Aims: To examine the relationship between the dimensions of evidence-based practice and the therapeutic relationship and to predict the quality of the therapeutic relationship from these dimensions among nurses working in mental health units.
Design: A cross-sectional design.
Methods: Data were collected between February-April 2018 via an online form completed by nurses working at 18 mental health units. Multiple linear regressions were used to examine the relationship between the dimensions of evidence-based practice and therapeutic relationship. Questionnaires were completed by 198 nurses.
Results: Higher levels of evidence-based practice were a significant predictor of a higher-quality therapeutic relationship (β: 2.276; 95% CI: 1.30-3.25). The evidence-based practice factor which most influenced an improved therapeutic relationship was the nurses' attitude (β: 2.047; 95% CI: 0.88-3.21). The therapeutic relationship dimension which was most conditioned by evidence-based practice dimensions was agreement on tasks, which was most favourable with a better attitude (β: 0.625; 95% CI: 0.09-1.16) and greater knowledge and skills for evidence-based practice (β: 0.500; 95% CI: 0.08-0.93).
Conclusion: In mental health settings, the therapeutic nurse-patient relationship is positively enhanced by evidenced-based practice and the nurse's level of experience, with a great influence on shared decision-making.
Impact: This research sought to examine the relationship between the evidence-based practice and the therapeutic relationship in mental health nursing. This study demonstrates that an improved attitude and knowledge of evidence-based practices of mental health nurses increases shared decision-making with patients, which is a basic requirement for person-centred care. Because the therapeutic relationship is considered the backbone of nursing practice in mental health units, this research will have an impact on both mental health nurses and mental health unit managers.
目的: 探讨循证实践各维度与治疗关系之间的关系, 并从这些维度预测在心理卫生单位工作的护士的治疗关系质量。 设计: 一项横截面设计。 方法: 于2018年2月至4月期间通过在线表格 (由在18个心理卫生单位工作的护士填写该表格) 收集数据。多元线性回归用于检验循证实践各维度与治疗关系之间的关系。问卷由198名护士完成。 结果: 循证实践水平越高, 越能显著预测高质量的治疗关系 (β: 2.276; 95% CI: 1.30-3.25) 。对治疗关系改善最具影响的循证实践因素是护士的态度 (β: 2.047; 95% CI: 0.88-3.21) 。受循证实践维度限制最大的治疗关系维度是对任务的认同, 其中, 态度较好 (β: 0.625; 95% CI: 0.09-1.16) 、循证实践知识和技能较强 (β: 0.500; 95% CI: 0.08-0.93) 最为有利。 结论: 在心理卫生环境中, 治疗性护患关系因循证实践和护士的经验水平而得到积极加强, 对共同决策有很大影响。 影响: 本研究试图探讨心理卫生护理中循证实践与治疗关系之间的关系。本研究表明, 心理卫生护士对循证实践的态度和知识的提高会增加与患者分享决策几率, 这是以人为本的护理的基本要求。由于治疗关系被认为是心理卫生单位护理实践的支柱, 本研究将对心理卫生护士和心理卫生单位管理者产生影响。.
Keywords: evidence-based practice; mental health; nurse-patient relationships; practice nursing; quantitative approaches.
© 2020 John Wiley & Sons Ltd.