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The Effects of a Participatory Intervention in Mental Health Units on Nurses' Perceptions of the Practice Environment: A Mixed Methods Study

  • Identification data

    Identifier: imarina:9242581
    Authors:
    Moreno-Poyato AREL Abidi KGonzález-Palau FTolosa-Merlos DRodríguez-Nogueira ÓPérez-Toribio ACasanova-Garrigos GRoviralta-Vilella MRoldán-Merino JF
    Abstract:
    BACKGROUND: The practice environment influences the quality of care and the nursing outcomes achieved in their workplaces. OBJECTIVE: To examine the perception of the clinical practice environment among nurses working in mental health units in the context of their participation in an action research study aimed at improving the nurse-patient relationship. METHOD: An explanatory sequential mixed methods study was designed. The data were collected in three phases in 18 mental health units (n = 95 nurses). Quantitative data were collected through the Practice Environment Scale of the Nursing Work Index, and qualitative data were collected through reflective diaries and focus groups in the context of participatory action research. RESULTS: The nurses' assessment of their practice environment shifted from positive to negative. Nurse manager leadership was the aspect that worsened the most. In addition, the perception of their participation in the affairs of the center and nursing foundations for quality of care decreased. The nurses considered it essential to be able to influence decision-making bodies and that the institution should promote a model of care that upholds the therapeutic relationship in actual clinical practice. CONCLUSIONS: Nurses perceived that they should be involved in organizational decisions and required more presence and understanding from managers. Furthermore, nurses stated that institutions should promote nursing foundations for quality of care. This study contributes to understanding how nurses in mental health units perceive their work environment and how it affects the improvement of the nurse-patient relationship in clinical practice.
  • Others:

    Author, as appears in the article.: Moreno-Poyato AR; EL Abidi K; González-Palau F; Tolosa-Merlos D; Rodríguez-Nogueira Ó; Pérez-Toribio A; Casanova-Garrigos G; Roviralta-Vilella M; Roldán-Merino JF
    Department: Infermeria
    URV's Author/s: Casanova Garrigos, Georgina
    Keywords: Quality improvement Patient-centered care Nursing practice environment Inpatient psychiatric care Evidence-based practice work-environment satisfaction safety quality improvement professional practice patient-centered care outcomes inpatient psychiatric care hospitals experiences care burnout
    Abstract: BACKGROUND: The practice environment influences the quality of care and the nursing outcomes achieved in their workplaces. OBJECTIVE: To examine the perception of the clinical practice environment among nurses working in mental health units in the context of their participation in an action research study aimed at improving the nurse-patient relationship. METHOD: An explanatory sequential mixed methods study was designed. The data were collected in three phases in 18 mental health units (n = 95 nurses). Quantitative data were collected through the Practice Environment Scale of the Nursing Work Index, and qualitative data were collected through reflective diaries and focus groups in the context of participatory action research. RESULTS: The nurses' assessment of their practice environment shifted from positive to negative. Nurse manager leadership was the aspect that worsened the most. In addition, the perception of their participation in the affairs of the center and nursing foundations for quality of care decreased. The nurses considered it essential to be able to influence decision-making bodies and that the institution should promote a model of care that upholds the therapeutic relationship in actual clinical practice. CONCLUSIONS: Nurses perceived that they should be involved in organizational decisions and required more presence and understanding from managers. Furthermore, nurses stated that institutions should promote nursing foundations for quality of care. This study contributes to understanding how nurses in mental health units perceive their work environment and how it affects the improvement of the nurse-patient relationship in clinical practice.
    Thematic Areas: Psychiatry and mental health Psychiatry Psychiatric mental health Psicología Nursing Enfermagem Ciencias sociales
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: georgina.casanova@urv.cat
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://journals.sagepub.com/doi/10.1177/10783903211066127
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of The American Psychiatric Nurses Association. 1-12
    APA: Moreno-Poyato AR; EL Abidi K; González-Palau F; Tolosa-Merlos D; Rodríguez-Nogueira Ó; Pérez-Toribio A; Casanova-Garrigos G; Roviralta-Vilella M; Rold (2022). The Effects of a Participatory Intervention in Mental Health Units on Nurses' Perceptions of the Practice Environment: A Mixed Methods Study. Journal Of The American Psychiatric Nurses Association, (), 1-12. DOI: 10.1177/10783903211066127
    Article's DOI: 10.1177/10783903211066127
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2022
    Publication Type: Journal Publications
  • Keywords:

    Nursing,Psychiatric Mental Health,Psychiatry,Psychiatry and Mental Health
    Quality improvement
    Patient-centered care
    Nursing practice environment
    Inpatient psychiatric care
    Evidence-based practice
    work-environment
    satisfaction
    safety
    quality improvement
    professional practice
    patient-centered care
    outcomes
    inpatient psychiatric care
    hospitals
    experiences
    care
    burnout
    Psychiatry and mental health
    Psychiatry
    Psychiatric mental health
    Psicología
    Nursing
    Enfermagem
    Ciencias sociales
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