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

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 specially relevant for increasing the effectiveness of nursing interventions. Reflective practice i...

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Authors: Tolosa Merlos, Diana, Moreno Poyato, Antonio Rafael, González-Palau, Francesca, Pérez-Toribio, Alonso, Casanova-Garrigós, Georgina, Delgado-Hito, Pilar
Format: article
Status:Published version
Publication Date:2022
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/187426
Online Access:https://hdl.handle.net/2445/187426
Access Level:Open access
Keyword:Equipaments de salut mental
Infermeria psiquiàtrica
Relacions infermera-pacient
Mental health facilities
Psychiatric nursing
Nurse-patient relationships
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spelling Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative studyTolosa Merlos, DianaMoreno Poyato, Antonio RafaelGonzález-Palau, FrancescaPérez-Toribio, AlonsoCasanova-Garrigós, GeorginaDelgado-Hito, PilarEquipaments de salut mentalInfermeria psiquiàtricaRelacions infermera-pacientMental health facilitiesPsychiatric nursingNurse-patient relationshipsAims 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 specially 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.John Wiley & Sons2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/187426Articles publicats en revistes (Infermeria Fonamental i Clínica)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaCatalánReproducció del document publicat a: https://doi.org/10.1111/jocn.16223Journal of Clinical Nursing, 2022, vol. 00, p. 1-11https://doi.org/10.1111/jocn.16223cc by (c) Tolosa Merlos, Diana et al., 2022https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1874262026-05-27T06:46:51Z
dc.title.none.fl_str_mv Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
title Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
spellingShingle Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
Tolosa Merlos, Diana
Equipaments de salut mental
Infermeria psiquiàtrica
Relacions infermera-pacient
Mental health facilities
Psychiatric nursing
Nurse-patient relationships
title_short Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
title_full Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
title_fullStr Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
title_full_unstemmed Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
title_sort Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: a qualitative study
dc.creator.none.fl_str_mv Tolosa Merlos, Diana
Moreno Poyato, Antonio Rafael
González-Palau, Francesca
Pérez-Toribio, Alonso
Casanova-Garrigós, Georgina
Delgado-Hito, Pilar
author Tolosa Merlos, Diana
author_facet Tolosa Merlos, Diana
Moreno Poyato, Antonio Rafael
González-Palau, Francesca
Pérez-Toribio, Alonso
Casanova-Garrigós, Georgina
Delgado-Hito, Pilar
author_role author
author2 Moreno Poyato, Antonio Rafael
González-Palau, Francesca
Pérez-Toribio, Alonso
Casanova-Garrigós, Georgina
Delgado-Hito, Pilar
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Equipaments de salut mental
Infermeria psiquiàtrica
Relacions infermera-pacient
Mental health facilities
Psychiatric nursing
Nurse-patient relationships
topic Equipaments de salut mental
Infermeria psiquiàtrica
Relacions infermera-pacient
Mental health facilities
Psychiatric nursing
Nurse-patient relationships
description 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 specially 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.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/187426
url https://hdl.handle.net/2445/187426
dc.language.none.fl_str_mv Catalán
language_invalid_str_mv Catalán
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1111/jocn.16223
Journal of Clinical Nursing, 2022, vol. 00, p. 1-11
https://doi.org/10.1111/jocn.16223
dc.rights.none.fl_str_mv cc by (c) Tolosa Merlos, Diana et al., 2022
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Tolosa Merlos, Diana et al., 2022
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv John Wiley & Sons
publisher.none.fl_str_mv John Wiley & Sons
dc.source.none.fl_str_mv Articles publicats en revistes (Infermeria Fonamental i Clínica)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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