Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics
Vol. 7 No. 2 (2021), Original Research Article
Vol. 7 No. 2 (2021)

Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics

Original Research Article
Categories: Psychiatric Nursing
https://doi.org/10.33546/bnj.1259
Iyus Yosep
Faculty of Nursing, Padjadjaran University, Indonesia
https://orcid.org/0000-0003-3380-9538
Henny Suzana Mediani
Faculty of Nursing, Padjadjaran University, Indonesia
https://orcid.org/0000-0001-6960-3692
Linlin Lindayani
Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat, Bandung, Indonesia
https://orcid.org/0000-0002-1569-4098
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Keywords

working alliance
 mental health
 Indonesia
 psychiatric nursing
 hospitals
 demography

How to Cite

Yosep, I., Mediani, H. S., & Lindayani, L. (2021). Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics. Belitung Nursing Journal, 7(2), 125–130. https://doi.org/10.33546/bnj.1259
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Abstract

Background: Working alliance between therapist and client in psychotherapy practice has become proven to compensate for a significant difference in various psychotherapy modalities. However, few studies have investigated the structure of alliance in the context of nurses working at mental health hospitals in Indonesia. 

Objective: This study aimed to compare the working alliance of mental health nurses according to socio-demographic characteristics. 

Methods: A cross-sectional research was performed at the Mental Health Hospital in West Java, Indonesia, as a referral hospital in Indonesia from May to December 2019. The inclusion criteria were nurses with a minimum of one year of working experience and a Diploma III certificate in nursing. Convenience sampling was used to recruit 120 nurses who agreed to join in this study. The working alliance was measured using Working Alliance Inventory-Short Revised-Therapist (WAI-SRT).

Results: The majority of the respondents were female (77.5%), holding a Diploma III degree in nursing (49.17%), having working experience ranged from 11 to 15 years (34.17%), and working at the chronic unit (32.5%). The mean score of the working alliance was 44.46 (SD = 11.32). The domain of agreement on goals had a higher mean score (17.65 ± 3.45), followed by the task domain (16.56 ± 5.81) and bond domain (22.10 ± 7.23). There was a significant difference in working alliance according to education level and working experience (p < 0.05), while no significant differences in terms of gender and working unit.

Conclusion: Mental health nurses with higher education levels and more vast working experience had higher working alliances. Thus, nurse managers and hospital policymakers should provide Continues Nursing Education (CNE), working alliance training, and therapeutic strategies for nurses to improve their working alliances. It is also essential to cooperate with nursing schools to include working alliances as learning objectives.

https://doi.org/10.33546/bnj.1259
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Supporting Agencies

Padjadjaran University, Indonesia

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Copyright (c) 2021 Iyus Yosep, Henny Suzana Mediani, Linlin Lindayani

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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References

Bordin, E. S. (1994). Theory and research on the therapeutic working alliance: New directions. In A. O. Horvath & L. S. Greenberg (Eds.), Wiley series on personality processes. The working alliance: Theory, research, and practice (pp. 13-37). New Jersey: John Wiley & Sons.

Daneault, S., Lussier, V., Mongeau, S., Hudon, E., Paillé, P., Dion, D., & Yelle, L. (2006). Primum non nocere: Could the health care system contribute to suffering? In-depth study from the perspective of terminally ill cancer patients. Canadian Family Physician 52(12), 1574-1575.

Del Piccolo, L., & Goss, C. (2012). People-centred care: New research needs and methods in doctor–patient communication. Challenges in mental health. Epidemiology and Psychiatric Sciences, 21(2), 145-149. https://doi.org/10.1017/S2045796012000091

Ennis, E., & Bunting, B. P. (2013). Family burden, family health and personal mental health. BMC Public Health, 13(1), 255. https://doi.org/10.1186/1471-2458-13-255

Flückiger, C., Del Re, A. C., Wampold, B. E., & Horvath, A. O. (2018). The alliance in adult psychotherapy: A meta-analytic synthesis. Psychotherapy, 55(4), 316-340. http://dx.doi.org/10.1037/pst0000172

Green, A. E., Albanese, B. J., Cafri, G., & Aarons, G. A. (2014). Leadership, organizational climate, and working alliance in a children’s mental health service system. Community Mental Health Journal, 50(7), 771-777. https://doi.org/10.1007/s10597-013-9668-5

Happell, B., Martin, T., & Pinikahana, J. (2003). Burnout and job satisfaction: A comparative study of psychiatric nurses from forensic and a mainstream mental health service. International Journal of Mental Health Nursing, 12(1), 39-47. https://doi.org/10.1046/j.1440-0979.2003.00267.x

Hemsley, B., Balandin, S., & Worrall, L. (2012). Nursing the patient with complex communication needs: Time as a barrier and a facilitator to successful communication in hospital. Journal of Advanced Nursing, 68(1), 116-126. https://doi.org/10.1111/j.1365-2648.2011.05722.x

Jacob, J. D., & Holmes, D. (2011). Working under threat: Fear and nurse–patient interactions in a forensic psychiatric setting. Journal of Forensic Nursing, 7(2), 68-77. https://doi.org/10.1111/j.1939-3938.2011.01101.x

Johansson, H., & Eklund, M. (2006). Helping alliance and early dropout from psychiatric out-patient care. Social Psychiatry and Psychiatric Epidemiology, 41(2), 140-147. https://doi.org/10.1007/s00127-005-0009-z

Khalaila, R., & Cohen, M. (2016). Emotional suppression, caregiving burden, mastery, coping strategies and mental health in spousal caregivers. Aging & Mental Health, 20(9), 908-917. https://doi.org/10.1080/13607863.2015.1055551

Luborsky, L. (1994). Therapeutic alliances as predictors of psychotherapy outcomes: Factors explaining the predictive success. In A. O. Horvath & L. S. Greenberg (Eds.), Wiley series on personality processes. The working alliance: Theory, research, and practice (pp. 38-50). New Jersey: John Wiley & Sons.

McSherry, L. A., Dombrowski, S. U., Francis, J. J., Murphy, J., Martin, C. M., O’Leary, J. J., & Sharp, L. (2012). ‘It’sa can of worms’: Understanding primary care practitioners’ behaviours in relation to HPV using the theoretical domains framework. Implementation Science, 7(1), 1-16. https://doi.org/10.1186/1748-5908-7-73

Menger, A. (2018). De werkalliantie in het gedwongen kader: Onderzocht bij het reclasseringstoezicht [The working alliance in the forced context: Investigated in probation supervision]. (PhD Thesis), Vrije Universiteit Amsterdam, Amsterdam.

Norcross, J. C. (2011). Psychotherapy relations that work: Evidence-based responsiveness. New York: Oxford University Press.

Polaschek, D. L. L., & Ross, E. C. (2010). Do early therapeutic alliance, motivation, and change readiness predict therapy outcomes for high risk violent prisoners. Criminal Behaviour and Mental Health, 20(2), 100-111. https://doi.org/10.1002/cbm.759

Reynolds, W. J., & Scott, B. (1999). Empathy: A crucial component of the helping relationship. Journal of Psychiatric and Mental Health Nursing, 6(5), 363-370. https://doi.org/10.1046/j.1365-2850.1999.00228.x

Rise, M. B., & Steinsbekk, A. (2015). Does implementing a development plan for user participation in a mental hospital change patients’ experience? A non‐randomized controlled study. Health Expectations, 18(5), 809-825. https://doi.org/10.1111/hex.12105

Roche, M. A., & Duffield, C. M. (2010). A comparison of the nursing practice environment in mental health and medical-surgical settings. Journal of Nursing Scholarship, 42(2), 195-206. https://doi.org/10.1111/j.1547-5069.2010.01348.x

Spiers, J. A., & Wood, A. (2010). Building a therapeutic alliance in brief therapy: The experience of community mental health nurses. Archives of Psychiatric Nursing, 24(6), 373-386. https://doi.org/10.1016/j.apnu.2010.03.001

Stagg, K., Douglas, J., & Iacono, T. (2019). A scoping review of the working alliance in acquired brain injury rehabilitation. Disability and Rehabilitation, 41(4), 489-497. https://doi.org/10.1080/09638288.2017.1396366

Suro, G., & Weisman de Mamani, A. G. (2013). Burden, interdependence, ethnicity, and mental health in caregivers of patients with schizophrenia. Family Process, 52(2), 299-311. https://doi.org/10.1111/famp.12002

Thurston, I. (2003). Developing the therapeutic alliance in acute mental health care. Psychoanalytic Psychotherapy, 17(3), 190-205. https://doi.org/10.1080/1474973032000114932

Trenoweth, S. (2003). Perceiving risk in dangerous situations: Risks of violence among mental health inpatients. Journal of Advanced Nursing, 42(3), 278-287. https://doi.org/10.1046/j.1365-2648.2003.02617.x

Ward, L. (2013). Ready, aim fire! mental health nurses under siege in acute inpatient facilities. Issues in Mental Health Nursing, 34(4), 281-287. https://doi.org/10.3109/01612840.2012.742603

World Health Organization. (2016). Process of translation and adaptation of instruments. Retrieved from http://www.who.int/substance_abuse/research_tools/translation/en/

Zugai, J. S., Stein-Parbury, J., & Roche, M. (2015). Therapeutic alliance in mental health nursing: An evolutionary concept analysis. Issues in Mental Health Nursing, 36(4), 249-257. https://doi.org/10.3109/01612840.2014.969795

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