Table 3 Issues identified by nurses and corresponding intervention elements addressing issues
Issue identified by nurses | Intervention elements designed to address issues identified by nurse |
|---|---|
Helpful documentation can support implementation | • Documentation all written with the patient at the centre of care, eg sections included “What I want to achieve” and “How I want to achieve it”. • Plans and session summaries included patient priority areas, and a brief review of progress, emphasising achievements and changes made, as well as revised plans. PHQ-9 also included in documentation and shared with patient. |
Communication between providers is important | • Protocol for intervention included all plans and session summaries to be shared with patient, GP, and any other health professionals nominated by the patient. • Nurses to communicate with GPs via email after each session. • Any concerns raised with GP, and risk assessment supported by a risk assessment protocol. |
Nurses need practice and prompts to develop these skills. | • MI prompts included as questions on the documentation templates. • MI Pocket Guide developed as a brief summary and prompt for MI skills. • Manual for nurses to provide a range of examples of verbal and written responses in an MI-consistent way. |