communication and motivational interviewing(essentials final)

communication

process by which communication is exchanged between individuals through a commonsystem of symbols, signs, or behavior

examples of effective communication

trust, respect, collaboration

successful teamwork

open communication

clear direction

respectful atmosphere

shared responsibility

barriers in teamwork

personal values and expectations

personality differences

hierarchy

disruptive behavior

differences in professional routnies

application of CRM

design of systems to absorb errors through redundancy, standardization and checklists

movement from placing blame to designing safe processes and prodcedures, applying a systems approach

interprofessional communication

introduce yourself

respect and assertion

purpose

concise

offer your expertise

listen

SBAR

situation:what’s going on

background: what is the clinical background

assessment:what do i think is the problem

recommendation:what needs to happen

contemplation

thinking about it, ambvialent about change

preparation

decision

action

changing

maintenance

try to prevent relapse

relapse

trying not to be demoralized by the relapse

pre contemplation

not really thinking about the change now

contemplation ladder

pre contemplation

contemplation

preparation

action

maintenance

collaboration

honors patient’s views

don;t try and convince or coerce the patient

evocation

ask about the patient perceptiona and knowledge

draw our resources, strengths, reasons for change, patient motivation

autonomy

patient’s right and capacity to choose

express empathy

use reflective listening

no judgement or critism

develop discrepancies

help patients recognize discrepancies between current behavior and their values and long term goals

rolls with resistance

if you argue for change, you may move the patient further away from maming that chnage

the patient has to drive the change not the clincian

support self efficacy

note patient strengths, affirm their sucess in making other similar changes

self managment

timely, specific, achievable, measureable

don’t prescribe goals

doument goals and follow up

five early methods

open ended questions

reflective listening

affirming

summarizing

mathods for evoking change talk