{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:52:55Z","timestamp":1790153575166,"version":"4.0.1"},"reference-count":59,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,9,20]],"date-time":"2017-09-20T00:00:00Z","timestamp":1505865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was to understand the context of the inpatient setting for the treatment of anorexia nervosa and the implications for the therapeutic alliance between nurses and consumers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The nature of the therapeutic alliance is dependent on the contextual factors that influence interactions. The inpatient setting for the treatment of anorexia nervosa is one such setting where the therapeutic alliance is operative, yet challenging and poorly understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A two\u2010phase explanatory sequential design was employed. Descriptive statistics from phase one informed phase two interviews. Phase two data were analysed through thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A convenience sample of nurses and consumers were recruited from six wards, in five hospitals. Phase one involved the completion of a survey (<jats:italic>N\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>128) that measured the strength of the therapeutic alliance, as well as other elements of ward context. Phase two interviews (N\u00a0=<jats:italic>\u00a0<\/jats:italic>54) were focused on the therapeutic alliance between nurses and consumers and the implications of the inpatient setting. Data collection occurred between May 2014 \u2010 February 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Anorexia nervosa as an illness carries destructive implications for the quality of the therapeutic alliance. Nurses\u2019 intimate position in the inpatient setting and interpersonal capacity is influential in overcoming the obstacles that impede the therapeutic alliance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nurses\u2019 capacity for developing therapeutic alliances is in part dependent on a supportive ward organization and the adequacy of resources to permit meaningful interactions with consumers with anorexia nervosa. Understanding the contextual factors specific to the inpatient setting enhances nurses\u2019 ability to develop therapeutic alliances.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.13410","type":"journal-article","created":{"date-parts":[[2017,8,9]],"date-time":"2017-08-09T14:36:35Z","timestamp":1502289395000},"page":"443-453","source":"Crossref","is-referenced-by-count":22,"title":["Therapeutic alliance, anorexia nervosa and the inpatient setting: A mixed methods study"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2359-7183","authenticated-orcid":false,"given":"Joel S.","family":"Zugai","sequence":"first","affiliation":[{"name":"School of Nursing Midwifery and Paramedicine Australian Catholic University Sydney NSW Australia"},{"name":"Faculty of Health University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0018-3236","authenticated-orcid":false,"given":"Jane","family":"Stein\u2010Parbury","sequence":"additional","affiliation":[{"name":"Faculty of Health University of Technology Sydney Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3831-537X","authenticated-orcid":false,"given":"Michael","family":"Roche","sequence":"additional","affiliation":[{"name":"School of Nursing Midwifery and Paramedicine Australian Catholic University Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,9,20]]},"reference":[{"issue":"11","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"1809","DOI":"10.1176\/appi.ajp.159.11.1809","article-title":"Privacy in psychiatric treatment: Threats and responses","volume":"159","author":"Appelbaum P. 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