Nurse-Patient Relations Clinical Trial
The aim of this project is to test and evaluate a nursing intervention, Time Together (TT),
created to enable quality interactions between patients and staff in psychiatric inpatient
care. The research questions are:
Does TT influence the quality of interactions between staff and patients? Does TT influence
patients' levels of anxiety and depressive symptoms? Does TT influence staffs' levels of
perceived stress and levels of stress of conscience? Does TT influence the prevalence of
coercive measures, mean length of hospital stay and the use of PRN medication?
In parallel, a process evaluation will be conducted, answering questions such as:
How do staff and patients describe their experiences of the intervention and how do
contextual factors influence the effects of the intervention? What are the relationship
between the outcome variables and the degree of compliance with the intended intervention?
What problems are there with recruitment and dropouts?
BACKGROUND:
Despite the long known significance of the nurse-patient relationship, research in
psychiatric inpatient care still reports on unfulfilled expectations of, and difficulties in
interactions and relationships between patients and staff. As one solution to the
contemporary circumstances, interventions that creates structures that allow quality
interactions between patients and staff are needed.
INTERVENTION TT is an intervention, developed from the intervention Protected Engagement
Time. The structure of TT is that staff, for a fixed time during the day, dedicates their
time to exclusively engage with the patients. Other duties of more administrative nature,
visits and meetings are organized to be performed at other times during the day. This
structure will be tested at three psychiatric inpatient care wards in the north of Sweden.
DESIGN AND METHODS An experimental single system design (A-B-Follow-up) will be used. As TT
will be introduced as a routine ward activity during the B phase, all patients and staff on
the participating wards will be participating in TT. However, participating in the evaluation
will be voluntary. Data will be collected through questionnaires once every seventh weekday
during 5 weeks for the A phase, and 12 weeks during B phase.
In parallel, a process evaluation will be conducted using semi structured interviews and
participating observations.
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