背景:确定患者报告的护患关系结果是住院精神医疗的优先事项,以指导临床决策和质量改进举措。此外,证明护士敏感的患者结果可以是避免进一步侵蚀精神病学和/或心理健康护理专业的策略。
目的:测量护士-病人关系的护士-病人结果。
方法:在一项多中心横断面研究中,5家精神病医院的296名住院患者完成了最近开发和验证的心理健康护士敏感患者结果量表(MH-NURSE-POS)。MH-NURSE-POS由四个领域的21个项目(六点李克特量表)组成:\'增长\',\'表达式\',\'控制\',和“动机”。
结果:参与者的MH-NURSE-POS总分(4.42)和领域得分(≥4.09)显示中等至良好的平均得分。特别是与“动机”相关的随访和坚持治疗的结果平均得分较高(≥4.60)。
结论:结果表明,患者认为护患关系以及精神病和/或心理健康护士给予的护理有助于他们的治疗。
UNASSIGNED:患者报告的结果可以指导护士和管理者提供和组织护理,并建立对这些结果有积极影响的护患关系。此外,结果可以创造护理作为精神医疗内外职业的知名度。
WHAT IS KNOWN ON THE SUBJECT?: Psychiatric and/or mental health nurses are struggling to measure the outcomes of the nurse-patient relationship. Collecting nurse-sensitive patient outcomes is a strategy to provide outcomes of a nurse-patient relationship from patients\' perspectives. Because there was no validated scale, the Mental Health Nurse-Sensitive Patient Outcome-Scale (six-point Likert-scale) was recently developed and psychometrically evaluated. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This is the first
study using the Mental Health Nurse-Sensitive Patient Outcome-scale to measure nurse-sensitive patient outcomes of the nurse-patient relationship in psychiatric hospitals. Moderate to good average scores for the MH-NURSE-POS total (4.42) and domains scores (≥4.09). are observed. Especially outcomes related to \'motivation\' to follow and stay committed to the treatment received high average scores (≥4.60). Our results are consistent with the patient-reported effect(s) of relation-based nursing in qualitative research. The scores generate evidence to support the outcomes of the nurse-patient relationship and implicates that further investment in (re)defining and elaborating nurse-patient relationships in mental healthcare is meaningful and justified. More comparative patient-reported data can determine how nurse-sensitive patient outcomes are affected by the patient, nurse, and context. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Demonstrating patient-reported outcomes of the nurse-patient relationship can be important to enhance the therapeutic alliance between nurses and patients, organize responsive nursing care, and create nursing visibility in mental healthcare. Further nursing staff training on interpersonal competencies, such as self-awareness and cultural sensitivity, can be pivotal to achieving the patient-reported outcomes for inpatients with mental health problems.
UNASSIGNED: 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.
OBJECTIVE: To measure nurse-sensitive patient outcomes of the nurse-patient relationship.
METHODS: 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).
CONCLUSIONS: 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.
UNASSIGNED: 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.