Therapeutic Engagement Questionnaire

South LondonGeneric Health Relevance
Start Date: 1 Sep 2012 End Date: 1 Aug 2017

Current political and health care climates emphasize quality care standards and clinical outcomes indicating the importance of using standardized measurement tools. To contribute to theis agenda it is important for Registered Mental Health Nurses (RMHNs) to demonstrate their impact suggesting the need for a nursing metric. Fundamental to mental health nursing and Service User (SU) recovery is Therapeutic Engagement (TE) but difficulty exists when attempting to measure it. Arguments abound for and against measuring TE not only in mental health nursing but generally in health care. Such debates are not new and have existed from the time of Thorndike and Einstein; the former stated “If anything exists, it exists in some amount, it can be measured and the latter not everything that counts can be counted and not everything that can be counted counts. Notwithstanding the TE measurement debate, it is imperative to have a metric that demonstrates the value of mental health nursing and its contribution to SU recovery. Rating scales measuring TE do exist, but none assess TE in acute care settings to include both the general therapeutic environment and 1:1 interactions between SUs and RMHNs. Neither has any been developed in partnership with SUs, nor developed to determine the impact of TE on the quality of SU experience/ recovery as perceived by them and RMHNs. To fill these gaps and also address the question what is the contribution of mental health nursing to service user recovery, a Therapeutic Engagement Questionnaire (TEQ) was developed. Using psychometric principles a 20 item questionnaire was developed with 2 versions: One for SUs and one for RMHNs. The development methodology and authentication process will be described with supporting data, together with how it is being adopted in research and practice locally, nationally and internationally.

Professor Mary Chambers