Measuring therapeutic engagement in acute mental health inpatient environments: the perspectives of service users and mental health nurses

M. Chambers, S. McAndrew, F. Nolan, B. Thomas, P. Watts, X. Kantaris

Research output: Contribution to journalArticlepeer-review

Abstract

Background: A key component of caring for service users (SUs) in acute mental health inpatient environments is Therapeutic Engagement (TE). To that end, the Therapeutic Engagement Questionnaire (TEQ) was developed and validated. The TEQ measures TE between SUs and registered mental health nurses (RMHNs) from the perspective of both parties and can quantify and recognise how nurses engage with SUs and monitor this activity as well as its enhancement of SU care and recovery. The aim of this study was to explore the views of SUs and RMHNs in relation to the TEQ and how it could be adopted into clinical practice within an acute inpatient environment. Methods: As part of the validation stage of the development of the TEQ, the views of 628 SUs and 543 RMHNs were collected using a qualitative approach by way of free text at the end of the questionnaire. Two questions required free text response: - 'what do you think of the TEQ?', and 'how can it be utilised?' Results: Following thematic analysis, it was found that both sets of participants stated that such a tool could be utilised to improve the service, could help nurses with reflective practice, be utilised as part of clinical supervision and to aid nurses' professional development. The nurse participants also stated that such a tool would help track SU participation and enablement in their care. Furthermore, the nurses noted that the tool would help to reinforce the core 'caring' value of nursing and the overall goal of recovery. The SUs added that the TEQ would recognise the work of mental health nurses and provide them with a clear opportunity to express their views in relation to nursing staff. Conclusions: Therapeutic engagement (TE) has been identified as part of the repertoire of mental health nursing and both groups of participants identified how a tool to assess this construct may be utilised in day-to-day clinical practice to the benefit of each group.
Original languageEnglish
Article number547
JournalBMC Psychiatry
Volume21
Issue number1
Early online date8 Nov 2021
DOIs
Publication statusPublished - 8 Nov 2021
Externally publishedYes

Bibliographical note

Impact: The study was funded by a grant from the Department of Health, Kingston University Enterprise team and the Burdett Trust for Nursing. The funders had no role in the study design, conduct, analysis, interpretation, or decision to submit the paper for publication. The views and opinions expressed do not necessarily reflect those of the funding bodies.

This study is supported by the National Institute for Health Research (NIHR) Applied Research Collaboration South London (NIHR ARC South London) at King's College Hospital NHS Foundation Trust. The views expressed are those of the authors and not necessarily those of the NIHR or the Department of Health and Social Care.

Keywords

  • Acute
  • Health services research
  • Inpatient
  • Registered mental health nurses
  • Research
  • Service users
  • Therapeutic engagement

Fingerprint

Dive into the research topics of 'Measuring therapeutic engagement in acute mental health inpatient environments: the perspectives of service users and mental health nurses'. Together they form a unique fingerprint.

Cite this