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Doody's Review ServiceReviewer: Jennifer L Bodine, ADN, BA, MHA, MSN (pending)(Sentara Leigh Hospital)
Description: This book explains the importance of maintaining a patient-centered relationship in all aspects of healthcare through motivational interviewing. A significant number of disease-specific case studies help illustrate how to perform motivational interviewing in different scenarios.
Purpose: The purpose is to outline the nurse's role, through motivational interviewing, in helping patients to make behavioral changes to support better health. Given the drive for healthcare to become more patient-centered, this book is needed. The author meets the objectives, clearly describing the steps of motivational interviewing and how they can be implemented in practice.
Audience: Although the book is intended for nurses regardless of their specialty, it is questionable whether motivational interviewing can be used in all settings. There may be situations when an inadequate amount of time is allotted for the nurse to be able to help the patient achieve "change talk." The author has experience with the diabetic population and has worked in the psychiatric setting where motivational interviewing has proven to be successful.
Features: The book covers the benefits of motivational interviewing through therapeutic communication. It gives step-by-step instructions on how to perform motivational interviewing as well as expected barriers and how to overcome them. It gives numerous examples using case studies involving different disease processes. The best part of the book is the use of case studies to demonstrate both effective and ineffective communication with a patient who has a specific problem. This provides reinforcement of the basic steps of motivational interviewing as well as how to have a therapeutic conversation with a patient. I tried to use this is in the emergency department, but time is limited and this is definitely a technique that requires the nurse to be 100% present with the patient for the entire conversation. This can be difficult with the distractions of some healthcare settings.
Assessment: This interesting book encourages a more patient-centered environment. It is definitely helpful in showing nurses the importance of allowing patients to make their own decisions based on their own values and life situations. The author embraces the holistic nature of nursing by reinforcing the idea that there is more to a patient than a disease.