Measuring therapeutic engagement in acute mental health inpatient environments: the perspectives of service users and mental health nurses.

Journal article


Chambers, M., McAndrew, S., Nolan, F., Thomas, B, Watts, P and Kantaris, X. (2021). Measuring therapeutic engagement in acute mental health inpatient environments: the perspectives of service users and mental health nurses. BMC Psychiatry. 21 (1), p. 547. https://doi.org/10.1186/s12888-021-03561-z
AuthorsChambers, M., McAndrew, S., Nolan, F., Thomas, B, Watts, P and Kantaris, X.
Abstract<h4>Background</h4>A key component of caring for service users (SUs) in acute mental health inpatient environments is Therapeutic Engagement (TE). To that end, the Therapeutic Engagement Questionnaire (TEQ) was developed and validated. The TEQ measures TE between SUs and registered mental health nurses (RMHNs) from the perspective of both parties and can quantify and recognise how nurses engage with SUs and monitor this activity as well as its enhancement of SU care and recovery. The aim of this study was to explore the views of SUs and RMHNs in relation to the TEQ and how it could be adopted into clinical practice within an acute inpatient environment.<h4>Methods</h4>As part of the validation stage of the development of the TEQ, the views of 628 SUs and 543 RMHNs were collected using a qualitative approach by way of free text at the end of the questionnaire. Two questions required free text response: - 'what do you think of the TEQ?', and 'how can it be utilised?'<h4>Results</h4>Following thematic analysis, it was found that both sets of participants stated that such a tool could be utilised to improve the service, could help nurses with reflective practice, be utilised as part of clinical supervision and to aid nurses' professional development. The nurse participants also stated that such a tool would help track SU participation and enablement in their care. Furthermore, the nurses noted that the tool would help to reinforce the core 'caring' value of nursing and the overall goal of recovery. The SUs added that the TEQ would recognise the work of mental health nurses and provide them with a clear opportunity to express their views in relation to nursing staff.<h4>Conclusions</h4>Therapeutic engagement (TE) has been identified as part of the repertoire of mental health nursing and both groups of participants identified how a tool to assess this construct may be utilised in day-to-day clinical practice to the benefit of each group.
KeywordsAcute; Inpatient; Service Users; Therapeutic Engagement; Registered Mental Health Nurses
Year2021
JournalBMC Psychiatry
Journal citation21 (1), p. 547
PublisherBMC
ISSN1471-244X
Digital Object Identifier (DOI)https://doi.org/10.1186/s12888-021-03561-z
Publication dates
Online08 Nov 2021
Print01 Nov 2021
Publication process dates
Accepted05 Oct 2021
Deposited05 Jan 2022
Publisher's version
License
File Access Level
Open
LicenseCC BY
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