RNSurveyInternational journal of mental health nursing2025

Development and Psychometric Properties of the Therapeutic Relationship Assessment Scale-Patient (TRAS-Patient).

Joana Catarina Ferreira Coelho, Joana Isabel Ferreira Ribeiro, Ana Rita Martins Ribeiro and 5 others

PMID 39381853

WHAT IT FOUND

Adult mental health patients' responses to a 24-item nurse-patient relationship scale formed two parts: empathy and involvement in decisions, and attitudes and clinical communication.

Key findings

01The final TRAS-Patient had 24 items and was completed by 240 adults with mental illness.

02Patients' responses formed two factors: empathy and involvement in health decision-making, and attitudes and clinical communication.

03The whole scale had a Cronbach's alpha of 0.94, and the total test-retest ICC was 0.84.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The scale was self-reported, so past experiences could bias patients' ratings. Participants were selected by convenience sampling, so the results may not apply to other settings. Data collection was limited to the study setting, and primary or community healthcare settings were not included. Concurrent validity was not assessed.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that using the TRAS-Patient improves mental health nursing outcomes. This paper developed and tested a questionnaire; it did not evaluate whether giving patients the scale changes care or recovery.

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