Improving the therapeutic relationship in inpatient psychiatric care: Assessment of the therapeutic alliance and empathy after implementing evidence-based practices resulting from participatory action research

Perspect Psychiatr Care. 2018 Apr;54(2):300-308. doi: 10.1111/ppc.12238. Epub 2017 Sep 13.

Abstract

Purpose: To examine how evidence about the therapeutic alliance gleaned from participatory action project affected the level of this alliance and the degree of empathy of psychiatric nurses.

Design and methods: Quasi-experimental study in two psychiatric units. In one group, evidence-based practices that affected the therapeutic alliance were implemented; in the comparison group, there was no such intervention.

Findings: The nurses from the intervention group improved their degree of empathy and factors such as agreement on objectives and tasks with the patient.

Practice implications: The results confirm the possibility of measuring and improving the therapeutic relationship in psychiatric care.

Keywords: Evidence-based practice; mental health; nurse-patient relations; participatory action research; psychiatric nursing.

MeSH terms

  • Adult
  • Empathy*
  • Evidence-Based Practice*
  • Female
  • Health Services Research*
  • Humans
  • Inpatients*
  • Male
  • Mental Disorders / nursing*
  • Nurse-Patient Relations*
  • Nursing Staff, Hospital*
  • Psychiatric Department, Hospital*