Use of Motivational Interviewing Skills to Increase Diabetic Type 2 Compliance

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Identifier 2019_ Sturgis
Title Use of Motivational Interviewing Skills to Increase Diabetic Type 2 Compliance
Creator Sturgis, Gayle
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Diabetes Mellitus, Type 2; Motivational Interviewing; Mindfulness; Self-Management; Patient Compliance; Health Knowledge, Attitudes, Practice; Quality Improvement; Patient Outcome Assessment; Self Efficacy; Social Behavior; Social Responsibility
Description Diabetes is a chronic disease in which patients suffer from low compliance with medical advice. Healthcare professionals are able to motivate diabetes self-management adherence, but sometimes lack the knowledge and resources needed to apply evidenced-based approaches. In this quality improvement project, diabetes educators were taught a technique to increase the compliance of diabetes patients through motivational interviewing (MI). MI has been instrumental in improving HbA1c, weight, BMI, and compliance for diabetes patients; this quality improvement project applied the use of MI techniques to increase compliance for patients in a Utah Diabetes and Endocrinology Clinic (UDEC). This project used a 21-question pretest-posttest survey, pre-observation of the diabetes educators teaching style, two short in-services on the use of MI techniques and hours of shadowing the educators with feedback afterward to support improvement in utilizing the MI techniques. Individual and group feedback was given to the educators regarding MI techniques. The six-month intervention showed an improvement in perception by educators in using MI techniques. When comparing pretest against posttest results, several responses indicated a significant increase in nurse educator ability and confidence using MI. There were also improvements (p=0.04) in the HbA1c levels of patients seen by diabetic educators over the six-month duration of this project. This change was encouraging, however, could not be solely attributed to the efforts of this project. MI techniques have proved effective in other chronic diseases and are showing significant effectiveness in compliance for diabetes. This project was successful in teaching local diabetic educators to use MI as a method for encouraging diabetic patients to manage their disease. Suggested next steps would be to conduct extensive training in the MI technique for all the clinicians in the UDEC clinic and put these techniques into daily practice.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice, DNP
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2019
Type Text
Rights
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Language eng
ARK ark:/87278/s6gn2qnc
Setname ehsl_gradnu
ID 1427695
Reference URL https://collections.lib.utah.edu/ark:/87278/s6gn2qnc
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