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Training mental health nurses to provide motivational interviewing on an inpatient eating disorder unit
Author(s) -
Dray J.,
Gilchrist P.,
Singh D.,
Cheesman G.,
Wade T.D.
Publication year - 2014
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/jpm.12163
Subject(s) - motivational interviewing , competence (human resources) , medicine , mental health , interview , nursing , psychiatry , psychology , psychological intervention , social psychology , political science , law
Accessible summary Brief manualized training over a 4‐week period in motivational interviewing (MI) in conjunction with patient worksheets, session audio recordings and independent ratings of adherence and competence resulted in mental health nurses (MHNs) on an inpatient eating disorder ward significantly improving their MI adherence and competence. Despite the brevity of the training, MHNs' satisfaction with the training was high. When compared with a similar time period on the ward before MI training, premature discharge rates were significantly lower after MI was utilized by the nurses.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.