Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines



Ask-Tell-Ask (also known as Elicit-Respond-Elicit or Elicit-Provide-Elicit) - Part of a self-directed learning process, this technique ensures clients understand information presented to them. It is especially effective with low literacy populations, and involves asking clients a question (e.g., “What do know about your condition?” or “What would you like to know?”). After providing the information to the client, the clinician asks if the client has further questions or wants more information. It attempts to provide information to the client (thus addressing a lack of knowledge) in a manner directed by them (thus addressing the excess of information problem). (Bodenheimer et al., 2005)
Closing the loop - A technique used to assess the client’s understanding. A health-care provider asks the client to repeat back information provided to ensure they understood what had been said. It is related to the ask-tell-ask process (Bodenheimer et al., 2005).
Readiness to change - Readiness to change refers to how prepared individuals are to make changes to their behaviour. Interventions guided by this theory focus on individuals’ motivation to change, and adapt their approach according to differences in participants’ motivation to change a behaviour (Newman et al., 2004).
Self-management is defined as the tasks that individuals must undertake to live well with one or more chronic conditions. These tasks include having the confidence to deal with medical management, role management and emotional management of their conditions
(Adams et al., 2004).
Self management support is the systematic provision of education and supportive interventions by health-care staff to increase patients’ skills and confidence in managing their health problems, including regular assessment of progress and problems, goal setting, and problem–solving support (Adams et al., 2004).