Molin Jenny, Lindgren Britt-Marie, Graneheim Ulla Hällgren, Ringnér Anders
Department of Nursing, Umeå University, Umeå, Sweden.
Department of Paediatrics, Umeå University Hospital, Umeå, Sweden.
BMJ Open. 2017 Aug 28;7(8):e015677. doi: 10.1136/bmjopen-2016-015677.
Despite the long-known significance of the nurse-patient relationship, research in psychiatric inpatient care still reports unfulfilled expectations of, and difficulties in, interactions and relationships between patients and staff. Interventions that create structures to allow quality interactions between patients and staff are needed to solve these problems. The aim of this project is to test effects of the nursing intervention Time Together and to evaluate the intervention process.
This is a multisite study with a single-system experimental design using frequent measures. The primary outcomes are quality interactions for patients and perceived stress for staff. Secondary outcomes are levels of symptoms of anxiety and depression for patients and stress of conscience for staff. A process evaluation is performed to describe contextual factors and experiences. Data are collected using questionnaires, participant observations and semistructured interviews. For analysis of quantitative data, both visual and statistical methods will be used. Qualitative data will be analysed using qualitative content analysis.
Ethical approval was granted by the Ethical Review Board in the region (Dnr 2016/339-31). The findings will contribute to the development of nursing interventions in general, but more specifically to the development of the intervention. This is relevant both nationally and internationally as similar interventions are needed but sparse. The findings will be disseminated through conference presentations and peer-reviewed publications.
NCT02981563.
尽管医患关系的重要性早已为人所知，但精神病住院护理方面的研究仍报告称，患者与医护人员之间的互动和关系存在期望未达成以及困难等问题。需要采取干预措施来构建结构，以实现患者与医护人员之间的高质量互动，从而解决这些问题。本项目的目的是测试护理干预“共度时光”的效果，并评估干预过程。
这是一项采用单系统实验设计并进行频繁测量的多地点研究。主要结局指标是患者的高质量互动以及医护人员的感知压力。次要结局指标是患者的焦虑和抑郁症状水平以及医护人员的良心压力。进行过程评估以描述背景因素和经历。使用问卷调查、参与观察和半结构化访谈收集数据。对于定量数据的分析，将采用视觉和统计方法。定性数据将采用定性内容分析法进行分析。
该研究已获得该地区伦理审查委员会的伦理批准（编号2016/339 - 31）。研究结果将有助于总体护理干预措施的发展，但更具体地有助于该干预措施的发展。这在国内和国际上都具有相关性，因为需要类似的干预措施，但此类措施较为稀少。研究结果将通过会议报告和同行评审出版物进行传播。
NCT02981563。
