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Patients’ experiences of lifestyle discussions based on motivational interviewing: a qualitative study
Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Research, Development and Education, Halmstad, Sweden.ORCID-id: 0000-0002-7655-9439
Örebro universitet, Institutionen för hälsovetenskap och medicin.ORCID-id: 0000-0002-1991-1555
Department of Research, Development and Education, Varberg, Sweden.
School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
2014 (engelsk)Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 13, nr 13Artikkel i tidsskrift (Annet vitenskapelig) Published
Abstract [en]

According to World Health Organization about 75% of cardiovascular diseases and type 2 diabetes and 40% of all cases of cancer could be prevented if the risk factors tobacco use, unhealthy diets, physical inactivity and harmful use of alcohol could be eliminated. Patients often need help in monitoring themselves to make the proper lifestyle changes and it is important that adequate support is provided to enable the patients to take control over their health. Motivational interviewing is a framework that can help to facilitate this movement. The aim of this study was to describe how patients in primary health care settings experience lifestyle discussions based on motivationalinterviewing.

Methods This study has a descriptive design and qualitative content analysis was used as the method. Sixteen patients who had each visited a registered nurse for lifestyle discussions were interviewed.

Results The results show that the lifestyle discussions could enable self-determination in the process oflifestyle change but that certain conditions were required. Mutual interaction between the patient and the nurse that contributes to a sense of well-being in the patients was a necessary condition for the lifestyle discussion to be helpful. When the discussion resulted in a new way of thinking about lifestyle and when patient initiative was encouraged,the discussion could contribute to change. The patient’s free will to make a lifestyle change and the nurse’s sensitivity in the discussions created fertile soil for change.

Conclusions This study focuses on MI-based discussions, and the result shows that a subset of patients, who self reported that they are motivated and aware of their role in making lifestyle changes, appreciate these strategies. However, it is not known whether discussions would be experienced in the same way if RNs used another method or if patients who were less motivated, engaged, or aware of their role in making lifestyle changes were interviewed.

sted, utgiver, år, opplag, sider
2014. Vol. 13, nr 13
Emneord [en]
Content analysis, Lifestyle discussion, Motivational interviewing, Nurse, Patient experiences, Primary health care
HSV kategori
Forskningsprogram
Vårdvetenskap
Identifikatorer
URN: urn:nbn:se:oru:diva-35005DOI: 10.1186/1472-6955-13-13PubMedID: 24904235Scopus ID: 2-s2.0-84901830851OAI: oai:DiVA.org:oru-35005DiVA, id: diva2:716566
Tilgjengelig fra: 2014-05-11 Laget: 2014-05-11 Sist oppdatert: 2018-06-07bibliografisk kontrollert
Inngår i avhandling
1. Samtal som stöd för patienters livsstilförändringar: en viktig del av sjuksköterskans hälsofrämjande arbete
Åpne denne publikasjonen i ny fane eller vindu >>Samtal som stöd för patienters livsstilförändringar: en viktig del av sjuksköterskans hälsofrämjande arbete
2014 (svensk)Doktoravhandling, med artikler (Annet vitenskapelig)
sted, utgiver, år, opplag, sider
Örebro: Örebro universitet, 2014
Serie
Örebro Studies in Medicine, ISSN 1652-4063
HSV kategori
Forskningsprogram
Vårdvetenskap
Identifikatorer
urn:nbn:se:oru:diva-33934 (URN)
Disputas
2014-05-23, Hörsal P2, Prismahuset, Örebro universitet, Fakultetsgatan 1, 702 81 Örebro, 13:00
Opponent
Tilgjengelig fra: 2014-02-26 Laget: 2014-02-26 Sist oppdatert: 2021-03-04bibliografisk kontrollert

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