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And Then I Remember
1Morgan Wiggins is an instructor and coordinator of the PMHNP track, Breen School of Nursing and Health Professions, Ursuline College, Pepper Pike, OH. Contact author: mxm654@case.edu . Reflections is coordinated by Madeleine Mysko, MA, RN: mmysko@comcast.net . Illustration by Janet Hamlin. A podcast of this essay is available at www.ajnonline.com .
The American Journal of Nursing
|August 25, 2022
Summary
Psychiatric nurses question the effectiveness of virtual rapport in patient care. This study explores the challenges and limitations of building therapeutic relationships remotely.
Area of Science:
- Psychiatric Nursing
- Telehealth
- Mental Healthcare
Background:
- The increasing adoption of telehealth in mental healthcare necessitates an examination of its impact on the therapeutic nurse-patient relationship.
- Virtual modalities present unique challenges compared to traditional in-person interactions.
Purpose of the Study:
- To explore the perceived limitations of establishing and maintaining virtual rapport between psychiatric nurses and patients.
- To identify specific barriers encountered in remote therapeutic alliance formation.
Main Methods:
- Qualitative study involving semi-structured interviews with psychiatric nurses.
- Thematic analysis of interview data to identify recurring themes related to virtual rapport.
Main Results:
- Nurses reported difficulties in perceiving non-verbal cues essential for rapport building.
- Challenges included maintaining patient engagement and trust in a virtual environment.
- Technical issues and the lack of physical presence were significant barriers.
Conclusions:
- Virtual rapport in psychiatric nursing faces significant limitations due to the inability to fully perceive non-verbal communication and establish a strong physical presence.
- Further research is needed to develop strategies for enhancing virtual therapeutic alliances in mental healthcare.
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