wk 13 discussion

As an APRN, how could you positively affect the health of the woman in the scenario you chose?As the above teenager expresses her concern that she might have contracted a sexually transmitted infection signifies her request for help and the willingness for changed behavior. Miller & Moyers (2017), reports that motivational interviewing (MI) is a person-centered communication style to enhance a person’s motivation for a change or behavioral action. MI involves using the art of conversation to meet people’s desires for change and encourage them to achieve their desired goals. As an advanced nurse practitioner, I will use the MI techniques in helping the patient make the needed change and encourage that patient to sustain the change learned in self-motivation techniques.APRN must adopt the right heart-set in communicating with the teenager and avoid judgmental statements that can impede change or progress. I would encourage using the following four concepts: i)partnership so the patient can feel safe and comfortable to discuss error in engaging unsafe sex practices; ii) respect and autonomy for the teenager’s unique perspective on safe sex practices; iii) compassion by focusing on the patient well-being, and iv) evocation to activate a safe sexual practice. Evocation draws on the patient’s strengths and ideas for moving forward (Brookmeyer al 2016; Rollnick et al. 2008). I will encourage the patient to practice safe sex by using condoms, evaluate patient’s HPV vaccination status, and promote the importance of these vaccines.• What would be the pros and cons of utilizing the technique of Motivational Interviewing with the woman in the scenario?MI provides four core micro skill which are the advantages for advancing a changed behavior, and these are; Open-ended questions, Affirmation, i.e., support and appreciation of good practice; Reflection, i.e., reflective listening and; Summarize which helps connects thoughts values and beliefs that the patient may or may not be aware of doing (Miller & Moyer 2017). A summary can also be affirming if used from a positive perspective. One of the negatives side or cons of MI is that the patient has to be ready to participate in the process. MI is ineffective is the patient is defiant and unwilling to engage in the process. Another disadvantage is that MI is not a brief process; it consumes more time elaborating on the techniques and coping mechanisms so the patient can make a safer choice and be well informed. Some consultation times are shorter to keep the pace of the clinic schedule and prolong waiting times should be avoided.• Trial the techniques you have read about over the previous few weeks related to Motivational Interviewing with a coworker, family, or friend. What was this experience like? Do you see benefits to becoming more comfortable with this technique? Why or why not?I utilize MI concepts most of the time in the clinic when evaluation my clients, and I found it very helpful and beneficial to the clients. Changing behavior is one of the most challenging things to do either for ourselves or in motivating others. Using motivation interviewing techniques helps identify a focus to engage patients in making healthier decisions for their lives. I utilize MI when interacting with my teenagers, and I noticed positive behavioral outcomes I expected. MI has also been successful for team building with my coworkers because it helps build confidence and enhance collaborative team efforts.SummaryProviders play a significant role in assisting patients in making a safer choice in practicing safe behavior. Affirming patient’s positive values can help increase confidence and hope in making right and safer practices. APRNs must assess the patient’s readiness to maximize the benefits of MI so that patients can follow through with the treatment and process for practicing safe sex habits in the future (Riermeijer, 2018). APRNs can promote the demonstration of MI techniques for a positive outcome, and these are acceptance, collaboration, evocation, and planning. Utilizing these concepts can gently guide the patient toward developing internal motivations and learning external skills with which to maintain safer sex practices.ReferencesBrookmeyer, K. A., Hogben, M., & Kinsey, J. (2016). The Role of Behavioral Counseling in Sexually Transmitted Disease Prevention Program Settings. Sexually transmitted diseases, 43(2 Suppl 1), S102–S112. https://doi.org/10.1097/OLQ.0000000000000327Miller, W. R., & Moyers, T. B. (2017). Motivational interviewing and the clinical science of Carl Rogers. Journal of Consulting and Clinical Psychology, 85(8), 757–766. https://doi.org/10.1037/ccp0000179Riermeijer, K. (2018). Prevention of sexually transmitted infections. Retrieved from: https://www.uptodate.com/contents/prevention-of-sexually-transmitted-infections?search=sti%27s&source=Rollnick, S., Miller, W. R., & Butler, C. (2008). Motivational interviewing in health care: helping patients change behavior. Guilford Press.