Clients' reflections on relationships with nurses: comparisons from Canada and Scotland

Forchuk, Cheryl; Reynolds, William J.

doi:10.1046/j.1365-2850.2001.00344.x

Cited by 56 publications

(62 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This holds true in intervention scenarios that are short term, such as helping an individual in crisis [5] or in extended therapeutic exploration with individuals dealing with serious mental health issues [6] . Interestingly while particular interpersonal and communication elements common to the PMH therapeutic relationship are well recognized [7][8][9] , research suggests hospitalized individual's frequently report that nurses failed to engage with them during inpatient psychiatric treatment [10,11] . Similarly contemporary PMH thought leaders believe that psychiatric nurses have failed to clearly articulate what they do with patients within the relationship and the contributions they make to the health of mental health service users [12] .…”

Section: Psychiatric Mental Health Nursing and Their Relationship Tramentioning

confidence: 99%

Peplau and the brain: Why Interpersonal Neuroscience provides a useful language for the relationship process

Delaney

Ferguson

2014

JNEP

View full text Add to dashboard Cite

Since introduced by Peplau in the 1950's the psychotherapeutic relationship has been a defining element of psychiatric mental health (PMH) nursing practice. While the components of the therapeutic relationship have been detailed over the decades, PMH nurses appear to be faltering in particular aspects of the relationship process. Individuals hospitalized on inpatient psychiatric units have reported that nurses often failed to engage. Nursing leaders believe that the specialty has not articulated what PMH nurses do within the relationship that helps clients lead a more meaningful life. We suggest what remains ambiguous is not what nurses do within the relationship but the language to depict the mental processes involved in relationship building particularly in the engagement phase. Using the language of interpersonal neuroscience three key engagement processes are detailed, i.e., resonance, attunement and mentalizing. The healing elements of the relationship are explored particularly how attention to individuals' narratives of experiences supports their movement towards integration and coherence.

show abstract

Section: Psychiatric Mental Health Nursing and Their Relationship Tramentioning

confidence: 99%

Peplau and the brain: Why Interpersonal Neuroscience provides a useful language for the relationship process

Delaney

Ferguson

2014

JNEP

View full text Add to dashboard Cite

show abstract

“…The quality of the nurse-patient relationship is considered important in nursing situations [22] and in mental health nursing interpersonal interaction is the core of practice [23] , making the therapeutic relationship the essence of mental health care [24] . Moreover, the success of many interventions is reliant on the foundation of some form of therapeutic relationship [25] .…”

Section: Background Of the Studymentioning

confidence: 99%

“…Forchuk & Reynolds [32] asserts that the ability to listen well is the most helpful quality found in the person you go to see to talk about a personal or emotional problem. If mental health nurses are able to develop a therapeutic relationship with their patients by exercising 'good' interpersonal skills then they have successfully negotiated the first move in forming a therapeutic alliance.…”

Section: Communication Skillsmentioning

confidence: 99%

The perceptions of nurses in their management of patients experiencing anxiety

Webster

Gallagher²,

Brown³

et al. 2012

JNEP

View full text Add to dashboard Cite

Objective: The purpose of this qualitative study is to explore and describe mental health nurses' interventions in the management of patients who were experiencing anxiety in two inpatient mental health hospital facilities. Method:For this study, data were collected through in-depth interviews with nursing staff who were working in these two inpatient mental health facilities within the same health service. Nurses' reflections on what strategies they perceived to be effective nursing interventions for patients experiencing anxiety were the focus of the study. Thirty nurses participated in the study; of these were three males (3) and twenty-seven females (27). Levels of experience varied from 1-25 years. Results:The results highlighted the importance of assessment, interpersonal skills and empathy, and the over-arching core concept of the importance of developing a therapeutic relationship with patients. The results identified the importance of facilitative mental health nurse/patient interactions to assist in the promotion, maintenance and restoration of patients' mental health. Conclusions:This preliminary study suggests that appropriately educated and clinically supervised mental health nurses can provide effective early interventions to patients who are experiencing anxiety in hospital settings. The significance of this research was to identify effective nursing interventions for patients who were experiencing anxiety whilst in hospital.

show abstract

“…The therapeutic relationship remains one of the dominant cornerstones of mental health nursing practice. The long-standing, if currently less acknowledged influence of Peplau (1952) has especially influenced its importance within British mental health nursing (Forchuk and Reynolds, 2001). In nursing practice, a large amount of nursing time is spent on administration, meaning that time spent talking with patients is often minimal, and when it does happen is rarely purposely therapeutic or informed by any theoretical framework or evidence base (Cameron et al, 2005).…”

mentioning

confidence: 99%

“…In nursing practice, a large amount of nursing time is spent on administration, meaning that time spent talking with patients is often minimal, and when it does happen is rarely purposely therapeutic or informed by any theoretical framework or evidence base (Cameron et al, 2005). Forchuk and Reynolds (2001) argue that Mental Health Nurses (MHNs) struggle to implement evidence-based practice (EBP) and that this struggle is grounded in the divided identity of 'psychiatric/mental health nursing' itself: A profession divided between the 'therapeutic relationship' camp, focussing primarily on therapeutic factors, and the 'biology' camp, focusing on the primacy of biological factors and mental health problems. One example of this 'division' was played out within British mental health nursing during the 1990s in the series of papers by two influential nurses Barker and Gournay.…”

mentioning

confidence: 99%

Clinically representative research in the psychological therapies: an emerging paradigm

Cahill

2012

Journal of Research in Nursing

View full text Add to dashboard Cite

This paper considers the tension between the 'biology' and the 'therapeutic relationship' camps within mental health nursing, which is focussed on differing conceptualisations of what it is that constitutes evidence and appropriate lines of inquiry. I argue that the struggle that mental health nurses have experienced in delivering evidence-based practice also resides in the thorny issue of methodological inquiry and how it is written into nursing practice. I would suggest that what is alienating to practitioners is the way in which evidence and evidence-based enquiry is generated. This paper offers a line of methodological inquiry that is based in clinical representativeness, a way of conducting and evaluating research to produce an evidence base that is informed from the 'bottom up' by 'practice'. This paper not only contributes to the knowledge base of clinically representative research (CRR) but examines the ways in which this knowledge base has been produced and is currently perpetuated. The following themes are addressed:(1) Processes and outcomes in CRR: I identify key treatment outcomes and processes operating in practice settings and consider with what confidence we can make conclusions on observed outcomes in these settings. I also examine key moderating and mediating processes influencing such outcomes.(2) Practice of CRR: I reflect on the paradigm of CRR giving particular attention to how the paradigm has developed and is maintained. I look at how the relationship of CRR to efficacy research has influenced paradigm development.(3) Future directions of CRR: I summarise the conclusions of CRR to date and identify points of consensus, disagreement and clarity suggesting in what areas the field has moved forward and whether there are instances where points of conflict have contributed to growth.

show abstract

Clients' reflections on relationships with nurses: comparisons from Canada and Scotland

Cited by 56 publications

References 32 publications

Peplau and the brain: Why Interpersonal Neuroscience provides a useful language for the relationship process

Peplau and the brain: Why Interpersonal Neuroscience provides a useful language for the relationship process

The perceptions of nurses in their management of patients experiencing anxiety

Clinically representative research in the psychological therapies: an emerging paradigm

Contact Info

Product

Resources

About