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Motivational Interviewing - Motiverande Samtal: En kvantitativ studie av MI-utbildade skolsköterskors användning av MI i sitt omvårdnadsarbete med gymnasieelever.
University of Skövde, School of Life Sciences.
University of Skövde, School of Life Sciences.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Motivational Interviewing - Motivational Talks : A quantitative study of MI-trained school nurses´use of MI in their nursing work with secondary school students. (English)
Abstract [sv]

MI (Motivational Interviewing) är en samtalsmetod som avser att förbereda individer för förändringar. Socialstyrelsen (2004) anger i sina riktlinjer att svensk skolhälsovård ska använda evidensbaserade metoder i det hälsopedagogiska arbetet. Fortlöpande utbildning i MI har genomförts de senaste åren. Skolsköterskan har en god inblick i skolelevers hälsoläge avseende ohälsosamma levnadsvanor, och har dessutom en möjlighet att påverka dessa. Syftet med studien är att undersöka skolsköterskors användning av MI i sitt omvårdnadsarbete med gymnasieelever. Som omvårdnadsteoretisk ram användes Dorothea Orems egenvårdsteori samt Aaron Antonovskys salutogena perspektiv.

Studien är en kvantitativ stickprovsundersökning. Enkätfrågorna omfattar skolsköterskors användning av MI i dagligt arbete, MI-teknikens grundprinciper samt eventuella behov av stöd och handledning för att vidmakthålla sina kunskaper i MI-tekniken.

Resultatet visar att skolsköterskor använder MI i sitt omvårdnadsarbete i stor utsträckning och att metoden anpassas för implementering i det dagliga arbetet. Majoriteten anser att MI-metoden fungerar bättre än traditionell rådgivning vid livsstilsförändringar. Begränsningar utgjordes dock av grundprincipen att uppmärksamma förändringsprat hos eleven, samt att det finns ett stort behov av handledning och stöd för att vidmakthålla MI-kunskaperna. I vidare forskning skulle det vara intressant att undersöka vilket stöd och handledning det finns behov av och hur stöd och handledning bör utformas.

Abstract [en]

MI (Motivational Interviewing) is a conversational approach designed to prepare individuals for changes. Social Board specifies in its guidelines to Swedish school health services that they should use evidence-based practices in the health pedagogic work. Continuous education in MI has been implemented in recent years. School nurses have a good insight into the school students´ health mode for unhealthy living habits, and they also have an opportunity to influence these. The purpose of the study is to examine school nurses´ use of MI in their nursing work with secondary school students. Dorothea Orem’s self-care theory and Aaron Antonovsky’s salutogenic perspective were used as a theoretical frame.

The study is a quantitative sampling. Survey questions covered the school nurses´ use of MI in daily work, MI-technique fundamentals, along with any need for assistance and guidance in order to maintain their skills in MI-technology.

The result shows that school nurses are using their nursing work extensively and that the method adapts for implementation in their daily work. The majority believes that the MI-method is working better than traditional advice at lifestyle changes. Limitations, however, consisted of the basic principle of paying attention to the students talk about change and that there is a great need for mentoring and support to maintain the knowledge of MI. In further research, it would be interesting to study support and what guidance is needed and how guidance should be designed.

 

 

 

 

Place, publisher, year, edition, pages
2011. , 43 p.
Keyword [en]
School nurse, MI, nursing, secondary school students, usability, implementation
Keyword [sv]
Skolsköterska, MI, omvårdnad, gymnasieelever, användbarhet, implementering
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-4963OAI: oai:DiVA.org:his-4963DiVA: diva2:421061
Subject / course
Nursing/Nursing Science
Educational program
School Nurse - Study Programme
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-09-27 Created: 2011-06-07 Last updated: 2011-09-27Bibliographically approved

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