Author, as appears in the article.: Coelho, Joana Catarina Ferreira; Sampaio, Francisco Miguel Correia; Nogueira, Maria Jose Carvalho; Sequeira, Carlos Alberto da Cruz; Lleixa Fortuno, Maria del Mar; Roldan Merino, Juan;
Department: Infermeria
URV's Author/s: Lleixà Fortuño, Maria del Mar
Keywords: Working alliance Validity Psychometry Psychometrics Psychiatric nursing Nursing care Nurse–patient relations Nurse-patient relations Nurse patient relationship Number Mental health Internal consistency Human Future Cronbach alpha coefficient Convenience sample Construct validity Attention Article Adult
Abstract: Accessible Summary What is known on the subject? The literature shows a clear relationship between a good therapeutic relationship (TR) and the efficacy of nursing interventions. For the implementation of nursing psychotherapeutic interventions, the initial establishment of a good TR is essential. Several instruments assess the relationship established between the therapist and the patient in psychotherapy. However, no tool has been found to assess the quality of the TR established between the nurse and the patient. What this paper adds to existing knowledge? This study allowed the development and evaluation of the psychometric properties of a scale to assess the TR between the nurse and the patient in a sample of mental health nurses. The developed scale (Therapeutic Relationship Assessment Scale-Nurse) has psychometric properties that attest its reliability (internal consistency and test-retest) and construct validity as an instrument to assess the quality of the TR established between the nurse and the patient from the nurse's perspective. What are the implications for practice? As the TR is crucial for providing nursing care and, in particular, for implementing nursing psychotherapeutic interventions, the scale developed is a valid tool to assess the quality of the TR established between the nurse and the patient in the perspective of the mental health nurse. The use of instruments to assess the quality of the nurse-patient TR facilitates the identification of the relationship's gaps, which can serve as a basis for improving the relationship itself and the nursing care provision. Introduction The therapeutic relationship (TR) is essential to providing psychiatric and mental health nursing care. Nevertheless, no assessment tools exclusive for assessing nursing TR were found in the literature. Aim To describe and evaluate the psychometric properties (reliability and construct validity) of a scale that allows assessing the quality of TR established between the nurse and the patient. Method A survey method was adopted, using a convenience sample of 356 mental health nurses. Internal consistency was assessed by Cronbach's alpha and Omega index. Results A total of 221 mental health nurses participated in the study (response rate = 62.08%). The scale's final structure has 25 items. Cronbach's alpha was 0.93, ranging from 0.78 to 0.88 for each of the factors. The cumulative variance explained in a four-factor structure was 71.12%. Discussion The Therapeutic Relationship Assessment Scale (TRAS)-Nurse presents good psychometric properties. In the light of Benner's theory, it can be an useful tool for novice nurses to better understand what aspects they should pay attention to for establishing a successful TR. Implications for Practice Mental health nurses can use the TRAS-Nurse, thus having a scale available that allows them to self-assess the quality of TR they establish with their patients.
Thematic Areas: Saúde coletiva Psychiatry and mental health Psychiatry Psychiatric mental health Nursing Medicina ii Medicina i Ciencias sociales
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: mar.lleixa@urv.cat
Author identifier: 0000-0003-1411-8790
Record's date: 2024-07-27
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://onlinelibrary.wiley.com/doi/full/10.1111/jpm.12796
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Journal Of Psychiatric And Mental Health Nursing. 28 (6): 981-994
APA: Coelho, Joana Catarina Ferreira; Sampaio, Francisco Miguel Correia; Nogueira, Maria Jose Carvalho; Sequeira, Carlos Alberto da Cruz; Lleixa Fortuno, M (2021). Development and psychometric properties of the Therapeutic Relationship Assessment Scale-Nurse. Journal Of Psychiatric And Mental Health Nursing, 28(6), 981-994. DOI: 10.1111/jpm.12796
Article's DOI: 10.1111/jpm.12796
Entity: Universitat Rovira i Virgili
Journal publication year: 2021
Publication Type: Journal Publications
Repositori URV