ArticleJournal of clinical nursing2023
Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: A qualitative study.
Article in Journal of clinical nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review on the use of action research methods in mental health nursing care.Journal of advanced nursing · 2023Pooled it
- Communication Strategies Within the Mental Health Context-The Evidence for Nurses, Midwives, and Social Workers. A Rapid Review.International journal of mental health nursing · 2026Review
- Enhancing the Therapeutic Relationship Between Mental Health Case Managers and Individuals With Serious Mental Health Conditions: A Participatory Action Research Study in Community-Based Services.International journal of mental health nursing · 2026Article
- Relationship Between Reflective Practice and Caring Behaviors Among Psychiatric Nurses: A Latent Profile Analysis.Risk management and healthcare policy · 2026Article
- Peer support in acute psychiatric inpatient settings: A scoping review.PCN reports : psychiatry and clinical neurosciences · 2025Review
- Article
- Formal Coercion and the Moral Division of Labor: Moving Beyond Role Conflicts in Psychiatric Nursing.Journal of psychiatric and mental health nursing · 2025Article
- Recognising the Value of Everyday Interactions in Inpatient CAMHS: Patient Thank-You Letters as Insights Into Nursing Impact.International journal of mental health nursing · 2025Article
- Development and Psychometric Properties of the Therapeutic Relationship Assessment Scale-Patient (TRAS-Patient).International journal of mental health nursing · 2025Article
- Understanding the Process of Acceptance Within the Nurse-Patient Therapeutic Relationship in Mental Health Care: A Grounded Theory.Healthcare (Basel, Switzerland) · 2024Article
- Understanding organisational and nursing behaviour changes associated with a therapeutic engagement improvement tool in acute mental health inpatient settings: A qualitative analysis.International journal of nursing studies advances · 2024Article
- Developing a psychological care competences framework for nurses in China: a mixed methods study.BMC nursing · 2024Article
- Perspectives of adult patients with mental health disorders on the relationship with nurses: a focus group study.BMC nursing · 2024Article
- Impact of the 'reserved therapeutic space' nursing intervention on patient health outcomes: An intervention study in acute mental health units.Nursing open · 2023Article
- Transcultural adaptation and psychometric properties of the spanish version of the therapeutic relationship Assessment Scale-Nurse.BMC nursing · 2023Article
- Exploring the therapeutic relationship through the reflective practice of nurses in acute mental health units: A qualitative study.Journal of clinical nursing · 2023Article
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIMS AND
objectivesTo explore the therapeutic relationship through the reflective practice of nurses in acute mental health units.
backgroundIn mental health units, the therapeutic relationship is especially relevant for increasing the effectiveness of nursing interventions. Reflective practice is considered an essential aspect for improving nursing care.
designAction and observation stages of a participatory action research project.
methodsData were collected through reflective diaries designed for the guided description and reflection of practice interactions related to the therapeutic relationship and content analysis was applied. A total of 152 nurses from 18 acute mental health units participated. The COREQ guidelines were used.
resultsThe results were classified into three categories as follows: (i) Nursing attitude as a core of the therapeutic relationship. For the nurses, the attitudinal component was key in the therapeutic relationship. (ii) Nursing practices that are essential to the therapeutic relationship. Nurses identified practices such as creating a conducive environment, using an appropriate verbal approach, offering help and working together with the patient as essential for establishing a therapeutic relationship in practice. (iii) Contextual factors affecting the therapeutic relationship. The nurses considered the patient's condition, the care dynamics of the unit and its regulations, as well as the structure and environment of the unit, as contextual factors involved the establishment of an adequate therapeutic relationship in daily clinical practice.
conclusionsThis study has provided knowledge of the importance and role of the nurses' attitude in the context of the nurse-patient therapeutic relationship based on the reflections of nurses in mental health units regarding their own practice. RELEVANCE TO CLINICAL PRACTICE: These findings help nurses to increase awareness and develop improvement strategies based on their own knowledge and day-to-day difficulties. Moreover, managers can evaluate strategies that promote motivation and facilitate the involvement of nurses to improve the therapeutic relationship with patients.
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