Person-Centered Care and the Therapeutic Alliance

Hamovitch, Emily K.; Choy-Brown, Mimi; Stanhope, Victoria

doi:10.1007/s10597-018-0295-z

Cited by 37 publications

(26 citation statements)

References 27 publications

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“…The international literature recognizes that the therapeutic relationship is an essential component of mental health nursing (Moreno‐Poyato et al., 2016; Peplau, 1988; Vahidi et al., 2018) improving person‐centred care and shared decision‐making (Hamovitch et al., 2018). Furthermore, it is known that evidence‐based practice enables the best clinical decisions to be made about patient care, considering factors such as nurses' experience and users' expectations (DiCenso et al., 1998).…”

Section: Introductionmentioning

confidence: 99%

Examining the association between evidence‐based practice and the nurse‐patient therapeutic relationship in mental health units: A cross‐sectional study

Poyato

Casanova‐Garrigós

Roldán‐Merino

et al. 2020

Journal of Advanced Nursing

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Aims To examine the relationship between the dimensions of evidence‐based practice and the therapeutic relationship and to predict the quality of the therapeutic relationship from these dimensions among nurses working in mental health units. Design A cross‐sectional design. Methods Data were collected between February–April 2018 via an online form completed by nurses working at 18 mental health units. Multiple linear regressions were used to examine the relationship between the dimensions of evidence‐based practice and therapeutic relationship. Questionnaires were completed by 198 nurses. Results Higher levels of evidence‐based practice were a significant predictor of a higher‐quality therapeutic relationship (β: 2.276; 95% CI: 1.30–3.25). The evidence‐based practice factor which most influenced an improved therapeutic relationship was the nurses’ attitude (β: 2.047; 95% CI: 0.88–3.21). The therapeutic relationship dimension which was most conditioned by evidence‐based practice dimensions was agreement on tasks, which was most favourable with a better attitude (β: 0.625; 95% CI: 0.09–1.16) and greater knowledge and skills for evidence‐based practice (β: 0.500; 95% CI: 0.08–0.93). Conclusion In mental health settings, the therapeutic nurse–patient relationship is positively enhanced by evidenced‐based practice and the nurse's level of experience, with a great influence on shared decision‐making. Impact This research sought to examine the relationship between the evidence‐based practice and the therapeutic relationship in mental health nursing. This study demonstrates that an improved attitude and knowledge of evidence‐based practices of mental health nurses increases shared decision‐making with patients, which is a basic requirement for person‐centred care. Because the therapeutic relationship is considered the backbone of nursing practice in mental health units, this research will have an impact on both mental health nurses and mental health unit managers.

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Section: Introductionmentioning

confidence: 99%

Examining the association between evidence‐based practice and the nurse‐patient therapeutic relationship in mental health units: A cross‐sectional study

Poyato

Casanova‐Garrigós

Roldán‐Merino

et al. 2020

Journal of Advanced Nursing

View full text Add to dashboard Cite

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“…However, the results justify the need for further studies to explore effective post-graduate training to enhance synchronization of patient psychological status and therapist's guess. This is a prerequisite to developing a therapeutic alliance between the patient and therapist in order to provide a patient centered approach [34]. The strong positive correlations between patients' and therapist's scores in the PCS and TSK indicate important factors to consider when providing patients with MDT.…”

Section: Discussionmentioning

confidence: 99%

Ability of Therapists Trained in Mechanical Diagnosis and Therapy to Guess Pain Catastrophizing and Kinesiophobia Scores for Patients with Low Back Pain

Suzuki¹,

Takasaki²

2020

OJTR

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Objective: To investigate whether a physical therapist trained through the Mechanical Diagnosis and Therapy (MDT) diploma program could guess psychological Patient Reported Outcome Measure (PROM) scores of individuals with low back pain (LBP) by taking patient history and completing a physical evaluation. Methods: Ten participants with LBP completed PROMs immediately before history taking and again after a physical evaluation. PROMs included the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia (TSK), Hospital Anxiety and Depression Scale, and Pain Coping Strategy Questionnaire. A physical therapist who completed the MDT diploma program took the patients' history and completed their physical evaluation. The therapist completed the same PROMs immediately after both history taking and physical evaluation. Correlations between patient and therapist scores were calculated using Spearman's ρ. Results: Statistically significant positive correlations were detected in the PCS (ρ = 0.65) and TSK (ρ = 0.78) before history taking, and in the PCS (ρ = 0.81) and TSK (ρ = 0.74) after physical evaluation. Discussion: The results are based on one MDT therapist and generalizability of the findings is limited. However, the current preliminary findings justify the need for further studies to explore effective postgraduate training to promote a patient centered approach.

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“…A key strategy of person-centred practice is construction of a trust-based 'therapeutic' relationship between the person and the service provider that facilitates the person's openness to challenges and the anticipation of their needs and thus, helps to adjust assistance accordingly, resulting in positive service outcomes (Crisp, 2015;Hamovitch et al, 2018;Parr, 2016).…”

Section: Activationmentioning

confidence: 99%

How congruent is person-centred practice with labour activation policy? Person-centred approach to vocational interventions on immigrant jobseekers in Norway

Khoronzhevych

Fadyl

2020

European Journal of Social Work

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Increased migration to OECD countries has made unemployed foreignborn immigrants a new target population for 'activation' policies to reintroduce people into the labour market. As populations receiving employment activation interventions became more diverse, individualisation of activation measures was introduced into guidelines for welfare and employment agencies. While a person-centred approach in employment-oriented social work is gaining popularity, there is little research relating to how such approaches fit the frameworks of relatively aggressive activation. This study presents a qualitative instrumental case study exploring interactions between activation policy and person-centred employment interventions with immigrant jobseekers in Norway. Data analysis applied critical orientation towards data and employed directed content analysis. Research questions include: (1) How well do person-centred principles fit with the policy of activation? (2) How do person-centred practice and activation measures interact, and what are the congruencies and tensions? (3) What are the effects and practical implications of these congruencies and tensions? Findings from the present case study indicate the policy of activation strongly affects opportunities to implement person-centred practice in vocational counselling. Further, the political agenda of activation is inconsistent with the intentions of supported employment implementation to make vocational services jobseeker-centred or jobseeker-driven. SAMANDRAG Økt innvandring til OECD-landene har ført til at arbeidsledige innvandrere er blitt en ny målgruppe for "aktiverings"-tiltak som skal hjelpe mennesker tilbake inn på jobbmarkedet. Etter hvert som stadig flere typer befolkningsgrupper blir gjenstand for aktiveringstiltak, har man i retningslinjene for velferds-og arbeidskontorer innført individualisering

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Person-Centered Care and the Therapeutic Alliance

Cited by 37 publications

References 27 publications

Examining the association between evidence‐based practice and the nurse‐patient therapeutic relationship in mental health units: A cross‐sectional study

Examining the association between evidence‐based practice and the nurse‐patient therapeutic relationship in mental health units: A cross‐sectional study

Ability of Therapists Trained in Mechanical Diagnosis and Therapy to Guess Pain Catastrophizing and Kinesiophobia Scores for Patients with Low Back Pain

How congruent is person-centred practice with labour activation policy? Person-centred approach to vocational interventions on immigrant jobseekers in Norway

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