Therapeutic Alliance in Mental Health Nursing: An Evolutionary Concept Analysis

Zugai, Joel; Stein‐Parbury, Jane; Roche, Michael

doi:10.3109/01612840.2014.969795

Cited by 65 publications

(73 citation statements)

References 66 publications

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“…Nurses stress the lack of nursing staff and the constant increase in administrative tasks that take time away from quality relationships (Felton et al ; Moreno‐Poyato et al ). Other studies suggest that spending more time with patients positively impacts their recovery (Harris et al 2019; Zugai et al ). In this regard, the results of our study indicate the need to bear in mind the resources offered by an organization to allow high‐quality mental health nursing care.…”

Section: Discussionmentioning

confidence: 99%

Relationship between the nursing practice environment and the therapeutic relationship in acute mental health units: A cross‐sectional study

Roviralta‐Vilella¹,

Poyato

Rodríguez‐Nogueira

et al. 2019

Int J Mental Health Nurs

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The therapeutic relationship constitutes the central axis of mental health nursing. The clinical practice environment has been empirically related to the quality of care. However, the relationship between the two constructs is unknown in the setting of mental health units. We aimed to examine whether the practice environment and nurses’ characteristics influence the therapeutic relationship in mental health units. Through a cross‐sectional design, data were collected via an online form completed by nurses in 18 mental health units. Linear regression was used to examine the relationship between the clinical practice environment and the therapeutic relationship. Questionnaires were completed by 198 participants. The mean age was 33.8 (SD 9.1) years, 71.7% were women, and only 20.2% had a specialist qualification in mental health. The therapeutic relationship was better when there was a more favourable practice environment (B: 3.111; 95% CI: 1.46–4.75). The most influential environment‐related factor was the nursing foundations for quality of care (B: 2.124; 95% CI: 0.17–4.07). The factors associated with a high‐quality therapeutic relationship were a more favourable practice environment and the presence of more foundations for quality nursing care, coupled with higher academic attainment and longer nursing experience. Institutions should take into account the importance of the nursing practice environment in mental health units. Aspects related to the quality of nursing foundations, such as training, the use of nursing language and taxonomy, and the existence of a common nursing philosophy, are influential for a high‐quality therapeutic relationship.

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Section: Discussionmentioning

confidence: 99%

Relationship between the nursing practice environment and the therapeutic relationship in acute mental health units: A cross‐sectional study

Roviralta‐Vilella¹,

Poyato

Rodríguez‐Nogueira

et al. 2019

Int J Mental Health Nurs

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“…This paper argues that the greatest barriers psychiatric nurses encounter during engagement in therapeutic relationships with consumers in acute care settings are often not the most apparent ones. While barriers such as time pressure and policy‐prescribed actions have been documented in the literature, it is argued here that nurses' lack of awareness of how their experiences and responses to these become barriers in their own right is critical (Harris & Panozzo, ; Zuaboni et al , ; Zugai, et al , ). The first quote above provides an example of how this can occur in the practice setting; phrases such as ‘tend to limit communication', ‘avoiding patients' and ‘forgetting to build alliances' suggest that nurses' perceptions of and responses to these barriers influence their priorities and appraisals of what they deem worthwhile or possible.…”

Section: Introductionmentioning

confidence: 99%

Barriers to recovery‐focused care within therapeutic relationships in nursing: Attitudes and perceptions

Harris

Panozzo

2019

Int J Mental Health Nurs

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There are numerous barriers to the therapeutic relationship between nurses and persons with schizophrenia, such as time constraints, communication issues and the requirements of practice policies. The main point of this paper is that the nature of these barriers is such that the nurse may not conceptualize these as barriers or be aware of how his or her responses to these can further entrench existing barriers to relationship or create new ones. If the nurse is not aware of how he or she responds to time pressure, frustration or lack of clarity of practice policy and address this, there is a risk that the patient may perceive the nurse's actions as lacking in care, presence or involvement. As consumers increasingly embrace recovery approaches to mental health that prioritize therapeutic activities within the context of collaborative relationship, psychiatric nurses, with a long tradition of therapeutic relationship, can rise to meet them. It is suggested here that this can only occur if nurses are fully aware of barriers to relationship, their responses to these and the impact of these on relationship with patients. Suggestions for educational and empirical work to further raise awareness and promote understanding of this process are provided.

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“…In mental health nursing, a therapeutic alliance is an interpersonal, mutual and negotiated collaboration necessitated by and focused on the resolution of identified health needs and goals (Zugai, Stein‐Parbury, & Roche, ). Therapeutic relationships are the cornerstone of mental health nursing (Welch, ) and are also associated with beneficial mental health consumer outcomes (Horvath, Del Re, Flückiger, & Symonds, ; Priebe & McCabe, ).…”

Section: Introductionmentioning

confidence: 99%

The nature of the therapeutic alliance between nurses and consumers with Anorexia Nervosa in the inpatient setting: A mixed‐methods study

Zugai

Stein‐Parbury

Roche

2017

Journal of Clinical Nursing

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Therapeutic Alliance in Mental Health Nursing: An Evolutionary Concept Analysis

Cited by 65 publications

References 66 publications

Relationship between the nursing practice environment and the therapeutic relationship in acute mental health units: A cross‐sectional study

Relationship between the nursing practice environment and the therapeutic relationship in acute mental health units: A cross‐sectional study

Barriers to recovery‐focused care within therapeutic relationships in nursing: Attitudes and perceptions

The nature of the therapeutic alliance between nurses and consumers with Anorexia Nervosa in the inpatient setting: A mixed‐methods study

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