Verdeflor, Paulo Juan. Utilizing motivational interviewing to encourage opioid use disorder treatment adherence in a detox and rehab facility. Retrieved from https://doi.org/doi:10.7282/t3-apzx-9z49
DescriptionPurpose of Project: The project’s overall goal was to improve nurses’ attitudes towards, knowledge of, and use of Motivational Interviewing when working with patients in an in-patient detox and rehab facility.
Methodology: This was a practice change project designed to educate and encourage nurses to use Motivational Interviewing when caring for patients with Opioid Use Disorder. The setting was in an in-patient detox and rehab facility located in New Jersey. Inclusion criteria included nurses (nurse practitioners, registered nurses, licensed practical nurses) over the age of 18 who worked full time, part time, or per diem in the facility. A pre- and post- intervention survey (MIKAT) was administered to assess the participants attitudes towards and knowledge of Motivational Interviewing, as well as their experience, and use of Motivational Interviewing, and perceived barriers of incorporating motivational interviewing into practice.
Results: Overall, MIKAT (attitude and knowledge) scores improved from pre-test to post-test. The average score on the pre-test true-false question response was 8 (sd = 2.31); this increased to an average score of 9.5 (sd = 2.38) on the post-test MIKAT. Use of motivational interviewing in practice increased for some participants and not others. Lack of time was identified as the main barrier for incorporation of motivational interviewing into practice.
Implications for Practice: The results of this practice change project contribute to understanding of how to nest educate and encourage nurses to incorporate motivational interviewing into clinical practice. Motivating patients regarding treatment indications, benefits, adverse effects of opioid use, and risks of non-adherence to treatment can impact patients' outcomes.