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The Relationship Between Staff and Patient Interactions and Patients' Perceptions of Good Quality of Care in Psychiatric Outpatient Services-A Structural Equation Model
School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Norrköping, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. University Health Care Research Center.ORCID iD: 0000-0002-5030-6353
Örebro University, School of Health Sciences. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-6703-7575
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2025 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 39, no 2, article id e70043Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The therapeutic relationship has been identified as essential for ensuring high-quality care in psychiatric outpatient services, as highlighted in several studies. This study focuses on the content of interactions between patients and staff in psychiatric outpatient care, as well as the quality of care provided, as perceived by the patients. AIM: The aim of this study is to explore the relationship between these interactions and aspects of the perceived quality of care from the perspective of patients in psychiatric outpatient services.

METHODS: A sample of 706 patients from psychiatric outpatient clinics in Sweden completed the Verbal and Social Interaction Outpatient (VSI-OP) and the Quality in Psychiatric Care-Outpatient (QPC-OP) instruments. A structural equation model was conducted to explore these associations. The study was approved by the Regional Ethical Review Board in Uppsala, Sweden (Dnr. 2018/186).

RESULTS: The model revealed that the staff showing an interest in the patients' feelings, experiences and behaviour influences the patients' perceived quality of participation through an intricate network of mediator variables, including the staff's ability to establish a relationship, a good encounter, support and a high level of information to the patients. High levels of Participation/Empowerment indicate a high level of quality of care in a psychiatric outpatient context.

IMPLICATION FOR PRACTICE: The presented model provides an understanding of the associations between staff and patient interactions and perceived quality of care and sheds light on important aspects of quality of care from the perspective of the patients.

Place, publisher, year, edition, pages
Blackwell Publishing, 2025. Vol. 39, no 2, article id e70043
Keywords [en]
Psychiatric outpatient care, quality of care, staff–patient interactions, structural equation model
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-121546DOI: 10.1111/scs.70043PubMedID: 40457514OAI: oai:DiVA.org:oru-121546DiVA, id: diva2:1968192
Funder
Region Örebro County
Note

Funding Agencies:

The Fund for Rehabilitation and Medical Research (Fonden för Rehabilitering och Medicin) and the Region Örebro County Research Committee (Forskningskommittén i Region Örebro län).

Available from: 2025-06-12 Created: 2025-06-12 Last updated: 2025-06-12Bibliographically approved

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Sellin, TabitaLundqvist, Lars-OlovSchröder, Agneta

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