Rask Mikael, Rytterström Patrik, Sellin Tabita, Lundqvist Lars-Olov, Schröder Agneta, Brunt David
School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
Division of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping University, Norrköping, Sweden.
Scand J Caring Sci. 2025 Jun;39(2):e70043. doi: 10.1111/scs.70043.
The therapeutic relationship has been identified as essential for ensuring high-quality care in psychiatric outpatient services, as highlighted in several studies. This study focuses on the content of interactions between patients and staff in psychiatric outpatient care, as well as the quality of care provided, as perceived by the patients.
The aim of this study is to explore the relationship between these interactions and aspects of the perceived quality of care from the perspective of patients in psychiatric outpatient services.
A sample of 706 patients from psychiatric outpatient clinics in Sweden completed the Verbal and Social Interaction Outpatient (VSI-OP) and the Quality in Psychiatric Care-Outpatient (QPC-OP) instruments. A structural equation model was conducted to explore these associations. The study was approved by the Regional Ethical Review Board in Uppsala, Sweden (Dnr. 2018/186).
The model revealed that the staff showing an interest in the patients' feelings, experiences and behaviour influences the patients' perceived quality of participation through an intricate network of mediator variables, including the staff's ability to establish a relationship, a good encounter, support and a high level of information to the patients. High levels of Participation/Empowerment indicate a high level of quality of care in a psychiatric outpatient context.
The presented model provides an understanding of the associations between staff and patient interactions and perceived quality of care and sheds light on important aspects of quality of care from the perspective of the patients.
多项研究强调，治疗关系已被确定为确保精神科门诊服务高质量护理的关键因素。本研究聚焦于精神科门诊护理中患者与工作人员互动的内容，以及患者所感知到的护理质量。
本研究旨在从精神科门诊患者的角度，探讨这些互动与所感知护理质量各方面之间的关系。
来自瑞典精神科门诊诊所的706名患者完成了言语和社会互动门诊（VSI-OP）及精神科护理质量门诊（QPC-OP）量表。采用结构方程模型来探究这些关联。该研究获得了瑞典乌普萨拉地区伦理审查委员会的批准（编号：2018/186）。
模型显示，工作人员对患者的感受、经历和行为表现出兴趣，会通过一个复杂的中介变量网络影响患者所感知的参与质量，这些中介变量包括工作人员建立关系的能力、良好的交流、支持以及向患者提供的高水平信息。高水平的参与/赋权表明精神科门诊环境下护理质量较高。
所呈现的模型有助于理解工作人员与患者互动和所感知护理质量之间的关联，并从患者角度揭示护理质量的重要方面。
