The Accreditation to CB's engaged certifying products, process, and services is a procedure by which an iso 17065 accreditation body gives formal recognition of technical competence for specific products, processes, and services based on third party conformity assessment. Like other International certification, the standard ISO/IEC 17065 Documentation is a primary requirement that conforming to the requirements of the Conformity Assessment of certifying bodies.
Clinical research methodology involves understanding different study types and choosing the appropriate one to investigate research questions. The main types are observational (cross-sectional, case-control) and interventional (cohort, randomized controlled trial). Observational studies can show associations but not causation due to limitations like bias and confounding. Interventional studies like randomized controlled trials can establish causation by minimizing biases through randomization and blinding. Well-designed clinical trials systematically plan the hypothesis, participants, interventions, outcomes, sample size, controls, analysis and interpretation of results to accurately assess interventions.
ISO 62304: Defines processes that are required in any given SDLC to ensure that it compiles with the creation or maintenance medical device software
Andy Stopford has over 16 years experience leading teams to deliver pioneering software solutions that enable business goals to be achieved. With experience drawn from the e-commerce, financial, insurance, banking and healthcare sectors he is committed to creating quality software that adheres to best practices and delivers solutions that are robust and help clients achieve business goals.
Andy is a software engineer by trade and is a published book author and keen writer with 200 magazine and journal articles over his career. He has a great depth and breadth of knowledge in a variety of technologies and is passionate about all things software engineering.
Andy leads the HAVAS HEALTH SOFTWARE team of software engineers to develop solutions that focus on the best possible outcome for the end user that ensure the business needs are met.
@andystopford
This document provides an overview of implementing an ISO 9001 quality management system in 7 steps: 1) Prepare by appointing a management representative and understanding ISO 9001. 2) Create awareness by training employees and management. 3) Plan by setting a timeline, usually 4-6 months. 4) Identify processes through a gap analysis and process flows. 5) Create documentation like a quality manual, procedures, and records. 6) Audit by selecting and training internal auditors to conduct two audits. 7) Certify by selecting a certification agency and preparing for stage 1 and 2 audits to gain certification. Following this process can help organizations build and improve their quality system and reap benefits like reduced costs, improved efficiency, and
This document provides an overview of the timeline and key changes between ISO/IEC Guide 65 and the new standard ISO/IEC 17065 for product, process, and service certification bodies. Some of the main changes discussed include more detailed definitions, separating the selection and determination functions, improved descriptions of evaluation resources and processes, and aligning the management system requirements with ISO standards. The presentation aims to support a harmonized transition to the new ISO/IEC 17065 standard for conformity assessment bodies and other interested parties.
The document discusses the basics of ISO 9001 quality management systems. It describes the Plan-Do-Check-Act (PDCA) cycle, also known as the Deming cycle or Shewhart cycle. PDCA involves planning improvements, implementing them, checking results, and acting to make further adjustments. The document also discusses the relationship between quality management and customer satisfaction, defining key terms like quality management systems, processes, ISO 9000, and ISO 9001. It explains that ISO 9001 defines requirements for a quality management system to meet customer and regulatory requirements.
The Accreditation to CB's engaged certifying products, process, and services is a procedure by which an iso 17065 accreditation body gives formal recognition of technical competence for specific products, processes, and services based on third party conformity assessment. Like other International certification, the standard ISO/IEC 17065 Documentation is a primary requirement that conforming to the requirements of the Conformity Assessment of certifying bodies.
Clinical research methodology involves understanding different study types and choosing the appropriate one to investigate research questions. The main types are observational (cross-sectional, case-control) and interventional (cohort, randomized controlled trial). Observational studies can show associations but not causation due to limitations like bias and confounding. Interventional studies like randomized controlled trials can establish causation by minimizing biases through randomization and blinding. Well-designed clinical trials systematically plan the hypothesis, participants, interventions, outcomes, sample size, controls, analysis and interpretation of results to accurately assess interventions.
ISO 62304: Defines processes that are required in any given SDLC to ensure that it compiles with the creation or maintenance medical device software
Andy Stopford has over 16 years experience leading teams to deliver pioneering software solutions that enable business goals to be achieved. With experience drawn from the e-commerce, financial, insurance, banking and healthcare sectors he is committed to creating quality software that adheres to best practices and delivers solutions that are robust and help clients achieve business goals.
Andy is a software engineer by trade and is a published book author and keen writer with 200 magazine and journal articles over his career. He has a great depth and breadth of knowledge in a variety of technologies and is passionate about all things software engineering.
Andy leads the HAVAS HEALTH SOFTWARE team of software engineers to develop solutions that focus on the best possible outcome for the end user that ensure the business needs are met.
@andystopford
This document provides an overview of implementing an ISO 9001 quality management system in 7 steps: 1) Prepare by appointing a management representative and understanding ISO 9001. 2) Create awareness by training employees and management. 3) Plan by setting a timeline, usually 4-6 months. 4) Identify processes through a gap analysis and process flows. 5) Create documentation like a quality manual, procedures, and records. 6) Audit by selecting and training internal auditors to conduct two audits. 7) Certify by selecting a certification agency and preparing for stage 1 and 2 audits to gain certification. Following this process can help organizations build and improve their quality system and reap benefits like reduced costs, improved efficiency, and
This document provides an overview of the timeline and key changes between ISO/IEC Guide 65 and the new standard ISO/IEC 17065 for product, process, and service certification bodies. Some of the main changes discussed include more detailed definitions, separating the selection and determination functions, improved descriptions of evaluation resources and processes, and aligning the management system requirements with ISO standards. The presentation aims to support a harmonized transition to the new ISO/IEC 17065 standard for conformity assessment bodies and other interested parties.
The document discusses the basics of ISO 9001 quality management systems. It describes the Plan-Do-Check-Act (PDCA) cycle, also known as the Deming cycle or Shewhart cycle. PDCA involves planning improvements, implementing them, checking results, and acting to make further adjustments. The document also discusses the relationship between quality management and customer satisfaction, defining key terms like quality management systems, processes, ISO 9000, and ISO 9001. It explains that ISO 9001 defines requirements for a quality management system to meet customer and regulatory requirements.
ISO 9001 merupakan standart untuk sistem manajemen mutu, pada bulan september tahun 2015 telah keluar untuk revisi standart sistem manajemen mutu (ISO 9001) dengan versi terbaru 2015.
Sistem manajemen mutu sebelumnya yaitu ISO 9001:2008 yang keluar pada tahun 2008. selama 6 tahun telah terjadi proses revisi dengan hasil ISO 9001 versi 2015 ini.
berikut terkait dengan persyaratan-persyaratan yang ada didalam ISO 9001:2015
Significant changes are underway that impact the quality and regulatory systems of medical device companies and their suppliers. ISO 13485:2016 adds new requirements to address risk management and to better align the standard with global regulatory requirements (FDA, MDD, JPAL, etc.). With the release of ISO 9001:2015, the ISO 9001 and ISO 13485 standards are no longer integrated. A new single audit MDSAP program will be in effect beginning 2017 that incorporates applicable FDA, Canadian, Brazilian, Australian and Japanese quality system requirements into the annual ISO 13485 audit cycle. The presentation will provide an overview of these changes and the steps required to incorporate these changes into existing quality management systems.
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
The ISO 19011:2018 presentation provides guidance on Auditing Management Systems, including the principles of auditing, managing an audit programme and conducting management system audits, as well as guidance on the evaluation of competence of individuals involved in the audit process. These activities include the individual(s) managing the audit programme, auditors and audit teams.
The ISO 19011:2018 guidelines was published in July 2018 in response to global demand for guidance on combined management system audits. It is applicable to all organizations that need to plan and conduct internal or external audits of management systems or manage an audit program.
This presentation material may be used to train internal auditors on the systematic process for auditing management systems (e.g. ISO 9001, ISO 14001, ISO 45001, etc.).
LEARNING OBJECTIVES
1. Provide background knowledge of the ISO 19011:2018 standard
2. Gain an overview of the ISO 19011:2018 structure and familiarize with the principles of auditing
3. Acquire knowledge on how to manage and conduct an audit based on the ISO 19011:2018 standard
4. Understand the competency requirements and the evaluation of auditors
CONTENTS
1. Introduction to ISO 19011:2018
2. Principles of Auditing
3. Managing an Audit Program
4. Conducting an Audit
5. Competence & Evaluation of Auditors
To downoad this complete presentation, visit: https://www.oeconsulting.com.sg
This document is an audit checklist for ISO 9001:2008 used by Universiti Malaysia Sabah. It contains questions to evaluate whether the organization has established, documented, implemented and maintained a quality management system that meets the requirements of ISO 9001. Specifically, it addresses requirements for the quality management system, documentation, management responsibility, resource management, product realization, and purchasing processes. The checklist contains over 40 questions organized by ISO 9001 clause to determine compliance with the standard.
The International Organization for Standardization (ISO) is the world's largest developer and publisher of international standards. ISO is a network of 163 national standards bodies and has a secretariat in Geneva, Switzerland. ISO forms a bridge between the public and private sectors to coordinate the development of voluntary international standards. ISO standards like ISO 9000 for quality management systems and ISO 14001 for environmental management systems provide requirements for organizations to enhance processes, customer satisfaction, and continual improvement. The ISO standards development process involves six stages from an initial proposal through committee review, approval, and final publication.
Research Methodology - Case control studyRizwan S A
This document discusses case control studies, an observational study design that compares individuals with a disease or condition (cases) to individuals without the disease or condition (controls) to determine associations between exposures and disease outcomes. It provides an overview of key elements of case control studies, including the selection and matching of cases and controls, measurement of exposure, analysis using odds ratios, potential biases, advantages and disadvantages compared to cohort studies, and examples of case control studies conducted.
ISO 10000 Series interrelations As per ISO 10001Reza Seifollahy
Customer Satisfaction ISO 10000 series standards, ISO 10001:2018, ISO 10002:2018, ISO 10003:2018, ISO 10004:2018 standards, focused on code of conduct, complaints and dispute management and monitoring and measurement of customer satisfaction. in these slides we show the four standards interrelations.
The document summarizes changes between the 2003 and 2016 versions of ISO 13485, which provides requirements for quality management systems for organizations involved in the design and manufacture of medical devices. Some key changes include new requirements for risk management, supplier controls, feedback and verification/validation. The 2016 version also clarifies concepts, adds new definitions, and includes additional documentation requirements for areas like design and development and purchasing processes.
This document outlines the objectives, contents, and concepts of an internal quality audit course. The course aims to train prospective internal quality auditors on quality management system auditing principles and practices. The contents will cover topics like quality management systems, audit planning, conduction, reporting, corrective action, and follow-up. It will provide concepts on quality, auditing techniques, and the requirements of ISO standards. The document also provides examples of management responsibility principles, customer focus, quality policies, objectives, management reviews, monitoring of processes, analysis of data, and continual improvement.
"Pasienten som sin egen terapeut" (Foredrag ved Einar Lunga, 2012)Einar Lunga
Fra brukermedvirkning og brukerstyring til pasienten som sin egen behandler: Pasienten som terapeut: Betydningen av endoklinisk kompetanse. Hva er autoterapi eller egenterapi? Hvordan bidrar terapeuten til pasientens fungering som egenterapeut
Helsefremmende veiledning gjennom motiverende samtaleNina Sletteland
Helsefremmende satsningsområder er blant annet å reorientere helsetjenesten til større fokus mot helsefremming og forebygging. Motiverende samtale er en metodisk tilnærming til helsefremmende veiledningssamtaler med pasienter og andre som har behov for endring i sine livsvaner. Her presenteres Motiverende samtale i lys av Folkehelsesatsningen.
Om den krevende kunsten å lytte (Foredrag ved Einar Lunga, 2012)Einar Lunga
Hva er det å lytte? Hvordan lytter vi til hverdags? Hva slags rolle spiller lytting i mellommenneskelig samspill? Hva slags rolle har lytting i psykologisk behandling?Hvordan lærer vi å lytte og å bli bedre til å lytte?
ISO 9001 merupakan standart untuk sistem manajemen mutu, pada bulan september tahun 2015 telah keluar untuk revisi standart sistem manajemen mutu (ISO 9001) dengan versi terbaru 2015.
Sistem manajemen mutu sebelumnya yaitu ISO 9001:2008 yang keluar pada tahun 2008. selama 6 tahun telah terjadi proses revisi dengan hasil ISO 9001 versi 2015 ini.
berikut terkait dengan persyaratan-persyaratan yang ada didalam ISO 9001:2015
Significant changes are underway that impact the quality and regulatory systems of medical device companies and their suppliers. ISO 13485:2016 adds new requirements to address risk management and to better align the standard with global regulatory requirements (FDA, MDD, JPAL, etc.). With the release of ISO 9001:2015, the ISO 9001 and ISO 13485 standards are no longer integrated. A new single audit MDSAP program will be in effect beginning 2017 that incorporates applicable FDA, Canadian, Brazilian, Australian and Japanese quality system requirements into the annual ISO 13485 audit cycle. The presentation will provide an overview of these changes and the steps required to incorporate these changes into existing quality management systems.
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
The ISO 19011:2018 presentation provides guidance on Auditing Management Systems, including the principles of auditing, managing an audit programme and conducting management system audits, as well as guidance on the evaluation of competence of individuals involved in the audit process. These activities include the individual(s) managing the audit programme, auditors and audit teams.
The ISO 19011:2018 guidelines was published in July 2018 in response to global demand for guidance on combined management system audits. It is applicable to all organizations that need to plan and conduct internal or external audits of management systems or manage an audit program.
This presentation material may be used to train internal auditors on the systematic process for auditing management systems (e.g. ISO 9001, ISO 14001, ISO 45001, etc.).
LEARNING OBJECTIVES
1. Provide background knowledge of the ISO 19011:2018 standard
2. Gain an overview of the ISO 19011:2018 structure and familiarize with the principles of auditing
3. Acquire knowledge on how to manage and conduct an audit based on the ISO 19011:2018 standard
4. Understand the competency requirements and the evaluation of auditors
CONTENTS
1. Introduction to ISO 19011:2018
2. Principles of Auditing
3. Managing an Audit Program
4. Conducting an Audit
5. Competence & Evaluation of Auditors
To downoad this complete presentation, visit: https://www.oeconsulting.com.sg
This document is an audit checklist for ISO 9001:2008 used by Universiti Malaysia Sabah. It contains questions to evaluate whether the organization has established, documented, implemented and maintained a quality management system that meets the requirements of ISO 9001. Specifically, it addresses requirements for the quality management system, documentation, management responsibility, resource management, product realization, and purchasing processes. The checklist contains over 40 questions organized by ISO 9001 clause to determine compliance with the standard.
The International Organization for Standardization (ISO) is the world's largest developer and publisher of international standards. ISO is a network of 163 national standards bodies and has a secretariat in Geneva, Switzerland. ISO forms a bridge between the public and private sectors to coordinate the development of voluntary international standards. ISO standards like ISO 9000 for quality management systems and ISO 14001 for environmental management systems provide requirements for organizations to enhance processes, customer satisfaction, and continual improvement. The ISO standards development process involves six stages from an initial proposal through committee review, approval, and final publication.
Research Methodology - Case control studyRizwan S A
This document discusses case control studies, an observational study design that compares individuals with a disease or condition (cases) to individuals without the disease or condition (controls) to determine associations between exposures and disease outcomes. It provides an overview of key elements of case control studies, including the selection and matching of cases and controls, measurement of exposure, analysis using odds ratios, potential biases, advantages and disadvantages compared to cohort studies, and examples of case control studies conducted.
ISO 10000 Series interrelations As per ISO 10001Reza Seifollahy
Customer Satisfaction ISO 10000 series standards, ISO 10001:2018, ISO 10002:2018, ISO 10003:2018, ISO 10004:2018 standards, focused on code of conduct, complaints and dispute management and monitoring and measurement of customer satisfaction. in these slides we show the four standards interrelations.
The document summarizes changes between the 2003 and 2016 versions of ISO 13485, which provides requirements for quality management systems for organizations involved in the design and manufacture of medical devices. Some key changes include new requirements for risk management, supplier controls, feedback and verification/validation. The 2016 version also clarifies concepts, adds new definitions, and includes additional documentation requirements for areas like design and development and purchasing processes.
This document outlines the objectives, contents, and concepts of an internal quality audit course. The course aims to train prospective internal quality auditors on quality management system auditing principles and practices. The contents will cover topics like quality management systems, audit planning, conduction, reporting, corrective action, and follow-up. It will provide concepts on quality, auditing techniques, and the requirements of ISO standards. The document also provides examples of management responsibility principles, customer focus, quality policies, objectives, management reviews, monitoring of processes, analysis of data, and continual improvement.
"Pasienten som sin egen terapeut" (Foredrag ved Einar Lunga, 2012)Einar Lunga
Fra brukermedvirkning og brukerstyring til pasienten som sin egen behandler: Pasienten som terapeut: Betydningen av endoklinisk kompetanse. Hva er autoterapi eller egenterapi? Hvordan bidrar terapeuten til pasientens fungering som egenterapeut
Helsefremmende veiledning gjennom motiverende samtaleNina Sletteland
Helsefremmende satsningsområder er blant annet å reorientere helsetjenesten til større fokus mot helsefremming og forebygging. Motiverende samtale er en metodisk tilnærming til helsefremmende veiledningssamtaler med pasienter og andre som har behov for endring i sine livsvaner. Her presenteres Motiverende samtale i lys av Folkehelsesatsningen.
Om den krevende kunsten å lytte (Foredrag ved Einar Lunga, 2012)Einar Lunga
Hva er det å lytte? Hvordan lytter vi til hverdags? Hva slags rolle spiller lytting i mellommenneskelig samspill? Hva slags rolle har lytting i psykologisk behandling?Hvordan lærer vi å lytte og å bli bedre til å lytte?
11 spørsmål og svar om norsk psykiatri i et pasientperspektivIngeborg Senneset
Foredrag, 90 minutter, for Norsk Psykologforening, St. Olavs, og Linjeforeningen for sykologistudenter ved NTNU Dragvoll.
Basert på utvalgte innsendte spørsmål om pasientperspektiv på psykiatrien fra psykologforeningens leder.
Introkurset er et tilbud som ca 90% av våre søkere starter med, før de eventuelt går videre i 1:1 terapi eller med veiledet selvhjelp. Kurset består av 4 samlinger a 2 timer.
2. Mål
Gi en kort innføring i hva motiverende intervju er
Hvorfor og hvordan MI kan brukes i en akuttavdeling
Grunnleggende praktiske ferdigheter i bruk av
motiverende intervju
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
4. ROP veileder
Anbefaling #13
Når en person som er i kontakt med hjelpeapparatet har psykiske
problemer, MÅ RUSMIDDELBRUK KARTLEGGES
Anbefaling #78
Psykisk helsevern SKAL HA kompetanse til å behandle pasienter
med kombinasjonen alvorlig psykisk lidelse og alle typer ruslidelser
Anbefaling #49
Det BØR tilbys behandling som kombinerer kognitiv terapi og
motiverende intervju til alle pasienter som har behov for det
Anbefaling #67
Motiverende intervju BØR tas i bruk for å samtale om bruk av
rusmidler på en kvalifisert måte
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
5. Vår målgruppe
Forekomst av ROP lidelser i akuttavdelinger: 20 – 47 %
Ved en alvorlig psykisk lidelse ligger hovedansvaret
for behandling hos psykisk helsevern
Ved mindre alvorlige ruslidelser/psykiske lidelser
avhenger behandlingen av den dominerende lidelsen
Kasteballer
6. Vårt ansvar
Kartlegging av ruslidelse
AUDIT/DUDIT & AUDIT-E/DUDIT-E
Diagnostisk utredning
Generell kunnskap om ROP lidelser
Tilbud om behandling av alvorlig psykisk lidelse, og alle
typer ruslidelser
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
9. Motiverende intervju
Motiverende intervju er en klientsentrert, målrettet
metode som gjennom å utforske og løse opp
ambivalens bygger opp den indre motivasjonen for
endring
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
10. Stil og holdninger
Utforskende stil
Samarbeidende stil
Respekt for pasientens autonomi
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
12. Grunnprinsipper MI
EDRAS
Empatisk lytting
Fokus på diskrepans og endringsfokuserte ytringer
”Rulle med motstand”
Akseptere ambivalens
Styrk mestringsforsøk
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
13. Empatisk lytting
Opprinnelig ønske om å forstå pasienten
Støttende relasjon
Aktiv lytting
Oppnås gjennom bruk av;
Åpne spørsmål
Oppsummeringer
Refleksjoner
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
14. Diskrepans
= Mangel på overensstemmelse
Et misforhold mellom nåværende og ønsket situasjon
Tre måter diskrepans opplevelse takles
Forandre på virkeligheten (vår atferd)
Forandre vår tolkning av virkeligheten
Ignorere, fortrenge eller fornekte virkeligheten
Motivasjon for endring
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
15. Rulle med motstand
Samspillsfenomen
Motstand skapes i relasjonen
Uvilje mot behandlingen
Motivasjon og motstand: Speilbilder
Unngå korrigering og konfrontering!
Rull med
Aksept og forståelse
Forebygg motstand
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
16. Ambivalens
= Parallelle eller motstridende følelser
Tre fokus for ambivalens
Til problemet
Til endringen
Til ikke-endring
Aksepter og utforsk ambivalens
Unngå argumentasjon eller overtalelse
Fordel/ulempeskjema
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
17. Styrk mestringsforsøk
Støtte og forsterke sterke sider
Vise optimisme og håp
Catch them being good!
Finn alltid minst en ting man kan støtte pasienten i
Opplevd mestringstro
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
21. Åpne (og lukkede) spørsmål
Hva? Hvordan? Hvorfor? På hvilken måte?
Setter personen i sentrum
Inviterer til utdypning av opplevelser, tanker, osv..
Skaper grunner for forandring
Lukkede spørsmål kan brukes til å utdype konkrete
tema
Sokratisk utspørring?
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
22. Øvelse åpne spørsmål
Gå sammen med sidemann. En er rådgiver, en forteller. Spør etter malen under:
-
Nå vil jeg snakke med deg om dette med frukt og grønnsaker
-
Hvor mange porsjoner frukt og grønt spiser du hver dag?
-
Du burde spise minst 4-5 porsjoner frukt og grønt hver dag for å ta vare på helsen
-
Det eneste du behøver å gjøre er å spise grønnsaker til alle måltider og frukt om
mellommåltid
-
Har du prøvd å ta med deg et eple i vesken?
-
De fleste forklaringer på at man ikke spiser frukt og grønt er egentlig
unnskyldninger
-
For at jeg skal kunne hjelpe deg som helserådgiver er det viktig at du investerer i
dette!
23. Øvelse åpne spørsmål
Parene og rollene opprettholdes. Spør etter malen under:
-
Kan vi snakke litt om det å spise frukt eller grønnsaker?
-
Det er en helsegevinst i å spise minst 4-5 porsjoner frukt og grønt hver dag.
Hvordan høres det ut for deg?
-
Hva er det du ikke er så glad i med frukt og grønt?
-
I tilfelle du har bekymringer om ditt inntak av frukt og grønt, hva skulle de vært?
-
Hvilke forandringer kunne du tenkt deg å gjøre når det gjelder frukt og grønnsaker?
-
Som helserådgiver vil jeg gjerne oppmuntre deg til å spise mer frukt og grønt. Det
vil bedre din helse, og gi deg mer motstandskraft mot sykdommer. Det er
selvfølgelig du som bestemmer når det kommer til stykket. Hva tenker du om
dette?
24. Oppsummeringer
Velger ut det mest vesentlige pasienten har sagt
Funksjon: At rådgiver har forstått det pasienten har fortalt
Oppsummeringer kan forsterke forståelse av et problem
Kan løse opp når pasienten stopper opp eller viser mye motstand
Representerer ofte et skifte i samtalen
Ambivalens
Bruk ”og” eller ”samtidig” i stedet for ”men”!
”Du nevner…”, ”Du fremhever…”, ”Du sier…”
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
25. Øvelse - oppsummering
- Gå sammen med sidemannen
- En forteller og en rådgiver
- Fortell i 90 sekunder, den andre lytter
- Rådgiver gjengir en nøytral oppsummering så nøyaktig
som mulig
- Begge lytter og oppsummerer hver sin gang
26. Refleksjoner
Enkel refleksjon
Speile tilbake
Kan speile eksakt innhold
Kompleks refleksjon
Forsøker å fange den
eller bruke synonymer
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
underliggende meningen
Gjenspeiler tanker eller
følelser
Refleksjoner bidrar til å
utdype sin opplevelse eller
forståelse av seg selv
Gjør at terapeuten
oppleves som empatisk, og
bidrar til å skape relasjoner
Og, samtidig som, i stedet
for men
28. Eksempler refleksjoner
Nivå
”Jeg må gjøre noe
med drikkinga”
”Skulle ønske jeg
klarte å ruse meg
mindre”
Enkle refleksjoner
1: ”Gjøre noe?”
1: ”Mindre?”
2: ”Slutte å drikke?”
2: ”Redusere
forbruket?”
3: ”Alkoholbruken
fører meg seg en del
problemer
3: ”Rusen påviker
livet ditt på en måte
du ikke liker”
4: ”Du er bekymret
for at alkoholen skal
ødelegge livet ditt?”
4: ”Du føler deg
nedkjørt av all
rusinga?”
Komplekse
refleksjoner
29. Øvelse - refleksjoner
Lag enkle og komplekse refleksjoner på alle nivå til
følgende utsagn:
”Jeg skal aldri slutte å ruse meg!”
”Jointen er det eneste som gjør at jeg kan slappe av”
”Har jo lyst til å slutte å drikke, men hakke sjangs når
suget først kommer…”
30. Praktiske verktøy
AUDIT/DUDIT
AUDIT-E/DUDIT-E
Fordel og ulempeskjema
www.snakkomrus.no
Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012
31. Avsluttende poenger
Aktuelt i en mer ”stabil” fase
Nøkterne mål
Så en spire til endring?
Terapeutiske ressurser angående MI finnes i
avdelingen
Typen relasjon byr på en utfordring
Teknikkene fra MI har anvendelsesverdi
33. Kilder
www.russamtalen.no
www.snakkomrus.no
IS-1948. Nasjonal faglig retningslinje for utredning, behandling og
oppfølging av personer med samtidig ruslidelse og psykisk lidelse – ROP
lideler
Gråwe, R. W., Hagen, R. (2008). Kombinert rusmiddelavhengighet og
alvorlige psykoselidelser. I: Berge, T., Repål, A., Håndbok i kognitiv terapi.
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Motiverende intervju og akuttpsykiatri - Martin Myhre Oktober 2012