Implementation of Motivational Interviewing in Practice

Implementation of Motivational Interviewing in practice
Background
In 2012 at Department of Nephrology an investigation among patients showed, that the patient’s did not experience acknowledgement during admission, though the nurses was educated in 'Motivational Interviewing'.

Objectives
To improve patient satisfaction during admission
To maintain and improve the nurses competencies in patient-centred communication.

Methods
Literature study
Breakthrough series method and Plan Do Study Act circles.
Training by Mooney and Brinkerhoff (development of nurses competences)
Pre - focus group interviews with the nurses.
Implementation process in 3 phases
- Preparation
- Implementation (4 selected keypersons)
- Follow-up

Result
The four selected keypersons aroused curiosity and motivation for a patient-centred admission interview. The nurses experienced the interaction with the patient became more dynamic. Data collection during admission was qualified by the patient perspective.
The patient satisfaction increased after the implementation of this project

Conclusion/ Implications for practice
In order to make the admission interview a priority, one nurse is now responsible for patient admission during daytime. To support the patient-centred interviewing approach, a room at the ward is now dedicated for admission interviews.

There will be a Follow-up focus group interviewing with the four keypersons.
The patient-centres approach can be transferred to other aspects of nursing such as patient discharge and patient communication in general.