Emotional factors also have to be considered as the patient may find it hard to listen and communicate if they are emotional, scared, anxious or maybe just don’t understand the way things are being explained or lack of percievment of the situation. Cleary M, Hunt GE, Horsfall J, Deacon M. Nurse-patient interaction in acute adult inpatient mental health units: a review and synthesis of qualitative studies. Hem MH, Heggen K. Being professional and being human: one nurse’s relationship with a psychiatric patient. Hawamdeh S, Fakhry R. Therapeutic relationships from the psychiatric nurses’ perspectives: An interpretative phenomenological study. Reflecting on the process and its consequences, 4. Every patient will have unique requirements, from the foods they like to how many pillows they normally sleep on, this must observed and implemented in order to make the patients care or hospital stay as comfortable as possible. Rev Salud Pública Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia. An Psicol. Self-awareness and analysis are key components in refection, and reflection is a skill that needs to be acquired, developed and maintained; being self aware allows us to take control of the situation as to which we are placed in, and become less vulnerable. Participatory Action Research (PAR) is a method that encourages participatory and reflective change at the same time as it increases an understanding and transformation of practices [24]. Kemmis S, Mctaggart R. In: Norman K, Denzin YSL, editors. Quality of life for long-stay patients of psychiatric hospitals: a literature study. © 2020 BioMed Central Ltd unless otherwise stated. Effectiveness of participatory-action-research to put in practice evidence at a nursing onco-hematology unit. Springer Nature. Psicothema. 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. I only wish i had the confidence to question the first nurse’s decision but then I am the student and i am supposed to follow orders within reason. Rev Investig y Educ en Enfermería. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. The NVivo platform, version, 10 will be used in the analysis. 2004;25(8):833–42. J Psychiatr Ment Health Nurs. A way to research in the nursing practice). The use of validated measurement instruments will help to analyse, contrast, and demonstrate the change produced. Reflecting again … and so on [24]. In this regard, routine tasks and administrative duties, as well as the time they consume, hamper the provision of individual attention and consequently the effectiveness of the TR [11]. 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. DOH (1991). Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Free resources to assist you with your university studies! It is easier to appreciate what another person is going through if you have experienced the same situation yourself. All participants’ names will be codified and assigned a number. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. J Psychiatr Ment Health Nurs. McAndrew S, Chambers M, Nolan F, Thomas B, Watts P. Measuring the evidence: reviewing the literature of the measurement of therapeutic engagement in acute mental health inpatient wards. For the focus of this essay will be discussing how aspects of the nurse-patient relationships are important for the delivery of patient-focused care; this will be achieved by using the appropriate relevant literature. Alexander (), This wasn’t always the case as in previous years there were several barriers which prevented good nurse-patient relationship developing. Therefore, it was decided to increase the size of the group sample. Development and validation of the Working Alliance Inventory. The project has been approved by the Clinical Research Ethics Committee. Duxbury J, Wright K, Bradley D, Barnes P. Administration of medication in the acute mental health ward: perspective of nurses and patients. Perspect Psychiatr Care. Moreover, the central quality criteria, and that forming the basis of the project, will be reflectiveness, understood as a process of returning to allow critical contrasts to be made of the processes occurring during the development of the research [38]. Bee P, Playle J, Lovell K, Barnes P, Gray R, Keeley P. Service user views and expectations of UK-registered mental health nurses: a systematic review of empirical research. 1983;44(1):113–26. McCann TV, Baird J, Clark E, Lu S. Mental health professionals’ attitudes towards consumer participation in inpatient units. Cultural beliefs and requirements must be met. Campos CJG, Turato ER. statement and When a nurse and patients work together, through mutual cooperation and good communication, the health care goals will have a greater chance of being successful. 2005;12(1):64–74. Part of Conducting qualitative research with advanced cancer patients and their families: ethical considerations. The higher the score, the greater the therapeutic alliance. I helped the lady out the shower, helped her get dried and dressed and apologised to her. The authors declare that they have no competing interests. Psychiatric nurses are aware of the concept of the TR and its importance [2, 4–10]. California Privacy Statement, This study will help to understand the process of change in a nursing team in an inpatient psychiatric unit. According to nurses, the elements that most frequently hamper the therapeutic relationship are the amount of time spent on administrative duties, patients’ negative attitudes and unrealistic expectations, nurses’ inability to confront these issues with patients, and feeling inadequately trained to provide the individual attention required by patients [11]. Madrid: Sintesis Editorial; 2003. Horvath AO, Greenberg LS. | Institut de Neuropsiquiatria i Addiccions. Reference this. Article Qualitative methodology, through participative action research, will be employed to implement scientific evidence on the therapeutic relationship. Consequently, some authors have stated that personal qualities rather than theoretical orientation take centre stage in the TR [4]. PubMed J Empir Res Hum Res Ethics. Int J Ment Health Nurs. J Clin Nurs. Restriction and control: the perceptions of mental health nurses in a UK acute inpatient setting. 2007;9(4):609–17. The environment you’re in must be allow privacy, be free from noise, distraction and allow the patient enough physical space. Moreno-Poyato, A.R., Delgado-Hito, P., Suárez-Pérez, R. et al. Epub 2015 Sep 30. 2009;17(2):259–64. The patient could be very emotional, scared, and anxious or misunderstood the situation, all of these must be considered before communication. 1): 1. 2008;45(2):203–23. J Psychiatr Ment Health Nurs. 2003;43(1):101–8. The sample will be composed of 9–10 participants representing the distinct socio-occupational profiles in the units. Google Scholar. Correspondence to After introducing myself to the patient I would ask the how they wish to be addressed and make a note of any preferred name on the patients admission notes and my handover sheet, I found that it was quite common for patients to wish to called by a totally different name to which they were christened and hugely important if any communication made. These units cover a population of approximately 650,000 inhabitants in the City of Barcelona, Badalona and Santa Coloma de Gramanet. Differences between baseline scores and the post-group assessment will be estimated through the application of a parametric test (Student’s t-test for paired data) in the case of quantitative variables after confirmation of the normality and homogeneity of their variance; for data that do not follow a normal distribution), non-parametric tests will be used: the Wilcoxon test will be used for quantitative variables and the chi-square test or Fisher’s exact test for qualitative variables. Any data or names that could be used to identify the participants will be eliminated. Acting and observing again, 6. Subsequently, difficulties in implementing the evidence, both in nurses individually and in the rest of the team, will allow the planning of strategies for change. COVID-19 is an emerging, rapidly evolving situation. The nurse-patient and researcher-participant are characterized by their own professional relationship including their own unique features in accomplishing goals. The TR is also called the helping relationship, the nurse-patient relationship, the trusting relationship, and the therapeutic alliance. 2009;16(10):927–37. The aim is to guarantee the principles of heterogeneity and accessibility [28].
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