Yosep Iyus, Mediani Henny Suzana, Lindayani Linlin
Faculty of Nursing, Padjadjaran University, Indonesia.
Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat, Bandung, Indonesia.
Belitung Nurs J. 2021 Apr 29;7(2):125-130. doi: 10.33546/bnj.1259. eCollection 2021.
Working alliance between therapist and client in psychotherapy practice has become proven to compensate for a significant difference in various psychotherapy modalities. However, few studies have investigated the structure of alliance in the context of nurses working at mental health hospitals in Indonesia.
This study aimed to compare the working alliance of mental health nurses according to socio-demographic characteristics.
A cross-sectional research was performed at the Mental Health Hospital in West Java, Indonesia, as a referral hospital in Indonesia from May to December 2019. The inclusion criteria were nurses with a minimum of one year of working experience and a Diploma III certificate in nursing. Convenience sampling was used to recruit 120 nurses who agreed to join in this study. The working alliance was measured using Working Alliance Inventory-Short Revised-Therapist (WAI-SRT).
The majority of the respondents were female (77.5%), holding a Diploma III degree in nursing (49.17%), having working experience ranged from 11 to 15 years (34.17%), and working at the chronic unit (32.5%). The mean score of the working alliance was 44.46 ( = 11.32). The domain of agreement on goals had a higher mean score (17.65 ± 3.45), followed by the task domain (16.56 ± 5.81) and bond domain (22.10 ± 7.23). There was a significant difference in working alliance according to education level and working experience ( < 0.05), while no significant differences in terms of gender and working unit.
Mental health nurses with higher education levels and more vast working experience had higher working alliances. Thus, nurse managers and hospital policymakers should provide Continues Nursing Education (CNE), working alliance training, and therapeutic strategies for nurses to improve their working alliances. It is also essential to cooperate with nursing schools to include working alliances as learning objectives.
心理治疗实践中治疗师与来访者之间的工作联盟已被证明可弥补各种心理治疗方式中的显著差异。然而，很少有研究在印度尼西亚心理健康医院护士的背景下调查联盟的结构。
本研究旨在根据社会人口学特征比较心理健康护士的工作联盟。
2019年5月至12月，在印度尼西亚西爪哇的一家心理健康医院进行了一项横断面研究，该医院是印度尼西亚的一家转诊医院。纳入标准为至少有一年工作经验且持有护理专科文凭证书的护士。采用便利抽样法招募了120名同意参与本研究的护士。使用工作联盟量表简版修订版-治疗师版（WAI-SRT）测量工作联盟。
大多数受访者为女性（77.5%），持有护理专科文凭（49.17%），工作经验在11至15年之间（34.17%），且在慢性病区工作（32.5%）。工作联盟的平均得分为44.46（=11.32）。目标一致性领域的平均得分较高（17.65±3.45），其次是任务领域（16.56±5.81）和联结领域（22.10±7.23）。根据教育水平和工作经验，工作联盟存在显著差异（<0.05），而在性别和工作科室方面无显著差异。
教育水平较高且工作经验更丰富的心理健康护士具有更高的工作联盟。因此，护士管理者和医院政策制定者应提供继续护理教育（CNE）、工作联盟培训和治疗策略，以提高护士的工作联盟。与护理学校合作将工作联盟纳入学习目标也很重要。
