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Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: A qualitative study

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dc.contributor.author Tolosa-Merlos, Diana
dc.contributor.author Moreno-Poyato, Antonio Rafael
dc.contributor.author González-Palau, Francesca
dc.contributor.author Pérez-Toribio, Alonso
dc.contributor.author Casanova-Garrigós, Georgina
dc.contributor.author Delgado-Hito, Pilar
dc.contributor.author MiRTCIME.CAT Working Group
dc.date.accessioned 2022-10-04T06:16:55Z
dc.date.available 2022-10-04T06:16:55Z
dc.date.issued 2022
dc.identifier.citation Tolosa-Merlos D, Moreno-Poyato AR, González-Palau F, Pérez-Toribio A, Casanova-Garrigós G, Delgado-Hito P; MiRTCIME.CAT Working Group. Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: A qualitative study. J Clin Nurs. 2022 Jan 24. DOI: 10.1111/jocn.16223
dc.identifier.issn 0962-1067
dc.identifier.uri http://hdl.handle.net/10230/54245
dc.description Data de publicació electrònica: 24-01-2022
dc.description.abstract Aims and objectives: To explore the therapeutic relationship through the reflective practice of nurses in acute mental health units. Background: In mental health units, the therapeutic relationship is especially relevant for increasing the effectiveness of nursing interventions. Reflective practice is considered an essential aspect for improving nursing care. Design: Action and observation stages of a participatory action research project. Methods: Data were collected through reflective diaries designed for the guided description and reflection of practice interactions related to the therapeutic relationship and content analysis was applied. A total of 152 nurses from 18 acute mental health units participated. The COREQ guidelines were used. Results: The results were classified into three categories as follows: (i) Nursing attitude as a core of the therapeutic relationship. For the nurses, the attitudinal component was key in the therapeutic relationship. (ii) Nursing practices that are essential to the therapeutic relationship. Nurses identified practices such as creating a conducive environment, using an appropriate verbal approach, offering help and working together with the patient as essential for establishing a therapeutic relationship in practice. (iii) Contextual factors affecting the therapeutic relationship. The nurses considered the patient's condition, the care dynamics of the unit and its regulations, as well as the structure and environment of the unit, as contextual factors involved the establishment of an adequate therapeutic relationship in daily clinical practice. Conclusions: This study has provided knowledge of the importance and role of the nurses' attitude in the context of the nurse-patient therapeutic relationship based on the reflections of nurses in mental health units regarding their own practice. Relevance to clinical practice: These findings help nurses to increase awareness and develop improvement strategies based on their own knowledge and day-to-day difficulties. Moreover, managers can evaluate strategies that promote motivation and facilitate the involvement of nurses to improve the therapeutic relationship with patients.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Wiley
dc.relation.ispartof J Clin Nurs. 2022 Jan 24
dc.rights © 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: A qualitative study
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1111/jocn.16223
dc.subject.keyword Action research
dc.subject.keyword Narrative
dc.subject.keyword Nurse-patient relationships
dc.subject.keyword Psychiatric nursing
dc.subject.keyword Reflective practice
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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