Interview Techniques A complete health history requires the utilization of interviewing techniques that can be beneficial to elicit a patient response. First, the practitioner needs adequate preparation. Ideally, a review of the patient’s medical record for pertinent information prior to entering the room is acceptable. The information gleaned from the medical record can include but not limited to the patient’s primary language, clinical record and overall goals for the interview. An appropriate introduction, after which environmental comfort for the patient assessed. The need to provide culturally relevant and spiritual care is also important. Depending on the level of expertise and comfort of the advanced practice nurse, taking notes during…show more content… Echoing encourages the patient to provide more details, which is helpful for the practitioner to discern if the patient has perceived barriers and a support system. Clarification of what the patient states allows the practitioner to not only reassure the patient but builds a therapeutic relationship. The relationship is a partnership between the practitioner and the patient but the patient needs empowerment. Through sharing power techniques, the patient becomes empowered. Sharing power “ evokes the patient’s perspective, conveys interest, flows the patient’s lead, elicit and validate emotional content, shares with the patient, makes the clinical reasoning of the practitioner transparent to the patient and shows the limits of the practitioner’s knowledge”, (Bickley, 2017, pg. 73). This interviewing technique gives the practitioner an opportunity for insight into any social, emotional, physical or economic barriers to health for the patient. This technique shows the patient’s responsibility to follow any recommended advice that the practitioner may give. Throughout the interview, the advance practice nurse should be aware of his or her own body language. This non-verbal communication is apparent in both the practitioner and the patient. The practitioner pays close attention to the patient’s “eye contact, facial expression, posture, arms and leg placement,…show more content… A closer examination of the patient’s perspective happens when the practitioner addresses the following concerns:
• “patient feelings, fears or concerns”
• “patient ideas about the nature of the problem”
• “the effect of the problem on the patient’s function”
• “patient expectation of the disease”
(Bickley, 2017, pg. 78). This critique assures that the practitioner has addressed any emotional clues. The practitioner when clarifying the patient’s perspective can do another critique of effectiveness. When the patient present with a symptom there characteristic words the practitioner can use for clarification. These characteristics are “onset, location, duration, character, aggravating/alleviating, radiation and timing” (Bickley, 2017, pg. 79). This critique addresses the accuracy of the history. Through motivational interviewing, the effectiveness of the health history is able to account for adherence. The advanced practiced nurse “engages the patient to express the pros and cons of given behaviors” (Bickely, 2017, pg. 81). The ability to analyze the health history consistently provides the practitioner the opportunity to examine the findings and its relevance to the patient’s care. A critique is a clear evaluation of the health history assessment. As the interviewing process closes, assurance for final questions by the patient answered.