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- The structure and contents of the helping relationship as a nursing psychotherapeutic intervention: a modified e‐Delphi studyPublication . Ferreira Coelho, Joana Catarina; Sampaio, Francisco; Sequeira, Carlos; Lleixá-Fortuño, Mar; Roldan-Merino, JuanPurpose: The aim of this study is to evaluate the content validity of the helping relationship as a nursing psychotherapeutic intervention. Design and Methods: The present research work is a modified e‐Delphi study. A total of 205 experts were identified between January and May 2018, and a questionnaire was sent to all of them in different rounds. Findings: The nurse must have specific knowledge (self‐knowledge and knowledge about the person) and attitudes (empathy and respect) to be able to carry out the intervention. The helping relationship can address different nursing diagnoses, such as anxiety or depressed mood, and it can be developed in a set of sessions with specific objectives and contents. Practice Implications: The systematization of the helping relationship creates the conditions for its implementation in clinical practice enabling an evidence‐based practice that results in the improvement of care.
- Development and psychometric properties of the Therapeutic Relationship Assessment Scale‐NursePublication . Ferreira Coelho, Joana Catarina; Sampaio, Francisco; Nogueira, Maria José Carvalho; Sequeira, Carlos; Lleixá-Fortuño, Mar; Roldan-Merino, JuanIntroduction: The therapeutic relationship (TR) is essential to providing psychiatric and mental health nursing care. Nevertheless, no assessment tools exclusive for assessing nursing TR were found in the literature. Aim: To describe and evaluate the psychometric properties (reliability and construct validity) of a scale that allows assessing the quality of TR established between the nurse and the patient. Method: A survey method was adopted, using a convenience sample of 356 mental health nurses. Internal consistency was assessed by Cronbach's alpha and Omega index. Results: A total of 221 mental health nurses participated in the study (response rate = 62.08%). The scale's final structure has 25 items. Cronbach's alpha was 0.93, ranging from 0.78 to 0.88 for each of the factors. The cumulative variance explained in a four-factor structure was 71.12%. Discussion: The Therapeutic Relationship Assessment Scale (TRAS)-Nurse presents good psychometric properties. In the light of Benner's theory, it can be an useful tool for novice nurses to better understand what aspects they should pay attention to for establishing a successful TR. Implications for Practice: Mental health nurses can use the TRAS-Nurse, thus having a scale available that allows them to self-assess the quality of TR they establish with their patients.