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

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 hos...

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Main Authors: Iyus Yosep, Henny Suzana Mediani, Linlin Lindayani
Format: Article
Language:English
Published: Belitung Raya Foundation 2021-04-01
Series:Belitung Nursing Journal
Subjects:
Online Access:https://belitungraya.org/BRP/index.php/bnj/article/view/1259
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author Iyus Yosep
Henny Suzana Mediani
Linlin Lindayani
author_facet Iyus Yosep
Henny Suzana Mediani
Linlin Lindayani
author_sort Iyus Yosep
collection DOAJ
description 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. Funding: This study was fully funded by Padjadjaran University, Indonesia.
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spelling doaj.art-c9af4d809e114b6c93a3c24ee3a16fa12022-12-21T20:38:56ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732021-04-017212513010.33546/bnj.1259330Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristicsIyus Yosep0Henny Suzana Mediani1Linlin Lindayani2Faculty of Nursing, Padjadjaran University,Faculty of Nursing, Padjadjaran University,Sekolah Tinggi Ilmu Keperawatan PPNI Jawa Barat, Bandung,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. Funding: This study was fully funded by Padjadjaran University, Indonesia.https://belitungraya.org/BRP/index.php/bnj/article/view/1259working alliancemental healthindonesiapsychiatric nursinghospitalsdemography
spellingShingle Iyus Yosep
Henny Suzana Mediani
Linlin Lindayani
Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics
Belitung Nursing Journal
working alliance
mental health
indonesia
psychiatric nursing
hospitals
demography
title Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics
title_full Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics
title_fullStr Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics
title_full_unstemmed Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics
title_short Working alliance among mental health nurses in Indonesia: A comparative analysis of socio-demographic characteristics
title_sort working alliance among mental health nurses in indonesia a comparative analysis of socio demographic characteristics
topic working alliance
mental health
indonesia
psychiatric nursing
hospitals
demography
url https://belitungraya.org/BRP/index.php/bnj/article/view/1259
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AT linlinlindayani workingallianceamongmentalhealthnursesinindonesiaacomparativeanalysisofsociodemographiccharacteristics