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Patient-reported outcomes of the nurse-patient relationship in psychiatric inpatients hospitals: a multicentred descriptive cross-sectional study
Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Department of Sociology, Ghent University, Ghent, Belgium.
Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium; Centre for Psychiatry and Psychotherapy Clinic St-Joseph, Pittem, Belgium.
Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium; Dimence Mental Health Center for Bipolar Disorder, Deventer, The Netherlands.
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2023 (English)In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 30, no 3, p. 568-579Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Identifying patient-reported outcomes of the nurse-patient relationship is a priority in inpatient mental healthcare to guide clinical decision-making and quality improvement initiatives. Moreover, demonstrating nurse-sensitive patient outcomes can be a strategy to avoid further erosion of the specialism of psychiatric and/or mental health nursing.

AIM/QUESTION: To measure nurse-sensitive patient outcomes of the nurse-patient relationship.

METHOD: In a multicentred cross-sectional study, 296 inpatients admitted to five psychiatric hospitals completed the recently developed and validated Mental Health Nurse-Sensitive Patient Outcome-Scale (MH-NURSE-POS). The MH-NURSE-POS consists of 21 items (six-point Likert-scale) in four domains: 'growth', 'expression', 'control', and 'motivation'.

RESULTS: Participants displayed moderate to good average scores for the MH-NURSE-POS total (4.42) and domain scores (≥4.09). Especially outcomes related to 'motivation' to follow and stay committed to the treatment received high average scores (≥4.60).

DISCUSSION: The results demonstrate that patients perceive the nurse-patient relationship and the care given by psychiatric and/or mental health nurses as contributing to their treatment.

IMPLICATIONS FOR PRACTICES: Patient-reported outcomes can guide nurses and managers to provide and organize nursing care and to build a nurse-patient relationship that has a positive impact on these outcomes. Additionally, outcomes can create nursing visibility as a profession in- and outside mental healthcare.

Place, publisher, year, edition, pages
Blackwell Publishing, 2023. Vol. 30, no 3, p. 568-579
Keywords [en]
peplau's theory, quantitative methodology, scales and assessment, statistical methods, therapeutic relationships
National Category
Nursing Psychiatry
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URN: urn:nbn:se:oru:diva-103155DOI: 10.1111/jpm.12895ISI: 000913079100001PubMedID: 36588478Scopus ID: 2-s2.0-85146320769OAI: oai:DiVA.org:oru-103155DiVA, id: diva2:1729117
Available from: 2023-01-19 Created: 2023-01-19 Last updated: 2023-12-08Bibliographically approved

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Beeckman, Dimitri

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