چکیده (انگلیسی):

Background:Motivational interviewing is a collaborative conversational style intended to strengthen motivation to
change. It has been shown to be effective in addressing many different lifestyle problems as well as in chronic
disease management, and many disease prevention guidelines promote use of motivational interviewing. The aim
of the present study was twofold: to assess to what extent the primary care nurses in the study perform
motivational interviewing according to the Motivational Interviewing Treatment Integrity Code and to investigate
how the participating primary care nurses rated their own performance in motivational interviewing.
Method:The study was based on twelve primary care nurses’ audio-recorded motivational interviewing sessions
with patients (total 32 sessions). After each session, the nurses completed a questionnaire regarding their experience
of their own performance in motivational interviewing. The audio-recorded sessions were analyzed using Motivational
Interviewing Integrity Code 3.1.1.
Results:None of the nurses achieved beginning proficiency in all parts of any motivational interviewing sessions and
two nurses did not achieve beginning proficiency in any parts or sessions. Making more complex than simple
reflections was the specific verbal behavior/summary score that most nurses achieved. Beginning proficiency/
competency in“percent open questions”was the summary score that fewest achieved.
Conclusion:Primary care nurses did not achieve beginning proficiency/competency in all aspects of motivational
interviewing in their recorded sessions with patients, where lifestyle change was discussed. This indicates a need for
improvement and thus additional training, feedback and supervision in clinical practice with motivational interviewing.