Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design : study protocol
Moreno-Poyato, Antonio R. (Universitat Pompeu Fabra. Escola Superior d'Infermeria del Mar)
Delgado-Hito, Pilar (Universitat de Barcelona. Escola d'Infermeria)
Suárez-Pérez, Raquel (Parc de Salut MAR de Barcelona)
Leyva-Moral, Juan M. (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Aceña-Domínguez, Rosa (Parc de Salut MAR de Barcelona)
Carreras-Salvador, Regina (Parc de Salut MAR de Barcelona)
Roldán-Merino, Juan F. (Campus Docent Sant Joan de Déu)
Lluch-Canut, Teresa (Universitat de Barcelona. Escola d'Infermeria)
Montesó-Curto, Pilar (Universitat Rovira i Virgili. Escola d'Infermeria de Tortosa)

Date:	2017
Abstract:	Psychiatric nurses are aware of the importance of the therapeutic relationship in psychiatric units. Nevertheless, a review of the scientific evidence indicates that theoretical knowledge alone is insufficient to establish an adequate therapeutic alliance. Therefore, strategies are required to promote changes to enhance the establishment of the working relationship. The aims of the study are to generate changes in how nurses establish the therapeutic relationship in acute psychiatric units, based on participative action research and to evaluate the effectiveness of the implementation of evidence through this method. The study will use a mixed method design. Qualitative methodology, through participative action research, will be employed to implement scientific evidence on the therapeutic relationship. A quasi-experimental, one-group, pre-test/post-test design will also be used to quantitatively measure the effectiveness of the implementation of the evidence. Participants will consist of nurses and patients from two psychiatric units in Barcelona. Nurses will be selected by theoretical sampling, and patients assigned to each nurses will be selected by consecutive sampling. Qualitative data will be gathered through discussion groups and field diaries. Quantitative data will be collected through the Working Alliance Inventory and the Interpersonal Reactivity Index. Qualitative data will be analysed through the technique of content analysis and quantitative data through descriptive and inferential statistics. This study will help to understand the process of change in a nursing team working in an inpatient psychiatric ward and will allow nurses to generate knowledge, identify difficulties, and establish strategies to implement change, as well as to assess whether the quality of the care they provide shows a qualitative improvement.
Note:	Altres ajuts: This study is funded by the College of Nurses of Barcelona as part of the Research Projects Grants (PR- 1915-14/2014).
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Psychiatric nursing ; Nursing care ; Therapeutic Relationship ; Mixed method design ; Quality of care ; Participatory action research
Published in:	BMC Nursing, Vol. 16 (january 2017) , ISSN 1472-6955

DOI: 10.1186/s12912-016-0197-8
DOI: 10.1186/s12912-016-0197-8.
PMID: 28096737

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