lnu.sePublications
4546474849505148 of 83
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Hälsofrämjande arbete med MI som metod: Distriktssköterskors erfarenheter inom primärvården
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Health promotion work with MI as a method : District nures´ experiences in Primary health care (English)
Abstract [sv]

Bakgrund: Behovet av förändrade levnadsvanor är stort i dagens samhälle. Ett av distriktssköterskans arbetsområden är att arbeta hälsofrämjande genom att möta, stödja, hjälpa, råda, vårda, förebygga samt behandla i livets olika skeden. En metod som möjliggör detta arbete och som används inom primärvården vid hälsofrämjande arbete är motiverande samtal (MI).

Syfte: Syftet med studien var att belysa distriktssköterskors erfarenheter av att använda motiverande samtal (MI) som metod i sitt hälsofrämjande arbete inom primärvården.

Metod: En kvalitativ design med induktiv ansats användes som metod. Datainsamlingen genomfördes med tolv semistrukturerade intervjuer. Data analyserades med manifest innehållsanalys.

Resultat: Analysen resulterade i tre kategorier. MI-metodens utmaningar, där distriktssköterskorna beskrev att metoden underlättade deras arbete. De beskrev att MI-metoden lyfte fram patientens egna resurser och skapade delaktighet. Patientens motivation hade stor betydelse för den hälsofrämjande förändringen. Det professionella förhållningssättet hos distriktssköterskan, där distriktssköterskorna beskrev vikten av att vara öppen, närvarande och ödmjuk genom att de lyssnade aktivt på patienten för att få kännedom om dennes situation. Förutsättningar för att använda MI-metoden i verksamheten, där det framkom att distriktssköterskor hade behov av repetition och mer utbildning i MI-metoden samt att det fanns behov av stöd från organisationen i användandet av MI-metoden.

Slutsats: MI-metoden används framgångsrikt av distriktssköterskor och skapar stora möjligheter att motivera patienter till förändringar. Studien påvisar även att det finns behov för uppföljning av utbildning samt återkoppling mellan kollegor.

Abstract [en]

Background: The need for changing living habits is very common in today's society. One of the district nurses' work areas is health promotion through meeting, supporting, helping, advising, cherishing, preventing and treating the different stages of life. A method that enables this work and which is used in primary health care for health promotion is Motivational Interviewing (MI).

Aim: The purpose of the study was to highlight district nurses' experiences of using Motivational Interviewing (MI) as a method in their health promotion work in Primary health care.

Method: A qualitative design with inductive approach was used as a method. The data collection was conducted with twelve semi-structured interviews. Data was analyzed with manifest content analysis.

Results: The analysis resulted in three categories. The MI- method's Challenges, where district nurses described that the method facilitated their work. They described that the MI-method highlighted the patient's own resources and created participation. The patient's motivation was of great importance to the health-promoting change. The professional approach of the district nurse , where district nurses described the importance of being open, present and humble by actively listening to the patient to get to know their situation. Preconditions for using the MI method in the business, where it was found that district nurses needed repetition and more training in the MI method and that there was a need for support from the organization in the use of the MI method.

Conclusion: The MI method is used successfully by district nurses and creates great opportunities to motivate patients for change. The study also shows that there is a need for follow-up of education and feedback between colleagues.

Place, publisher, year, edition, pages
2018. , p. 37
Keywords [en]
District Nurse, experiences, health promotion, Motivational Interviewing, Primary care
Keywords [sv]
Distriktssköterska, hälsofrämjande arbete, motiverande samtal, primärvård, erfarenheter
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-78932OAI: oai:DiVA.org:lnu-78932DiVA, id: diva2:1265080
Subject / course
Health care science
Educational program
Specialist Nursing Programme, with Specialism in Primary Health Care, 75 credits
Supervisors
Examiners
Available from: 2018-11-26 Created: 2018-11-22 Last updated: 2018-11-26Bibliographically approved

Open Access in DiVA

fulltext(760 kB)1 downloads
File information
File name FULLTEXT01.pdfFile size 760 kBChecksum SHA-512
07111f16e2e09fe71230d256fcbf8e22c30e1d6f18f409db785565d131d99a6472ea5fcea00f56c6ddc132d0ac2fdb01b2c27c803cf9caf1099c0699b3c65a23
Type fulltextMimetype application/pdf

By organisation
Department of Health and Caring Sciences
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 1 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 10 hits
4546474849505148 of 83
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf