The Effects of a Participatory Intervention in Mental Health Units on Nurses' Perceptions of the Practice Environment: A Mixed Methods Study.

Autor:	Moreno-Poyato AR; Antonio R. Moreno-Poyato, PhD, MSc, MHN, RN, Department of Public Health, Mental Health and Maternal and Child Health Nursing, Universitat de Barcelona, L'Hospitalet de Llobregat, Spain., El Abidi K; Khadija El Abidi, MSc, RN, Institut de Neuropisquiatria i Addiccions, Hospital del Mar, Barcelona, Spain., González-Palau F; Francesca González-Palau, PhD, MSc, MHN, RN, Hospital Santa Maria, Salut/Gestió de Serveis Sanitaris, Lleida, Catalonia, Spain., Tolosa-Merlos D; Diana Tolosa-Merlos, PhD, MSc, RN, Institut de Neuropisquiatria i Addiccions, Hospital del Mar, Barcelona, Spain., Rodríguez-Nogueira Ó; Óscar Rodríguez-Nogueira, PhD, MSc, PT, SALBIS Research Group, Department of Nursing and Physiotherapy, Universidad de León, Campus de Ponferrada, Ponferrada, Spain., Pérez-Toribio A; Alonso Pérez-Toribio, PhD, MSc, RN, Unitat de Salut Mental de l'Hospitalet, Gerència Territorial Metropolitana Sud/Institut Català de la Salut, L'Hospitalet de Llobregat, Spain., Casanova-Garrigos G; Georgina Casanova-Garrigos, PhD, MSc, RN, Department and Faculty of Nursing, Universitat Rovira i Virgili, Tortosa, Catalonia, Spain., Roviralta-Vilella M; Maria Roviralta-Vilella, MSc, RN, Parc de Salut Mar de Barcelona, Barcelona, Spain., Roldán-Merino JF; Juan F. Roldán-Merino, PhD, MSc, MHN, RN, Campus Docent Sant Joan de Déu Fundació Privada. School of Nursing, University of Barcelona, Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	Journal of the American Psychiatric Nurses Association [J Am Psychiatr Nurses Assoc] 2024 Jan-Feb; Vol. 30 (1), pp. 74-85. Date of Electronic Publication: 2022 Jan 03.
DOI:	10.1177/10783903211066127
Abstrakt:	Background: The practice environment influences the quality of care and the nursing outcomes achieved in their workplaces. Aims: To examine the perception of the clinical practice environment among nurses working in mental health units in the context of their participation in an action research study aimed at improving the nurse-patient relationship. Method: An explanatory sequential mixed methods study was designed. The data were collected in three phases in 18 mental health units ( n = 95 nurses). Quantitative data were collected through the Practice Environment Scale of the Nursing Work Index, and qualitative data were collected through reflective diaries and focus groups in the context of participatory action research. Results: The nurses' assessment of their practice environment shifted from positive to negative. Nurse manager leadership was the aspect that worsened the most. In addition, the perception of their participation in the affairs of the center and nursing foundations for quality of care decreased. The nurses considered it essential to be able to influence decision-making bodies and that the institution should promote a model of care that upholds the therapeutic relationship in actual clinical practice. Conclusions: Nurses perceived that they should be involved in organizational decisions and required more presence and understanding from managers. Furthermore, nurses stated that institutions should promote nursing foundations for quality of care. This study contributes to understanding how nurses in mental health units perceive their work environment and how it affects the improvement of the nurse-patient relationship in clinical practice. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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