No abstract

Objective This article explores the training and counselling experiences of 20 nurses, aiming to identify key elements in the process of learning and applying motivational interviewing (MI) counselling skills with adherence to protocols. Setting/method The nurses were recruited from 10 primary health care units in Östergötland, Sweden. The study was carried out after the nurses had been practicing MI counselling in daily clinical work for about a year. Data were collected by means of semi-structured interviews, based on an interview guide, which contained questions on factors that past research has identifi ed as important for effective training in and practicing of MI. Results The interviews revealed several key factors for successfully learning and applying MI. Extensive training and close integration of training and practice were seen as crucial aspects to effective learning of MI skills. A barrier to satisfactory learning of the MI counselling skills was the diffi culty of adjusting to the new way of thinking required when practicing this technique, since it contrasted with the authoritarian expert approach that the nurses were used to. Another diffi culty was

The aim of this study was to identify barriers and facilitators to nurses' application of motivational interviewing (MI) to counselling overweight and obese children aged 5 and 7 years, accompanied by their parents. Ten welfare centre and school health service nurses trained and practiced MI for 6 months, then participated in focus group interviews concerning their experiences with applying MI to counselling overweight and obese children. Important barriers were nurses' lack of recognition that overweight and obesity among children constitute a health problem, problem ambivalence among nurses who felt that children's weight might be a problem although there was no immediate motivation to do anything and parents who the nurses believed were unmotivated to deal with their children's weight problem. Facilitators included nurses' recognition of the advantages of MI, parents who were cooperative and aware of the health problem and working with obese children rather than those who were overweight.

Tinnitus handicap scores decrease to a greater extent following brief MI than following SP. Future research on the value of incorporating MI into audiological rehabilitation using randomized controlled designs is required.

There are several factors to take into consideration in the implementation of MI in pharmacies.