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008			171219t2019 sp ||||| |||| 00| 0 spa |
022			_a1532-8228
040			_cSalus Infirmorum
245	0	0	_aTherapeutic alliance, relationship building, and communication strategies—for the schizophrenia population: An integrative review / _cHarris, Barbara A. ; Panozzo, Gina
500			_aPDF en biblioteca
504			_aBibliografía: p. 110-111
520	8		_aBackground: Schizophrenia is a chronic mental illness that affects the client, family, and community. Nurses are educated to use the nurse-patient relationship to provide health education and collaborative health decision-making. However, challenges abound for nurses and clients with schizophrenia to effectively utilize the relationship to reach these goals. Problem: There is a lack of evidence-based information to assist nurses to meet the challenges of building effective therapeutic relationships with clients for whom schizophrenia hinders health education and decision-making. Purpose: To examine current research findings on factors that influence therapeutic relationships in psychiatric treatment settings as an initial effort to provide empirically based guidance for psychiatric nurses who seek to better use the relationship to work with the client toward health-related goals. Method: This integrative review of the literature follows Whittemore and Knafl's (2015) method, analyzes 15 studies from multiple databases between the years 2006–2017, and assesses the rigor of each. Findings: Numerous methods are used to assess therapeutic relationships. Few studies included nurses. Provider perception of client symptoms can negatively affect provider assessment of quality of relationship; no such association was found on the part of clients. Providers and clients prioritize client needs differently, with providers influenced by treatment setting demands, but provider-training programs can have a beneficial effect on their relationships. Conclusion: Nurses and nurse educators can use the findings to guide assessment of how perceptions and priorities influence relationships. Findings also provide the foundation for further study of nurses' perceptions of therapeutic relationship, in progress, to yield more detailed information on what nurses and educators need to strengthen therapeutic relationships.
653	1	4	_aSchizophrenia
653	1	4	_aTherapeutic relationship
653	1	4	_aTherapeutic alliance
773			_g-- 2019, v 33, n 1, p. 104-111 _tArchives of Psychiatric Nursing
942			_2udc _cARTÍCULO
999			_c13044 _d13044