Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Deborah Schuhmacher DNP, RN

Second Advisor

Kathleen Clark DNP, RN

Third Advisor

Elizabeth Spelhaug MAN, RN


uccessful management of chronic respiratory disease (CRD) involves considering several lifestyle changes and treatments to improve patients’ outcomes. The complexity of behavioral changes and treatment decisions that patients must make without guidance could diminish their motivation to address CRD treatment; therefore, leading to poor outcomes. Hence, motivational interviewing (MI) could enhance behavioral change to improve individuals' health with chronic illnesses. Unfortunately, many health care professionals do not have adequate training in MI; consequently, they feel ill-equipped to utilize this approach when faced with individuals who need a lifestyle change and health coaching. Pulmonary nurses deliver holistic patient-centered approach care based on MI principles. In these patient-centered encounters, MI enhances personal motivation and commitment to health and lifestyle goals by exploring reasons for a change in an atmosphere of caring and compassion. This DNP project implemented an educational module tailored for pulmonary nurses. Parse’s Human Becoming Theory provides a framework to support MI as an alternative bio-medical approach to care. A conceptual model of care was created to educate nurses on methods for engaging and supporting individuals' direct involvement in their care. Results of this project demonstrated a positive perspective on the MI approach to patient engagement of self-management. Pulmonary nurses can address the gap in care by providing the MI method in a collaborative partnership by highlighting skills specific to CRD medical management.


SC 11.DNP.2021.BuckTipton.J