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Simulating Health Promotion in an Online Environment

Enhance nursing students' skills in promoting healthy behavior changes using Motivational Interviewing in an online course setting. Interactive chat room exercises increase application of MI techniques, leading to confident patient interactions. Students find this method meaningful and impactful. Recommendations include longer sessions and face-to-face options.

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Simulating Health Promotion in an Online Environment

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  1. Simulating Health Promotion in an Online Environment Elizabeth M. Rash PhD, ARNP, FNP-C Assistant Professor School of Nursing

  2. Problem • Assessing student application of learning can be a challenge in an Online environment

  3. Setting • Graduate level fully web based Nursing Health Promotion course • 35-45 students per semester • Offered all semesters • Mix of student program tracks: • NPs • Ned • CNS

  4. Objective • At the completion of this course students will increase their ability to assist clients with healthy lifestyle behavior changes

  5. Traditional Online Tools • Student led topical discussion boards • Quizzes and Exams • Written independent and group assignments

  6. Innovational Tool • Use of the online chat room for application of interpersonal communication skills • Motivational Interviewing

  7. Motivational interviewing (MI) • Developed by Miller and Rollnick (2002) for addictions counseling behavior change • Now emerging as a primary care skill for health promotion

  8. MI • Spirit • Patient centered • Empathetic and caring • Skills • Reflective listening • Development of discrepancy • Guidance beyond ambivalence • Rolling with resistance

  9. MI • Case Examples

  10. Chat Room MI Exercise • Students self-select small groups of 3 • Students sign up for 3 (min. 30 minute) chat room sessions with their group members • Students role play and rotate roles • Patient • Health care provider • Peer reviewer

  11. Chat Room MI Exercise • Students submit self-reflections of sessions and peer review forms • Students are assessed on their completion of the assignment and their application of MI techniques and/or awareness of MI technique deficits

  12. Outcome • Students commented that this was one of the most meaningful assignments they had during their program • They relayed examples of using MI outside of the classroom with their patients and also with their family members • They expressed a sense that they had greater confidence in their abilities to assist patients with behavior changes

  13. Recommendations • Students recommended that the sessions be longer • Students recommended that an option for this exercise to be face to face be offered

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