prevent exacerbation of the disease throughout her pregnancy. According to de Chesnay and Anderson (2020), a risk factor for PPCM is chronic hypertension that is left untreated.
While hypertension is a disorder that can appear during pregnancy, chronic hypertension is described as pre-existing hypertension that was previously diagnosed before 20 weeks of gestation. Pregnant women are monitored for hypertension during pregnancy due to the prevalence and impact on health (Braunthal & Brateanu, 2019). It is important for the patient to understand the effects and harms of untreated hypertension while pregnant, both to herself and her unborn child. As an APRN the severity of the situation will be brought to her attention. The goal of assisting her to make changes and therefore the right choice in adhering to her blood pressure medication, will be implemented through motivational interviewing. According to Li et al. (2020), motivational interviewing is a type of counseling that takes on a cooperative and patient centered approach with the goal of bringing about changes in behavior. This type of approach will be used as APRNs to positively affect the health of the patient.
Non-judgement and empathy along with other techniques are utilized by the healthcare professional or counselors during motivational interviewing. This generates an environment that will help patients to discover or realize variations between the objective and their existing behavior (Li et al., 2020). Motivational interviewing focuses on unearthing and resolving indecision, enhances perceived importance of change, and support patients to prepare and make change (Li et al., 2020). There are several benefits of using the technique of motivational interviewing. Pros of using this technique with the pregnant woman are supporting her in the decision process while empowering her to start taking her blood pressure medication, her health condition and symptoms will improve, and her health behavior will improve. The patient will also be allowed to set her own goal without being pressured to change (Hogden et al., 2012). Actively involving patients in treatment and decision making is positively connected to their goal (Li et al., 2020). Some disadvantages of using motivational interviewing with the patient are the time limit and the timely intervention that is needed for her situation. In addition, guidance and monitoring by a clinician is needed in her case (Hogden et al., 2012).
After learning about motivational interviewing, the technique was used with a coworker. It was very easy to engage her in the interview since she brought the concern to my attention. I was able to practice therapeutic listening, while asking questions that would get her to think about the reason to implement positive actions related to her diet. It was challenging because I had to hold off on my strong opinion of why she needed to change her eating habits. After all, continuing down the pathway of consuming unhealthy foods is obviously damaging to one’s health. However, the benefits of using this motivational interviewing with her allowed me to become more comfortable with the technique since it motivated her to make small changes at her own pace.
Scenario 2
Motivational interviewing is a type of interviewing used to help individuals resolve feelings and insecurities to find the internal motivation they need to make a positive change in their behavior (Hettema, Steel, and Miller, 2005). To have a positive impact on the health of the 26-year-old pregnant women in scenario 2 who is smoking and vaping, it will be important as a APRN to gain trust and rapport to positively affect her health. By using motivational interviewing, the APRN can help the patient decide what her long-term goals are, what her desires are, and help her find her motivation to be healthy for her baby.
Some disadvantages of using motivational interviewing with this patient is that outside influences may be stronger, and after she leaves the clinic returning to smoking and vaping will still be a habit especially if she is surrounded by people who smoke and vape. She also may not realize the urgency to stop smoking and vaping for her health and her baby’s health. Another disadvantage is if she has a motivational interview with someone who is not effective in counseling and leading her to make a positive change in her behavior (Edelman, 2018). Advantages of motivational interviewing is that it is a clinic visit that is noninvasive and can make positive impacts on patients lives by finding their inner motivation to make better health decisions after leaving the clinic. Many clinics found that using motivational interviewing, especially in substance abuse clinics, had better treatment program retention, increased participation in recover, higher post-program sobriety, and increased success in sobriety (Alyssa, 2019).
I trialed the techniques of motivational interviewing on my fiancé and at first, he was slow to answer and felt it was uncomfortable that I was repeating what he was saying and allowing him to lead the conversation. We discussed his habit of drinking red bull energy drinks. After a while, he became more comfortable with leading the conversation when I would give positive feedback on what he was saying showing that I was listening. It ultimately put the interview in his hands to problem solve health behaviors and came to conclusion that he does not need red bull, but it has become a habit and he realizes it is not good for his health. I can see the benefits of becoming more comfortable with this technique because it is a technique that incorporates great listening skills from the provider and allows the patient to have a voice rather than going to appointments and always feel like they are being lectured. I definitely like this approach rather than a lecture type approach.
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The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
