Levers and Brakes to the Therapeutic Alliance Between Patients in Hospital Full-time Psychiatric and Nurses and Caregivers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 240
- 试验地点
- 1
- 主要终点
- Therapeutic Alliance score overall with self-administered questionnaire STAR-P
研究概览
简要总结
Clarify the determinants of the construction of a Therapeutic Alliance (AT) between paramedical staff (nurses and caregivers ) and adult patients in a functional unit of full-time general psychiatric Whether the quality of Therapeutic Alliance influences the continued support outpatient , after completion of full-time hospitalization.
详细描述
This is a prospective, observational, multicenter inpatient units Parisian full time of the Etablissement Public Health White House (spread over 4 sites).
The study seeks to collect, on the one hand the level of AT obtained at the end of hospitalization in general adult psychiatry and, secondly, to understand how this one was built.
The AT will be measured:
- Firstly by the self-administered questionnaire STAR-P, translated into French by the "translation / back-translation" method.
- Secondly through semi-structured qualitative interviews, conducted at discharge by a health care setting or a specially trained and who did not participate directly in the patient's care included. Indeed, the questionnaires allow, through scales to measure the AT quantitative way through proposals (items) presented as so, and look for associations with some predefined decisive.
However, it is difficult to explore more complex combination of mechanisms. Conducting interviews can meet this goal. An interview grid will be conducted and organized around the search for representations and affects related relational patient / nurse(s) and caregiver(s) in the context of hospital care. The interviews will be recorded and fully transcribed. A thematic analysis will be conducted to identify the objects and themes. The inclusions in this qualitative analysis will stop when reaching the saturation process. In this type of study, it is generally necessary to include thirty people to reach saturation.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Prospective
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
- •adult patient (>18 years old)
- •Adult psychiatric inpatients
排除标准
- •Patients carrying perversion disorder or paranoia
- •Patients trust whose legal representative refuses participation in the survey
- •patients non covered by the french health system
- •non consenting patients
结局指标
主要结局
Therapeutic Alliance score overall with self-administered questionnaire STAR-P
时间窗: day 0
AT score overall, committed to using the self-administered questionnaire STAR-P particularly suitable for "patients with severe psychiatric disorders" (Rebecca, 2007).
次要结局
- intermediate score STAR-P: score of positive collaboration(day 0)
- AT evaluated in / nurse (s) and caregiver(s)(month 6)
- intermediate scores STAR-P: positive contribution score(day 0)
- AT evaluated in patients using semi-structured interviews(day 0)
- Determinants of AT studied(day 0)
- intermediate scores STAR-P: uncooperative intake score of the nursing team and caregiver(day 0)
- Number of patients reviewed in outpatient psychiatric consultation(three months after hospital discharge.)