Date of Award
Doctor of Nursing Practice Final Manuscript
Doctor of Nursing Practice
Kathy James, DNSc, APRN
Objective: This evidence-based practice project piloted a team-based program using Motivational Interviewing (MI) and 5 A’s (Assess, Advise, Ask, Assist, and Arrange) to promote healthy behavior and reduce blood pressure at an on-site corporate primary care clinic.
Methods: Patients were counseled using MI and the 5 A’s techniques. Patients received an educational booklet and monthly telephone follow up. Patients returned to clinic 3 months afterwards. Data collected included Dietary Screener Questionnaire scores, blood pressure, and self-rating of concern and motivation.
Results: A total of 4 people participated with variable follow-up. Readiness for change remained stable and confidence scores remained stable or increased. One patient decreased daily amount of fatty, salty and sugary foods, but also of desirable food. In 3 of the 4 patients, blood pressure readings improved or remained the same.
Conclusion and Implications: Use of Motivational Interviewing may contribute to a patient friendly environment to encourage healthy behavior.
Digital USD Citation
Lu, Tammy C.; James, Kathy S.; and Wolfgang, Laura, "Effects of Hypertension Education and Motivation Interviewing by Staff on Patients' Activation" (2017). Doctor of Nursing Practice Final Manuscripts. 45.
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