Development and Psychometric Properties of the Therapeutic Relationship Assessment Scale-Patient (TRAS-Patient).

Joana Catarina Ferreira Coelho, Joana Isabel Ferreira Ribeiro, Ana Rita Martins Ribeiro, Ana Carolina Gonçalves Trindade, Carlos Alberto da Sequeira, Juan Francisco Roldán Merino, Antonio Rafael Moreno Poyato, Francisco Miguel Correia Sampaio
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Abstract

The therapeutic relationship plays a crucial role in nursing care for people with mental illness. Adopting a systemic and person-centred approach that considers the individual experiences and needs of the person is paramount. However, no instruments were found in the literature designed to evaluate the nurse-patient therapeutic relationship from the perspective of a person with mental illness. This study aimed to develop and evaluate the psychometric properties of an instrument for assessing the quality of the nurse-patient therapeutic relationship from the patient's perspective. An e-Delphi study was conducted to develop the assessment tool, and a psychometric study was carried out to examine its psychometric properties. The sample comprised 240 adults with mental illness. Internal consistency was assessed using Cronbach's alpha and the Omega coefficient. The final structure of the assessment instrument included 24 items distributed across two factors, explaining 64.2% of the variance. Cronbach's alpha was 0.94, and the Omega coefficient was 0.96. The intraclass correlation coefficient was 0.84 (95% CI: 0.66-0.92). The therapeutic relationship assessment scale (TRAS-Patient) shows good psychometric properties. This is a relevant tool for assessing the quality of the nurse-patient therapeutic relationship from the patient's perspective, thus promoting a patient-centred approach and responding to the patient's needs. Mental health nurses can access a tool for evaluating the nurse-patient therapeutic relationship centred on disciplinary knowledge. This enables patient involvement in care, enhanced care and person-centred practice.

患者治疗关系评估量表(TRAS-Patient)的开发和心理测量特性。
治疗关系在为精神病患者提供护理服务中起着至关重要的作用。采用系统的、以人为本的方法,考虑患者的个人经历和需求是至关重要的。然而,在文献中并没有发现从精神病患者角度评估护患治疗关系的工具。本研究旨在开发和评估一种从患者角度评估护患治疗关系质量的工具的心理测量特性。为了开发该评估工具,我们进行了一项电子德尔菲研究,并对其心理测量特性进行了研究。样本包括 240 名成年精神病患者。使用克朗巴赫阿尔法和欧米茄系数对内部一致性进行了评估。评估工具的最终结构包括 24 个项目,分布在两个因子上,解释了 64.2% 的方差。Cronbach's alpha 为 0.94,Omega 系数为 0.96。类内相关系数为 0.84(95% CI:0.66-0.92)。治疗关系评估量表(TRAS-Patient)显示出良好的心理测量特性。这是一种从患者角度评估护患治疗关系质量的相关工具,可促进以患者为中心的方法,满足患者的需求。心理健康护士可以使用以学科知识为中心的工具来评估护患治疗关系。这有助于病人参与护理、加强护理和以人为本的实践。
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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