Facilitators of and Barriers to the Therapeutic Nurse-Patient Relationship: Perceptions From Psychiatric Mental Health Nurses.

IF 1.5 4区医学 Q3 NURSING

Journal of the American Psychiatric Nurses Association Pub Date : 2024-06-24 DOI:10.1177/10783903241257633

Mary-Jo Curran, Ray Gannon, Reynaldo R Rivera, Ying Li, Joyce J Fitzpatrick

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引用次数: 0

Abstract

Background: The therapeutic relationship serves as a cornerstone in psychiatric mental health nursing practice, providing a basis for implementing various interventions.

Aims: This study aimed to explore the perspectives of psychiatric mental health nurses regarding factors that facilitate and impede the therapeutic nurse-patient relationship.

Methods: A descriptive study was conducted among psychiatric mental health nurses employed at two community psychiatric hospitals in the northeast area of the United States. A list of facilitators and barriers was developed based on an extensive literature review and subsequently validated by three experts in the field of psychiatric mental health nursing. Participants rated these factors on a 10-point scale.

Results: The study included 74 registered nurses from two psychiatric hospitals, yielding a 24% response rate. The highest-ranked facilitator was awareness that the relationship enables collaborative goal setting with patients. The most significant barrier was insufficient time due to administrative tasks.

Conclusions: This study highlights the importance of understanding facilitators and barriers in the therapeutic nurse-patient relationship. Replicating the study nationally on a larger scale among psychiatric mental health nurses is recommended.

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治疗性护患关系的促进因素和障碍：精神科心理健康护士的看法。

背景：目的：本研究旨在探讨精神科护士对促进和阻碍护患治疗关系的因素的看法：在美国东北部地区的两家社区精神病医院工作的精神科心理健康护士中开展了一项描述性研究。根据广泛的文献综述编制了一份促进因素和障碍因素清单，随后由三位精神科心理健康护理领域的专家进行了验证。参与者以 10 分制对这些因素进行评分：研究包括来自两家精神病院的 74 名注册护士，回复率为 24%。被评为最高的促进因素是认识到这种关系有助于与患者共同制定目标。最主要的障碍是行政任务导致的时间不足：本研究强调了了解治疗性护患关系中的促进因素和障碍的重要性。建议在全国范围内对精神心理健康护士进行更大规模的重复研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Psychiatric Nurses Association NURSING-PSYCHIATRY

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： The Journal of the American Psychiatric Nurses Association (JAPNA) is a peer-reviewed bi-monthly journal publishing up-to-date information to promote psychiatric nursing, improve mental health care for culturally diverse individuals, families, groups, and communities, as well as shape health care policy for the delivery of mental health services. JAPNA publishes both clinical and research articles relevant to psychiatric nursing. This journal is a member of the Committee on Publication Ethics (COPE).