Training mental health nurses to provide motivational interviewing on an inpatient eating disorder unit

Abstract

This study examined whether: (1) brief training in motivational interviewing (MI) can prepare mental health nurses (MHNs) to provide MI to patients; and (2) this MI impacts on patients with respect to premature discharge. Six MHNs on an inpatient eating disorder unit were trained in MI, and their treatment adherence and competence were evaluated at post-training and 2-month follow-up. Premature discharge was examined by comparing a 3-month period in 2009 before MI administration with 2010 when MI was being administered. MHNs significantly improved their MI adherence and competence. Satisfaction with the training was high as was patient satisfaction with MI. Premature discharge rates significantly decreased. Brief training in MI is sufficient to significantly increase competency and adherence in the practice of MI by MHNs, which may in turn be effective in improving patients' treatment adherence by reducing premature discharge rates. Future research will need to utilize a randomized controlled design in order to further investigate these findings.

Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

“…MI has been shown to aid engagement in some mental health treatments (Dray et al . , Dean et al . ) and interventions for people with severe mental health problems (Barrowclough et al .…”

Effectiveness of Integrating Role Play with Didactic Lecture, Video Review, and Group Discussion in Enhancing Interview Skills of New Psychiatric Nurses

“…Furthermore, psychotic patients, owing to a lack of insight into their own conditions, tend not to comply with demands/requests from psychiatric nurses and refuse to cooperate. Lack of good interview skills among psychiatric nurses is associated with poor treatment adherence, lower patient engagement, and high premature discharge rates [2]. …”

The Perceptions of Registered Nurse to Bachelor of Science in Nursing Students of Motivational Interviewing

“…The use of simulation for video feedback instead of actual patient encounters could be seen as a weakness because it is a planned scenario and not reflective of the variations that actual interviews can take in practice (Nesbitt et al, 2014). Dray, Gilchrist, Singh, Cheesman, and Wade (2014) studied the feasibility and efficacy of MI training with Mental Health Nurses (MHNs) in an eating disorder clinic. The MHNs at the facility were invited to participate, and six of fourteen agreed to take part in the study.…”

“…MHNs were given readings, a workbook, and a DVD on MI. The training was completed on their own time, once they had completed the materials they were given a tenquestion multiple-choice quiz to evidence adequate knowledge to begin using MI with the patients (Dray et al, 2014). Chi-square was used to analyze the relapse rates and treatment adherence for the twelve months prior to MI use and the twelve months following the training (Dray et al, 2014).…”

“…A strength of this study was the use of a quiz to establish competence in MI after training was completed by the MHNs. A weakness was the very small number of MHNs participating (Dray et al, 2014). Jansink et al, 2013, Nesbitt, Murray, & Mensink, 2014, Ostlund, Kristofferzon, & Wadensten, 2015, Pfister-Minogue & Salverson, 2010.…”