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Related Concept Videos

Types of Reports I: Hands-off Report01:25

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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
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Implementation is the execution of the nursing care plan developed during the planning phase.
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Monitoring Motivational Interviewing Strategies: Creating Provider and Client Reports to Encourage Implementation.

Anthony Coetzer-Liversage1, L A R Stein1,2,3,4, Coral L Shuster1

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This study introduces simpler Youth and Provider Logs to monitor motivational interviewing (MI) quality in at-risk youth programs. These tools aid in tracking MI fidelity, enhancing service delivery.

Keywords:
MI integrityMotivational interviewingat risk youthsubstance use

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Area of Science:

  • Psychology
  • Clinical Practice
  • Implementation Science

Background:

  • Motivational interviewing (MI) is an evidence-based practice effective for at-risk youth.
  • Current MI integrity measures are resource-intensive, limiting their use in practice.
  • Simpler tools are needed to promote attention to MI quality during implementation.

Purpose of the Study:

  • To validate the Youth and Provider Logs as methods for monitoring MI use.
  • To assess the feasibility of these measures in real-world settings.

Main Methods:

  • Clients and providers reported on MI-consistent and inconsistent behaviors.
  • Factor analyses examined the structure of the measures.
  • Validity was assessed through correlations with other relevant outcomes.

Main Results:

  • Both logs demonstrated a clear 3-factor structure (MI-consistent, MI-inconsistent, alcohol topics).
  • Youth Logs correlated with youth-reported rapport and satisfaction.
  • Provider MI-inconsistent scores predicted lower observer fidelity over time.

Conclusions:

  • Youth and Provider Logs offer a simpler, less resource-intensive method for tracking MI.
  • These measures can encourage improved MI fidelity in practice settings.
  • The validated logs support enhanced quality of care for at-risk youth.