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Updated: Aug 31, 2025

The Deese-Roediger-McDermott DRM Task: A Simple Cognitive Paradigm to Investigate False Memories in the Laboratory

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And Then I Remember.

Morgan Wiggins¹

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

This summary is machine-generated.

Psychiatric nurses question the effectiveness of virtual rapport in patient care. This study explores the challenges and limitations of building therapeutic relationships remotely.

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Published on: January 31, 2017

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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.