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Motivational Interviewing: Reconciling Recovery-Focused Care and Mental Health Nursing Practice.
Issues in Mental Health Nursing ( IF 1.7 ) Pub Date : 2020-05-18 , DOI: 10.1080/01612840.2020.1731891
Antony Mullen 1, 2 , Sophie Isobel 3 , Karen Flanagan 4 , Kylie Key 1 , Anna Dunbar 5 , Alison Bell 6 , Terry J Lewin 7
Affiliation  

Motivational interviewing (MI) is a long-established evidenced-based intervention aimed at guiding people to implement change. Originally developed by William Miller from the United States and Stephen Rollnick from the United Kingdom, a strong emphasis for MI is the underlying ‘spirit’, rather than merely the specific techniques within the model. The ‘spirit’ of MI consists of four key components: acceptance, partnership, evocation and compassion. These have direct overlap with concepts within the personal recovery model recognised as a critical framework in delivery of contemporary mental health services for consumers. Despite this recognition, recovery concepts have struggled to gain consistent traction, particularly within inpatient mental health units. This paper proposes that MI presents one strategy for integrating recovery-focused principles within routine mental health nursing (MHN) practice. An overview of MI and its relationship with recovery principles is discussed in the context of contemporary MHN practice. Evaluation results of a locally developed MI workshop for MHNs within a regional area of New South Wales (NSW) in Australia are presented to highlight the emerging evidence for this potential. Following the workshop, MHN participants showed key improvements in knowledge and confidence scores, as well as in understanding of key MI processes and strategies. The consolidation of these skills through training and a supervision framework is outlined.



中文翻译:

动机访谈:调和以恢复为重点的护理和心理健康护理实践。

动机访谈(MI)是一项由来已久的循证干预,旨在指导人们实施变革。MI最初由美国的William Miller和英国的Stephen Rollnick开发,对MI的强烈强调是潜在的“精神”,而不仅仅是模型中的特定技术。MI的“精神”由四个关键部分组成:接受,伙伴关系,激发和同情心。这些与个人康复模型中的概念直接重叠,后者被认为是为消费者提供现代心理健康服务的关键框架。尽管获得了这种认可,但康复的概念仍难以获得一致的牵引力,尤其是在住院的精神卫生部门。本文提出,心梗提出一种策略,以恢复为中心的原则纳入常规精神卫生护理(MHN)实践。在当代MHN实践的背景下,对MI及其与恢复原则的关系进行了概述。介绍了在澳大利亚新南威尔士州(NSW)区域内本地开发的MHN的MI研讨会的评估结果,以突出显示这种潜力的新兴证据。研讨会之后,MHN参与者展示了知识和信心得分以及对关键MI流程和策略的理解方面的关键改进。概述了通过培训和监督框架来巩固这些技能的方法。在当代MHN实践的背景下,对MI及其与恢复原则的关系进行了概述。介绍了在澳大利亚新南威尔士州(NSW)区域内本地开发的MHN的MI研讨会的评估结果,以突出显示这种潜力的新兴证据。研讨会之后,MHN参与者展示了知识和置信度得分以及对关键MI流程和策略的理解方面的关键改进。概述了通过培训和监督框架来巩固这些技能的方法。在当代MHN实践的背景下,对MI及其与恢复原则的关系进行了概述。介绍了在澳大利亚新南威尔士州(NSW)区域内本地开发的MHN的MI研讨会的评估结果,以突出显示这种潜力的新兴证据。研讨会之后,MHN参与者展示了知识和置信度得分以及对关键MI流程和策略的理解方面的关键改进。概述了通过培训和监督框架来巩固这些技能的方法。MHN参与者展示了知识和置信度得分以及对关键MI流程和策略的理解方面的关键改进。概述了通过培训和监督框架来巩固这些技能的方法。MHN参与者展示了知识和置信度得分以及对关键MI流程和策略的理解方面的关键改进。概述了通过培训和监督框架来巩固这些技能的方法。

更新日期:2020-05-18
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