Therapeutic Relationship between Nurses and Patients in a Tertiary Level Hospital, Bangladesh
Main Article Content
Abstract
Background: Therapeutic relationship (TR) between nurses and patients is accepted as the cornerstone of caring. It is an interpersonal engagement aims to help patients to enhance their wellbeing through establishing a mutual trust relationship.
Objective: To explore the therapeutic relationship between nurses and patients at tertiary level hospital in Bangladesh.
Methods: Descriptive study was conducted among nurses and patients of Khulna Medical College Hospital. Sample was selected using convenient sampling technique and the sample size was 112 (56 nurses & 56 patients). Data were collected using structured questionnaire from the study participants. Questionnaire consists of two parts: Part I (For nurses), Part II (For patients). The descriptive statistics was used to organize the present socio-demographic characteristics of both nurses and patients. Inferential statistics including t-test, one way ANOVA was used to explore the relationship between nurses and patients socio-demographic characteristics and their perceived therapeutic relationship.
Results: The total TR perceived by nurses was 44.52(SD=2.86) whereas patients was 16.55(SD=7.34) and there was significant difference (p=.00) between nurses and patients perceived TR. The results showed that there was a statistically significant difference in nurses perceived TR by their age category (t=2.46, p=.01) and there was a significant different in patients perceived TR and their living area (t= -5.61, p=.00).
Conclusion: The study showed the therapeutic relationship perceived by nurses was high while the therapeutic relationship perceived by patients was low to moderate level.
KEYWORDS: Therapeutic relationship, Nurse, Patient, Tertiary Level Hospital.
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References
I. Baillie, L. (2005). An exploration of nurse–patient relationships in accident and emergency. Accident and Emergency Nursing, 13(1), 9-14.
II. Duffy, J. R., & Hoskins, L. M. (2003). The quality-caring model©: Blending dual paradigms. Advances in nursing science, 26(1), 77-88.
III. Geirdal, A. Ø., Nerdrum, P., Aasgaard, T., Misund, A., & Bonsaksen, T. (2015). The Norwegian version of the Scale To Assess the therapeutic Relationship (N-STAR) in community mental health care: Development and pilot study. International journal of Therapy and Rehabilitation, 22(5), 217-224.
IV. Hamid, S. A., Begum, A., Azim, M. R., & Islam, M. S. (2021). Doctor‐patient relationship: Evidence from Bangladesh. Health Science Reports, 4(4), e394.
V. Höfer, F. X., Habermeyer, E., Mokros, A., Lau, S., & Gairing, S. K. (2015). The impact of legal coercion on the therapeutic relationship in adult schizophrenia patients. PLoS One, 10(4), e0124043.
VI. Hreńczuk, M. (2021, May). Therapeutic relationship nurse–patient in hemodialysis therapy. In Nursing Forum.
VII. Johansson, P., Oleni, M., & Fridlund, B. (2002). Patient satisfaction with nursing care in the context of health care: a literature study. Scandinavian journal of caring sciences, 16(4), 337-344.
VIII. Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: an integrative review. Journal of multidisciplinary healthcare, 9, 537.
IX. McAllister, S., Robert, G., Tsianakas, V., & McCrae, N. (2019). Conceptualising nurse-patient therapeutic engagement on acute mental health wards: An integrative review. International Journal of Nursing Studies, 93, 106-118.
X. McGuire-Snieckus, R., McCABE, R. O. S. E. M. A. R. I. E., Catty, J., Hansson, L., & Priebe, S. (2007). A new scale to assess the therapeutic relationship in community mental health care: STAR. Psychological medicine, 37(1), 85-95.
XI. Mohiuddin, A. K. (2020). An extensive review of patient satisfaction with healthcare services in Bangladesh. Patient Experience Journal, 7(2), 59-71.
XII. Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International journal of environmental research and public health, 17(3), 835.
XIII. Moreno-Poyato, A. R., Delgado-Hito, P., Suárez-Pérez, R., Leyva-Moral, J. M., Aceña-Domínguez, R., Carreras-Salvador, R., ... & Montesó-Curto, P. (2017). Implementation of evidence on the nurse-patient relationship in psychiatric wards through a mixed method design: study protocol. BMC nursing, 16(1), 1-7.
XIV. Moreno-Poyato, A. R., Montesó-Curto, P., Delgado-Hito, P., Suárez-Pérez, R., Aceña-Domínguez, R., Carreras-Salvador, R., ... & Roldán-Merino, J. F. (2016). The therapeutic relationship in inpatient psychiatric care: A narrative review of the perspective of nurses and patients. Archives of Psychiatric Nursing, 30(6), 782-787.
XV. Roviralta‐Vilella, M., Moreno‐Poyato, A. R., Rodríguez‐Nogueira, Ó., Duran‐Jordà, X., Roldán‐Merino, J. F., & MiRTCIME. CAT Working Group. (2019). Relationship between the nursing practice environment and the therapeutic
XVI. Strandås, M., & Bondas, T. (2018). The nurse–patient relationship as a story of health enhancement in community care: A meta‐ethnography. Journal of advanced nursing, 74(1), 11-22.
XVII. Turpin, L. J., McWasiam, C. L., & Ward-Griffin, C. (2012). The meaning of a positive client-nurse relationship for senior home care clients with chronic disease. Canadian Journal on Aging/La Revue canadienne du vieillissement, 31(4), 457-469.
XVIII. Ware, D. (2017). The therapeutic relationship between nurse and patient in the endoscopy setting: a literature review. Gastrointestinal Nursing, 15(10), 34-44.
XIX. Wright, K. M. (2021). The therapeutic relationship in nursing theory and practice. Mental Health Practice.
XX. Zugai, J. S., Stein-Parbury, J., & Roche, M. (2015). Therapeutic alliance in mental health nursing: An evolutionary concept analysis. Issues in Mental Health Nursing, 36(4), 249-257.