Angela Castro, Jhonny Medina, Cristhian A Aguilera, Mario Ramirez, Cristhian Aguilera
Robotics Education in STEM Units: Breaking Down Barriers in Rural Multigrade Schools
Sensors (Basel, Switzerland)
enhancing quality therapeutic engagement nurse service user related positive impact care safety recovery outcomes achieving improved therapeutic engagement remains challenging acute mental health inpatient setting characterised complex social processes contextual features constrain behaviour change therapeutic engagement questionnaire evidencebased tool coproduced service users nurses improve therapeutic engagement objectives quality improvement project identify organisational nursing behaviour changes associated therapeutic engagement questionnaire understand active behaviour change ingredients improvement tool exert influence qualitative multisite case study design data collected study site field notes document review four acute mental health inpatient case study sites england data referencing therapeutic engagement questionnairelinked behaviour change project meeting field notes documents study site analysed using inductive deductive approach thematic analysis capability opportunity motivationbehaviour model employed theoretical framework therapeutic engagement tool capacity prompt behaviour change across three components behaviour change model capability nurses sharing good therapeutic engagement practice use statements questionnaire build nurses knowledge skills opportunity organisational barriers addressed wardlevel practice culture changes motivation nurses awareness influence service user recovery nurses alertness therapeutic work connections therapeutic engagement tool nursing core values however tool accord values nurses reported unmotivated recognition gave profession contribution service user recovery sites evidencing prominent behaviour change senior leader wardlevel agents change played valuable facilitative role therapeutic engagement tool potential prompt behaviour changes organisation ward level ways individual nurses therapeutically engage service users helping strengthen therapeutic engagement practice leadership senior organisational ward level important address contextual barriers change project resulted conceptual framework explain understand behaviour change techniques functions linked therapeutic engagement tool longevity behaviour changes impact service user quality care requires future evaluation therapeutic engagement tool prompt organisational nursing behaviour change acute mental health inpatient settings