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Does ‘Time Together’ increase quality of interaction and decrease stress? A study protocol of a multisite nursing intervention in psychiatric inpatient care, using a mixed method approach
  1. Jenny Molin1,
  2. Britt-Marie Lindgren1,
  3. Ulla Hällgren Graneheim1,
  4. Anders Ringnér1,2
  1. 1 Department of Nursing, Umeå University, Umeå, Sweden
  2. 2 Department of Paediatrics, Umeå University Hospital, Umeå, Sweden
  1. Correspondence to Dr Anders Ringnér; anders.ringner{at}


Introduction Despite the long-known significance of the nurse–patient relationship, research in psychiatric inpatient care still reports unfulfilled expectations of, and difficulties in, interactions and relationships between patients and staff. Interventions that create structures to allow quality interactions between patients and staff are needed to solve these problems. The aim of this project is to test effects of the nursing intervention Time Together and to evaluate the intervention process.

Methods and analysis This is a multisite study with a single-system experimental design using frequent measures. The primary outcomes are quality interactions for patients and perceived stress for staff. Secondary outcomes are levels of symptoms of anxiety and depression for patients and stress of conscience for staff. A process evaluation is performed to describe contextual factors and experiences. Data are collected using questionnaires, participant observations and semistructured interviews. For analysis of quantitative data, both visual and statistical methods will be used. Qualitative data will be analysed using qualitative content analysis.

Ethics and dissemination Ethical approval was granted by the Ethical Review Board in the region (Dnr 2016/339-31). The findings will contribute to the development of nursing interventions in general, but more specifically to the development of the intervention. This is relevant both nationally and internationally as similar interventions are needed but sparse. The findings will be disseminated through conference presentations and peer-reviewed publications.

Trial registration number NCT02981563

  • engagement
  • complex interventions
  • multisite study
  • nursing
  • process evaluation
  • protocol
  • single system design
  • psychiatric inpatient care
  • quality interactions

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

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  • Contributors Study design: JM, AR, B-ML, UHG. Manuscript preparation: JM, AR, BML, UHG. All authors read and approved the final manuscript.

  • Funding This research is funded by The Swedish National Association for Social and Mental Health, the Kempe Foundation and the Swedish Society of Nursing. The research is independent, however, and the views expressed in this article are solely those of the authors.

  • Competing interests None declared.

  • Ethics approval Regional Ethical Review Board in Umeå.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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