Therapeutic Relationships From the Psychiatric Nurses’ Perspectives: An Interpretative Phenomenological Study

Hawamdeh, Sana; Fakhry, Randa

doi:10.1111/ppc.12039

Cited by 22 publications

(29 citation statements)

References 29 publications

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“…Psychiatric nurses are aware of the concept of the TR and its importance [2, 4–10]. However, they are also aware that specific skills are required to develop and maintain a TR with patients [7], which involves a huge effort and, moreover, implies difficulty in its achievement.…”

Section: Introductionmentioning

confidence: 99%

“…However, they are also aware that specific skills are required to develop and maintain a TR with patients [7], which involves a huge effort and, moreover, implies difficulty in its achievement. Factors such as consistency, empathy, the ability to listen, making a positive first impression, a safe and comfortable environment, and teamwork are basic pillars, encouraging and aiding the development of a TR [10]. …”

Section: Introductionmentioning

confidence: 99%

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Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: study protocol

et al. 2017

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BackgroundPsychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method.Methods/DesignThe study will use a mixed method design. Qualitative methodology, through participative action research, will be employed to implement scientific evidence on the therapeutic relationship. A quasi-experimental, one-group, pre-test/post-test design will also be used to quantitatively measure the effectiveness of the implementation of the evidence. Participants will consist of nurses and patients from two psychiatric units in Barcelona. Nurses will be selected by theoretical sampling, and patients assigned to each nurses will be selected by consecutive sampling. Qualitative data will be gathered through discussion groups and field diaries. Quantitative data will be collected through the Working Alliance Inventory and the Interpersonal Reactivity Index. Qualitative data will be analysed through the technique of content analysis and quantitative data through descriptive and inferential statistics.DiscussionThis study will help to understand the process of change in a nursing team working in an inpatient psychiatric ward and will allow nurses to generate knowledge, identify difficulties, and establish strategies to implement change, as well as to assess whether the quality of the care they provide shows a qualitative improvement.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: study protocol

et al. 2017

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“…Interestingly these terms do not specifically appear in the literature, however, it is quite likely these are embodied aspects of communication and support and contribute to the successful therapeutic relationship between consumers and nurses and between carers and nurses. The therapeutic relationship is regarded as the cornerstone of the nurse – consumer connections and interactions (Becker ; Hawamdeh & Fakhry ; McAndrew et al ; Polacek et al ). It is through this relationship that nurses can provide safe and effective care for consumers within mental health services.…”

Section: Discussionmentioning

confidence: 99%

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

Happell

Wilson

Platania‐Phung

et al. 2016

Int J Mental Health Nurs

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The physical health of people diagnosed with a mental illness is significantly poorer in comparison with the general population. Awareness of this health disparity is increasing; however, strategies to address the problem are limited. Carers play an important role in the physical health care of people with mental illness, particularly in facilitating navigation of and advocating in the health care system. A specialist physical health nurse consultant position has been suggested as a way to address the physical health care disparity and limited research available suggests that positive outcomes are possible. In the present study, a qualitative exploratory research project was undertaken, involving in-depth interviews with people identifying as mental health carers. Two focus groups and one individual interview were conducted involving a total of 13 carers. The resulting data were analyzed thematically. Views and opinions about the proposed physical health nurse consultant (PHNC) position were sought during these interviews and are reported in this paper. Two main sub-themes were evident relating to characteristics of this role: reliability and consistency; and communication and support. Essentially carers expressed a need for support for themselves and consumers in addressing physical health concerns. Successful implementation of this position would require a consistent and reliable approach. Carers are significant stakeholders in the physical health of consumers of mental health services and their active involvement in identifying and tailoring services, including development of the physical health nurse consultant must be seen as a priority.

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“…This, Stenhouse (2011) found, led to patients supporting each other which many found as an additional unnecessary psychological burden. However, studies involving psychiatric nurses emphasize the importance psychiatric nurses place on the therapeutic relationship between nurses and patients (Hawamdeh & Fakhry, 2014), indicating that psychiatric nurses spend a significant amount of time talking with their patients.…”

Section: It's All About Perspectivementioning

confidence: 99%

It's All About Perspective

Klein

2015

Archives of Psychiatric Nursing

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Therapeutic Relationships From the Psychiatric Nurses’ Perspectives: An Interpretative Phenomenological Study

Abstract: Psychiatric nurses can internalize these themes in their practice to improve client outcomes. These themes need to be emphasized in psychiatric mental health nursing courses as well as in nursing management in the orientation of new clinical psychiatric nurses.

Cited by 22 publications

References 29 publications

Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: study protocol

Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: study protocol

Physical health nurse consultant role to improve physical health in mental health services: A carer's perspective

It's All About Perspective

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