The therapeutic relationship from the perspective of patients and nurses in the first days of admission: A cross-sectional study in acute mental health units

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  • dc.contributor.author El-Abidi, Khadija
  • dc.contributor.author Moreno-Poyato, Antonio Rafael
  • dc.contributor.author Cañabate Ros, Montserrat
  • dc.contributor.author García Sánchez, Juan A.
  • dc.contributor.author Lluch Canut, María Teresa
  • dc.contributor.author Muñoz Ruoco, Estibaliz
  • dc.contributor.author Pérez Moreno, Juan J.
  • dc.contributor.author Pita de la Vega, Javier
  • dc.contributor.author Puig-Llobet, Montserrat
  • dc.contributor.author Rubia Ruiz, Gemma
  • dc.contributor.author Santos Pariente, Carolina
  • dc.contributor.author Rodríguez López, Ana Maria
  • dc.contributor.author Jardón Golmar, Laura
  • dc.contributor.author Esquinas López, Cristina
  • dc.contributor.author Roldán-Merino, Juan F.
  • dc.date.accessioned 2024-05-17T05:45:29Z
  • dc.date.available 2024-05-17T05:45:29Z
  • dc.date.issued 2024
  • dc.description.abstract The therapeutic relationship (TR) is essential in mental health nursing care and plays a fundamental role in the understanding and treatment of the patient's health status. Despite being a bidirectional construct, limited evidence is available to shed light on this issue in mental health units and even less so in the first days of admission. This study aimed to examine the association and differences between nurses' and patients' perspectives on the establishment of the therapeutic relationship in acute mental health units during the first days of hospitalization. A cross-sectional study was carried out in 12 Spanish mental health units. Data were collected from patients and nurses using the Working Alliance Inventory-Short (WAI-S) questionnaire. A total of 234 cases were analysed, including 234 patients and 58 nurses. The results showed a positive association between nurses' and patients' perspectives on the therapeutic relationship, but also revealed significant differences on each WAI-S dimension. Nurses assigned higher scores compared to patients on the perception of the quality of the therapeutic relationship. The dimensions with the greatest weight from the patients' perspective regarding the quality of the therapeutic relationship were the perception of greater agreement on goals and tasks among nurses. This study demonstrates the importance of establishing shared goals and tasks with nurses from the first days of hospitalization to improve the quality of the therapeutic relationship as perceived by patients. These findings underline the need to consider the different perspectives of both parties to promote a high-quality therapeutic relationship.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation El-Abidi K, Moreno-Poyato AR, Cañabate-Ros M, Garcia-Sanchez JA, Lluch-Canut MT, Muñoz-Ruoco E, et al. The therapeutic relationship from the perspective of patients and nurses in the first days of admission: A cross-sectional study in acute mental health units. Int J Ment Health Nurs. 2024 Feb;33(1):134-42. DOI: 10.1111/inm.13227
  • dc.identifier.doi http://dx.doi.org/10.1111/inm.13227
  • dc.identifier.issn 1445-8330
  • dc.identifier.uri http://hdl.handle.net/10230/60177
  • dc.language.iso eng
  • dc.publisher Wiley
  • dc.relation.ispartof Int J Ment Health Nurs. 2024 Feb;33(1):134-42
  • dc.rights © 2023 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword Acute inpatient units
  • dc.subject.keyword Cross-sectional study
  • dc.subject.keyword Mental health nursing care
  • dc.subject.keyword Therapeutic relationship
  • dc.title The therapeutic relationship from the perspective of patients and nurses in the first days of admission: A cross-sectional study in acute mental health units
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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Articles (Hospital del Mar Research Institute)