What makes a quality therapeutic relationship in psychiatric/mental health nursing: A review of the research literature

Although a therapeutic relationship is essential to psychiatric/mental health nursing practice, its use is problematic because the nursing attributes contributing to a therapeutic relationship are elusive. A review of the literature in the field of psychiatric/mental health nursing was conducted to conceptualize constructs contributing to the development of a therapeutic relationship in advanced practice psychiatric/mental health nursing. A typology of nine general attributes were identified which have practical implications for psychiatric/mental health nursing education and practice. Recommendations include the application of a typology of constructs upon which psychiatric/mental health nurse curricula, in-service education, and reflective practice can be based

A systematic literature review of the applications of Q-technique and its methodology

Q-methodology is a technique incorporating the benefits of both qualitative and quantitative research. Q-method involves Q-sorting, a method of data collection and factor analysis, to assess subjective (qualitative) information. The use of Q-sorting and factor analysis has often resulted in the misconception that Q-methodology involves psychometric or quantitative assessment, although Q as a methodology actually enables the systematic assessment of qualitative data. Misconceptions regarding Q have resulted in a heterogeneous collection of Q-applications in the extant literature, which has obscured the fundamental principles of Q-methodology. The purpose of this paper is to present a systematic review of Q-based research to investigate the criteria researchers have used to develop Q-studies. Published research studies between January 2008 and December 2008 that employed Q-techniques and methodology were assessed. Data were extracted and synthesized through the development and use of the Assessment and Review Instrument for Q-methodology (ARIQ). Fourteen research studies met the inclusion criteria for the review. The Q-methodological studies were disparate in their application of terminology, instrument development, and factor analysis, although data extraction and synthesis processes revealed two types of studies: those which aimed to apply conventional Q-methodology and those which applied variations of Q-techniques. It is concluded that variations of Q-technique and its methodology are unavoidable. However, this does not obviate the need for researchers to explicitly state their rationale for decisions to deviate from conventional Q-methodology if they are to produce demonstrably valid research. The review instrument (ARIQ) developed for this review will facilitate this end

Three Different Ways Mental Health Nurses Develop Quality Therapeutic Relationships

The purpose of this study was to determine if there were different ways in which mental health nurses develop quality therapeutic relationships with patients. A taxonomy of 140 attributes were identified as important to the formation of a quality therapeutic relationship in mental health nursing. These attributes provided the basis for the development of a Q-sort instrument, which was piloted. Results led to the identification of three clusters of mental health nurses who share similar beliefs regarding the attributes required to develop a quality therapeutic relationship with patients. These groupings of attributes were called “Equal Partner,” “Senior Partner,” and “Protective Partner.” Recommendations are provided and include that nurses consider their nursing style in their choice of employment environment and that managers consider their nurses' individual styles in determination of an optimal case mix

Brief interventions in mental health assessment services: Single Session Work (SSW): A feasibility study

The study describes the implementation and adaptation of a brief intervention model as routine clinical practice in an acute care service