Exploring the therapeutic relationship in nursing theory and practice

Wright, Karen

doi:10.7748/mhp.2021.e1561

Cited by 16 publications

(10 citation statements)

References 23 publications

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“…This is consistent with research in community settings where gaining insight into triggers and alternative coping strategies were reported to help individuals reduce their self-harm (Kruzan and Whitlock, 2019). Participants also described non-judgmental and person-centred staff approaches as instrumental in reducing self-harm, factors which are widely recognised as central to a positive therapeutic alliance (McAllister et al, 2019;Moreno-Poyato and Rodríguez-Nogueira, 2021;Wright, 2021), and incorporated into nursing proficiency standards (Nursing and Midwifery Council, 2018) and the NHS Long Term Plan (NHS England, 2019). However, participants recognised that intrapersonal factors were also important; autonomy and feeling ready facilitated reductions in selfharm, whereas intense emotions were a barrier.…”

Section: Discussionsupporting

confidence: 78%

Staff and service users' experiences of the self-harm pathway on an acute inpatient ward

Parker

Swift

Gkika

2022

British Journal of Mental Health Nursing

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Background/Aims A female acute inpatient mental health ward developed a care pathway to support women who self-harm during their admission. This service evaluation was the first to explore staff and patients' experiences of the care pathway using qualitative methods. Methods Semi-structured interviews were completed with eight staff members and five patients. Thematic analysis was used to analyse the interview data. Results Themes that developed from staff interviews were about effects on staff and staff support, enabling patients to manage self-harm autonomously and the ward environment. Themes developed from patient interviews included enabling engagement, putting skills into practice and least restrictive practice. Staff and patients viewed the pathway as effective in reducing self-harm incidents and levels of restriction on the ward. Conclusions The pathway was viewed positively by staff and patients, although improvements could be considered to increase its efficacy.

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Section: Discussionsupporting

confidence: 78%

Staff and service users' experiences of the self-harm pathway on an acute inpatient ward

Parker

Swift

Gkika

2022

British Journal of Mental Health Nursing

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“…A common expectation among clinicians is that any disclosures should be made in the service of the patient rather than to meet the clinician's needs. The 'textbook' position on revealing personal information is that it can be a potentially harmful and a potentially beneficial act (Wright 2021). This, however, depends on the context and modality in which the clinician is practising (Gibson 2012).…”

Section: Professional Self-disclosurementioning

confidence: 99%

Reflecting on professional self-disclosure and supportive relationships with foster carers during the COVID-19 pandemic

Archard

Moore²,

O’Reilly

et al. 2023

Mental Health Practice

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Professional self-disclosure can be defined as a clinician revealing personal information about themselves to the person they are caring for. This article provides reflections from clinicians working in child and adolescent mental health services (CAMHS) and their navigation of professional self-disclosure during the coronavirus disease 2019 pandemic. The reflections focus on the use of self-disclosure in supportive relationships with foster carers. Drawing on the authors' practice experiences as clinicians in specialist CAMHS settings, the article considers changes in the way that self-disclosure was approached following the shift to remote care delivery during the pandemic. The authors suggest that remote working involves a potentially increased scope for inappropriate use of self-disclosure and outline the implications for mental health nurses working with foster carers.

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“…The therapeutic relationship is known to be the cornerstone of mental health nursing [ 3 , 4 ]. This is characterized by the interpersonal relationship that is established between the nurse and the patient, a relationship based on trust between the two parties, and focused on therapeutic assistance [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Transcultural adaptation and assessment of psychometric properties of the Spanish version of the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes

et al. 2023

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Purpose To adapt the Scale for the Evaluation of Staff Patient Interactions in Progress Notes to Spanish and to test the psychometric properties. Design and methods The study was conducted in two phases: (1) Adaptation of the instrument to Spanish following the Standards for Educational and Psychological Testing. (2) Psychometric study in a sample of mental health nurses. Findings The Cronbach’s alpha values were 0.97 for the total scale and 0.83 to 0.81 for each dimension. The inter-rater reliability values were between 0.94 and 0.97. Practice implications The scale is a reliable tool for assessing nurses’ clinical notes in relation to the quality of nurse-patient interactions.

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Exploring the therapeutic relationship in nursing theory and practice

Cited by 16 publications

References 23 publications

Staff and service users' experiences of the self-harm pathway on an acute inpatient ward

Staff and service users' experiences of the self-harm pathway on an acute inpatient ward

Reflecting on professional self-disclosure and supportive relationships with foster carers during the COVID-19 pandemic

Transcultural adaptation and assessment of psychometric properties of the Spanish version of the Scale for the Evaluation of Staff-Patient Interactions in Progress Notes

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