Results
The lifestyle discussions between patient and RN required
certain conditions in order to be meaningful to
the patient and to lead to possible lifestyle changes. First,
mutual interaction was necessary in which the patients
felt that the RN was present and listened to them in a
genuine way. In addition, the patients themselves needed
a true desire to implement a lifestyle change in order
to succeed. Without this desire and without selfdetermination,
there are no good prospects for change.
The results also show that a successful lifestyle discussion
between patient and RN created a sense of well-being;
patients experienced support from the RNs and felt they
were not alone with their problems. The patients felt
satisfaction and motivation to manage a lifestyle change.
They felt confirmed when they were met with respect
instead of pointers. When the discussion resulted in a
new way of thinking about lifestyle, and when patients’
own initiatives were encouraged, the discussion could
contribute to change. The categories presume mutual
interaction, create a sense of well-being, and contribute
to change describe how patients in the primary-care
settings experienced lifestyle discussions in which the
RNs utilized MI. The overall theme is that the lifestyle
discussions enabled self-determination. The categories
and subcategories are presented below