Impact of a Collaborative Nursing Care-based Intervention on the Recovery Process, the Therapeutic Relationship, and Positive Mental Health of Day Hospital Users: a Mixed Methods Study Protocol
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 144
- 试验地点
- 2
- 主要终点
- Recovery
研究概览
简要总结
OBJECTIVES: 1. To evaluate the impact of an intervention based on collaborative nursing care in terms of the changes produced in the recovery process, in positive mental health and in the nurse-patient therapeutic relationship among users of mental health day hospitals. To explore the changes produced in the recovery process of users who receive collaborative nursing care through the co-design and implementation of group activities.
DESIGN: A sequential and transformative mixed methods design is proposed.
METHODS. The study is structured in three phases. In phase one (baseline) and phase three (follow-up), quantitative data will be collected from patients at a mental health day hospitals based on a two-armed, parallel-design, non-randomized trial. In phase two, two groups will be established: an intervention group (GI) in which the intervention based on collaborative nursing care will be carried out through the co-design and implementation of activities through Participatory Action Research, and a control group (CG) in which the usual care dynamics will be continued. All the users of three mental health day hospitals who agree to participate in the study will be studied consecutively until the necessary sample size is reached. The outcomes used to evaluate the impact of the intervention will be the stage of the recovery process, the quality of the therapeutic relationship and the patient's level of positive mental health.
DISCUSSION: Very few collaborative nursing care interventions have been studied and shown to be effective in the context of the paradigm shift toward recovery in mental health nursing.
IMPACT: Understanding the changes produced in the recovery process, as well as in the quality of the therapeutic relationship and in the maintenance and/or increase of the levels of positive mental health of people with mental health problems, can contribute to the design and implementation of new methodologies to offer effective and person- centered care.
详细描述
- Aims A.evaluate the impact of a collaborative nursing care intervention through the co-design and implementation of group activities, in mental health day hospital users, in terms of the changes produced in the state of the recovery process, in the level of positive mental health and in the level of therapeutic relationship with the nurse.
B. explore the changes produced in the recovery process of mental health day hospital users who receive collaborative nursing care through the co-design and implementation of group activities.
The research hypotheses to be tested in this study are:
A. day hospital users who receive an intervention based on collaborative nursing care through the co-design and implementation of group activities will report improved changes in: i) recovery status, ii) level of Positive Mental Health and iii) quality of the therapeutic relationship at the end of the intervention, than users receiving usual care.
B. the effects of the intervention based on collaborative nursing care through the co-design and implementation of group activities on the changes in the level of recovery are mediated by the changes produced in the quality of the therapeutic relationship and the changes in the positive mental health of the users. 2. Design In order to meet the main objectives, a sequential and transformative mixed methods design is proposed through three phases. On the one hand, in phases 1 and 3, a two-armed, parallel-design, non-randomized trial is proposed. And in phase 2, the intervention will be carried out based on collaborative nursing care through the co-design and implementation of group activities using the qualitative Participatory Action Research (PAR) method.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Users over 18 years of age of the selected day hospitals. Acceptance of the study conditions and informed consent.
排除标准
- •Hospital admission for a period of less than one week. Physical or psychological conditions that do not allow collaborative nursing care through co-design of group activities.
结局指标
主要结局
Recovery
时间窗: Two months
Changes in the users' recovery process will be evaluated with The Stages of Recovery Instrument (STORI) It is a self-report questionnaire of 50 items grouped into 5 dimensions of 10 items. Each dimension is related to one of the recovery processes (moratorium, awareness, preparation, rebuilding and growth). The items are scored from 0 "not true at all at this time" to 5 "completely true at this time", resulting in a score for each stage, ranging from 0 to 50. The higher the score, the better the state of recovery.
次要结局
- Therapeutic relationship(Two months)
- Positive mental health(Two months)
研究者
Ana Ventosa Ruiz
Mental health nurse
FIDMAG Germanes Hospitalàries