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House Call Episode 4: Breaking Down Barriers to Change

presented by Amanda Fay, MSN, RN and Tonya Miller, PT, DPT, PhD

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Disclosure Statement:

Financial: Amanda Fay receives compensation from MedBridge for this course. She has no other financial interests.

Nonfinancial: Amanda Fay is an employee of Visiting Nurse and Hospice for Vermont and New Hampshire.

Financial: Tonya Miller receives compensation from MedBridge for the production of this course. She is the owner of TYM Coaching. There are no other relevant financial relationships.

Nonfinancial: Tonya Miller has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Podcast Runtime: 14 Minutes; Learning Assessment: 2 Minutes

Recognizing friction when working with a patient allows the clinician to gain insight into potential barriers to change. By recognizing this friction, the clinician creates an opportunity to facilitate moving toward positive health behavior outcomes. In this course, we explore ways to recognize friction in the health behavior change process during a home health visit. We examine the difference in patient outcomes when a clinician does not recognize friction in the change process versus when the clinician recognizes that friction. We will also see what it looks like when a clinician facilitates moving toward positive health behavior outcomes through strategies such as the pulling change method. At the end of the podcast, the listener will understand how to recognize barriers to change and employ strategies to overcome the friction in the change process.

Meet Your Instructors

Amanda Fay, MSN, RN

Amanda Fay is a clinical education and evidence-based practice educator, MSN, and RN with more than 21 years of nursing and education experience. She is an innovator with a passion for creating engaging, relevant programs that support individuals reaching their highest potential in both personal and professional domains. In Amanda's current role as a clinical…

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Tonya Miller, PT, DPT, PhD

Tonya Miller is a national speaker and founder of TYM Coaching. With more than 25 years of executive leadership experience and a PhD in leadership studies, Tonya combines real-world experience with academic expertise. From coaching frontline healthcare providers to educating others in her leadership academy, Tonya uniquely tailors her leadership coaching and educational programs to…

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Chapters & Learning Objectives

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1. Breaking Down Barriers to Change

In this podcast, we will hear an example of a typical home health visit. During the visit, a nurse is providing education to a patient regarding oxygen safety and is attempting to facilitate a health behavior change. In the first scenario, the nurse struggles to understand the barriers to change and increases the patient’s resistance to health behavior changes. In the second scenario, the nurse recognizes the friction and employs the pulling change method to support the patient in positive health behavior changes.

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