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Measuring the evidence: reviewing the literature of the measurement of therapeutic engagement in acute mental health inpatient wards

McAndrew, S; Chambers, M; Nolan, F; Thomas, B; Watts, P; (2014) Measuring the evidence: reviewing the literature of the measurement of therapeutic engagement in acute mental health inpatient wards. International Journal of Mental Health Nursing , 23 (3) pp. 212-220. 10.1111/inm.12044.

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Abstract

Quality nursing plays a central role in the delivery of contemporary health and social care, with a positive correlation being demonstrated between patient satisfaction and the quality of nursing care received. One way to ensure such quality is to develop metrics that measure the effectiveness of various aspects of care across a variety of settings. Effective mental health nursing is predicated on understanding the lived experiences of service users in order to provide sensitively-attuned nursing care. To achieve this, mental health nurses need to establish the all-important therapeutic relationship, showing compassion and creating a dialogue whereby service users feel comfortable to share their experiences that help contextualize their distress. Indeed, service users value positive attitudes, being listened to, and being able to trust those who provide care, while mental health nurses value their ability to relate through talking, listening, and expressing empathy. However, the literature suggests that within mental health practice, a disproportionate amount of time is taken up by other activities, with little time being spent listening and talking to service users. The present study discusses the evidence relating to the therapeutic relationship in acute mental health wards and explores why, after five decades, it is not recognized as a fundamental metric of mental health nursing.

Type: Article
Title: Measuring the evidence: reviewing the literature of the measurement of therapeutic engagement in acute mental health inpatient wards
Location: Australia
DOI: 10.1111/inm.12044
Publisher version: http://dx.doi.org/10.1111/inm.12044
Language: English
Keywords: barrier, mental health nursing, metric, therapeutic engagement, Humans, Inpatients, Mental Disorders, Psychiatric Department, Hospital, Psychiatric Nursing
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/1475649
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