Nursing education in motivational interviewing: Working with vulnerable populations

IF 2.5 Q2 NURSING

Teaching and Learning in Nursing Pub Date : 2026-10-01 Epub Date: 2026-08-13 DOI:10.1016/j.teln.2026.07.020

Bethany Murray PhD, RN, PMHCNS-BC

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引用次数: 0

Abstract

Background

Motivational interviewing (MI) is shown to strengthen a client’s commitment to changing health-related behaviors, but Registered Nurse (RN) education has not traditionally included MI training.

Methods

This project examined prelicensure RN students’ confidence in MI methods while engaging with vulnerable clients in an outpatient psychiatric/mental health clinical environment. RN students implemented three MI sessions with two client groups: adults with intellectual or developmental disabilities (ID/DD) and adults with primary psychiatric or substance use disorders (P/SUD). Students were evaluated for confidence in MI skills before and after the 12-week clinical experience.

Results

Students demonstrated significant improvements in MI skills by the end of 12 weeks. Students who worked with ID/DD clients improved more in empathy and relationship-building; students assigned to clients with P/SUD improved more in on goal setting and client skill development.

Conclusions

This study suggests a need for educators to teach that MI is a flexible intervention to address individual client needs. Including MI practice opportunities in clinical education is effective in teaching students how to implement MI for health behavior change.

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动机性访谈中的护理教育：与弱势群体合作

背景动机性访谈（MI）被证明可以加强来访者对改变健康相关行为的承诺，但注册护士（RN）教育传统上不包括MI培训。方法本项目考察了注册护士预科生在门诊精神病学/心理健康临床环境中与弱势客户接触时对MI方法的信心。注册护士的学生与两组客户进行了三次MI会话：智力或发育障碍（ID/DD）的成年人和原发性精神或物质使用障碍（P/SUD）的成年人。在为期12周的临床体验之前和之后，评估学生对MI技能的信心。结果在12周结束时，学生表现出显著的MI技能提高。与ID/DD客户一起工作的学生在移情和建立关系方面提高更多；被分配给患有P/SUD的客户的学生在目标设定和客户技能发展方面提高更多。结论：本研究表明，教育工作者需要教导人们，心肌梗死是一种灵活的干预措施，可以满足患者的个人需求。在临床教育中加入MI实践机会，可以有效地教授学生如何实施MI以改变健康行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Teaching and Learning in Nursing NURSING-

CiteScore

2.60

自引率

10.50%

发文量

119

审稿时长

37 days

期刊介绍： Teaching and Learning in Nursing is the Official Journal of the National Organization of Associate Degree Nursing. The journal is dedicated to the advancement of Associate Degree Nursing education and practice, and promotes collaboration in charting the future of health care education and delivery. Topics include: - Managing Different Learning Styles - New Faculty Mentoring - Legal Issues - Research - Legislative Issues - Instructional Design Strategies - Leadership, Management Roles - Unique Funding for Programs and Faculty