Articles producció científica> Infermeria

The therapeutic relationship at the heart of nursing care: A participatory action research in acute mental health units

  • Datos identificativos

    Identificador: imarina:9287573
    Autores:
    Tolosa-Merlos DMoreno-Poyato ARGonzález-Palau FPérez-Toribio ACasanova-Garrigós GDelgado-Hito P
    Resumen:
    To explore the process of change within the clinical practice of nurses in mental health inpatient units in the context of a participatory process to improve the nurse-patient therapeutic relationship.Participatory Action Research.Ninety-six nurses from 18 mental health units participated. Data were collected through focus groups and reflective diaries between March 2018 and January 2020. Data were analysed using inductive content analysis. The COREQ guidelines were used.The research process was carried out through two cycles of four stages each in which the nurses were able to identify the facilitating and limiting elements of their practice in relation to the therapeutic relationship. They then proposed two consensual improvement strategies for all the units, which they called reserved therapeutic space and postincident analysis. Finally, they implemented and evaluated the two strategies for change.This study has shown that, despite the different cultural and structural realities of the participating units, it is possible to implement a collaborative process of change, provided the needs and expectations of both the participants and the organisations are similar.The results obtained through Participatory Action Research were directly transferred to clinical practice, thus having an impact on individual nurses and patients, as well as on the collective dynamics of the teams and aspects related to the management of the units.Patient or public input is not directly applicable to this study. Patients were recipients of the changes that were occurring in the nurses as part of their daily clinical practice.© 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
  • Otros:

    Autor según el artículo: Tolosa-Merlos D; Moreno-Poyato AR; González-Palau F; Pérez-Toribio A; Casanova-Garrigós G; Delgado-Hito P
    Departamento: Infermeria
    Autor/es de la URV: Casanova Garrigos, Georgina
    Palabras clave: Psychiatric nursing Nurse–patient relationships Nurses Nurse-patient relationships Mental health services Clinical nursing research Action research working staff psychiatric nursing nurse-patient relationships mental health services intervention inquiry clinical nursing research
    Resumen: To explore the process of change within the clinical practice of nurses in mental health inpatient units in the context of a participatory process to improve the nurse-patient therapeutic relationship.Participatory Action Research.Ninety-six nurses from 18 mental health units participated. Data were collected through focus groups and reflective diaries between March 2018 and January 2020. Data were analysed using inductive content analysis. The COREQ guidelines were used.The research process was carried out through two cycles of four stages each in which the nurses were able to identify the facilitating and limiting elements of their practice in relation to the therapeutic relationship. They then proposed two consensual improvement strategies for all the units, which they called reserved therapeutic space and postincident analysis. Finally, they implemented and evaluated the two strategies for change.This study has shown that, despite the different cultural and structural realities of the participating units, it is possible to implement a collaborative process of change, provided the needs and expectations of both the participants and the organisations are similar.The results obtained through Participatory Action Research were directly transferred to clinical practice, thus having an impact on individual nurses and patients, as well as on the collective dynamics of the teams and aspects related to the management of the units.Patient or public input is not directly applicable to this study. Patients were recipients of the changes that were occurring in the nurses as part of their daily clinical practice.© 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
    Áreas temáticas: Sociología Saúde coletiva Psicología Nutrição Nursing (miscellaneous) Nursing (all) Nursing Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar General nursing General medicine Enfermagem Educação física Ciências agrárias i
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: georgina.casanova@urv.cat
    Fecha de alta del registro: 2024-08-03
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.16606
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Journal Of Clinical Nursing. 32 (15-16): 5135-5146
    Referencia de l'ítem segons les normes APA: Tolosa-Merlos D; Moreno-Poyato AR; González-Palau F; Pérez-Toribio A; Casanova-Garrigós G; Delgado-Hito P (2023). The therapeutic relationship at the heart of nursing care: A participatory action research in acute mental health units. Journal Of Clinical Nursing, 32(15-16), 5135-5146. DOI: 10.1111/jocn.16606
    DOI del artículo: 10.1111/jocn.16606
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2023
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Medicine (Miscellaneous),Nursing,Nursing (Miscellaneous)
    Psychiatric nursing
    Nurse–patient relationships
    Nurses
    Nurse-patient relationships
    Mental health services
    Clinical nursing research
    Action research
    working
    staff
    psychiatric nursing
    nurse-patient relationships
    mental health services
    intervention
    inquiry
    clinical nursing research
    Sociología
    Saúde coletiva
    Psicología
    Nutrição
    Nursing (miscellaneous)
    Nursing (all)
    Nursing
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General nursing
    General medicine
    Enfermagem
    Educação física
    Ciências agrárias i
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