Patient-Reported Outcomes, Influencing Factors, Nursing Care/Intervention(s) and Measurement Scales of Psychiatric and/or Mental Health Nursing in Hospitals: A Systematic Review.
Karel Desmet, Bruce Vrancken, Jochen Bergs, Ann Van Hecke, Eddy Deproost, Piet Bracke, Sofie Muylaert, Sofie Verhaeghe
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Abstract
Introduction: The assessment of patient-reported outcomes of psychiatric and/or mental health nursing remains understudied, limiting understanding of what matters to patients.
Aim: To identify, appraise and synthesise available evidence on patient-reported outcomes, influencing factors, nursing care/interventions and measurement scales of mental health nursing in hospitals.
Method: Ovid MEDLINE, CINAHL, EMBASE, APA PsychARTICLES, Scopus and Web of Science were searched from conception to April 2024 (update March 2025). Two reviewers independently screened and selected the studies based on a predefined PICO framework in a two-stage process. Quality assessment was conducted using the Johanna Briggs Institute (JBI) guidelines.
Results: Analysis of 22 studies identified 25 patient-reported outcomes, measured by 30 unique scales, clustered into three categories: 'symptoms & complaints-based patient-reported outcomes', 'psycho-emotional patient-reported outcomes', and 'functional patient-reported outcomes'. Ten influencing factors emerged from two studies. Nursing care/interventions compromised four clusters: nurse-delivered group programme (n = 8), one-to-one nursing therapy or interaction (n = 8), group and individual nursing sessions (n = 1) and interpersonal relationship (n = 5).
Conclusion: Patient-reported outcomes serve as robust validators for advancing psychiatric and/or mental health nursing within hospital settings. Findings emphasise the importance of well-conceptualised nurse-sensitive patient outcomes using valid and reliable scales to recognise the full psychotherapeutic potential of mental health nursing.
期刊介绍：
The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally.
All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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