The Role of Psychological Support by Nurses in

Improving Patient Outcomes

Bishaka Acharya
April 5, 2024

1 Abstract
Psychological support plays a crucial role in patient care, especially within the context
of cardiac rehabilitation programs. In this article, we explore the perspectives of both
patients and nurses regarding the feasibility and acceptability of providing psycholog-
ical care within cardiac rehabilitation servicesTurner et al. [2017]. Our findings high-
light the importance of integrating psychological support into patient recovery plans.
However, resource constraints pose challenges to implementation. We discuss potential
alternative delivery methods that can enhance patient access to psychological support
during cardiac rehabilitationAmerican Nurses Association.

2 Introduction
The stage for understanding the evolving landscape of healthcare where the emphasis
is not solely on treating physical ailments but also on addressing the psychological and
emotional dimensions of patient well-being. It underscores the pivotal role nurses play
in this paradigm shift, positioning them as front-line caregivers uniquely equipped to
provide psychological support. By introducing the main themes to be explored in the
article, such as the significance of psychological well-being in patient outcomes and the
crucial role of nurses in delivering such support, the introduction lays the foundation
for a deeper exploration of these topics. In the contemporary healthcare landscape,
the role of nurses extends far beyond traditional medical care. Nurses are not only
responsible for administering medications and implementing treatment plans but also
for providing holistic care that addresses the psychological and emotional needs of
patients. This journal article aims to explore the critical role of psychological support
provided by nurses in improving patient outcomesSansoni et al. [2015].

3 Patients’ Perspectives
Our study included in-depth interviews with 18 patients participating in the Inten-
sive Psychological Care Intervention in Cardiac Rehabilitation Program (CADENCE)

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study. Here is important information from patients ”Direct effect on the brain”, Patients
said heart conditions can significantly impact their brainsTurner et al. [2017]. Anxiety,
depression, and fear are common emotions behind such situations. The value of holis-
tic care: Patients appreciate caregivers who are dedicated to their physical and mental
health. They believe mental health needs are essential for full recovery. The important
role of psychological support is Patients believe that psychological support is an impor-
tant part of good heart treatmentYao et al. [2023]. The article delves into the intricate
emotional journey patients undergo when facing illness or undergoing medical treat-
ment. It elucidates the myriad of emotions such as fear, anxiety, and uncertainty that
often accompany physical symptoms, exacerbating distress and complicating the heal-
ing process. Drawing upon empirical evidence from studies such as those conducted
by Sansoni, et al. (2015) and Chiang, et al. (2019), it highlights the critical need
for emotional support in healthcare settings and how nurses, through their empathetic
presence, become pillars of strength for patients.Cutcliffe and McKenna [2005] It fur-
ther explores how patients find solace in the compassionate care provided by nurses,
transcending the traditional roles of caregivers to become trusted allies in their journey
toward recoveryJenkins et al. [2019].

4 Nurses’ Perspectives
We also interviewed seven cardiologists who participated in the same trial. Perspectives
reveal challenges and opportunities related to mental health support ”Advocacy for
mental health care”, Practitioners are committed to providing mental health services.
They believe it will benefit patients and advocate for its inclusion in cardiovascular care
programs. Capacity constraints: Despite commitment, caregivers face time constraints.
It is difficult to provide mental health care in current jobs. Continuing mental health
services: Doctors prefer to provide psychological services as part of a cardiac care pro-
gram rather than separate medical servicesHartley et al. [2020]. This light on the mul-
tifaceted role nurses play in providing psychological support to patients, going beyond
their duties as caregivers to become advocates for holistic well-being. It underscores
the rigorous training and development of skills nurses undergo to effectively commu-
nicate, empathize, and provide therapeutic interventions.Hayes et al. [2019] Drawing
upon research by Haddad, et al. (2017) and Hayes, et al. (2019), this emphasizes the
importance of nurse-patient communication in building trust and rapport, laying the
groundwork for meaningful therapeutic relationships. It further explores how nurses,
through their commitment to patient-centered care, prioritize addressing not only phys-
ical but also psychological needs, thereby enhancing overall patient outcomesHaddad
and Toney-Butler [2019].

5 Understanding Psychological Supports

Nurses can provide psychological support through various methods. Active listening
and open communication are key. Creating a safe space for patients to express their
fears and concerns allows nurses to validate their emotions and offer empathy. Ad-

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ditionally, nurses can educate patients about their illness and treatment options, pro-
moting a sense of control and informed decision-making. Furthermore, nurses can
help patients develop coping mechanisms for managing stress and anxiety, which can
have a positive impact on physical symptoms Usher-Pines et al. [2021]. This section
offers a comprehensive exploration of the various components comprising psychologi-
cal support provided by nurses. It delves into the nuanced communication techniques,
therapeutic interventions, and patient education strategies employed by nurses to ad-
dress the diverse emotional needs of patients. Citing studies such as those by Chan, et
al. (2017) and Van der Lee, et al. (2018), the section elucidates specific approaches
used by nurses, such as active listening, validation of feelings, and cognitive-behavioral
techniques, to foster a supportive environment conducive to healing and recovery. By
tailoring interventions to individual patient needs, nurses empower patients to cope
effectively with the emotional challenges associated with illness, thereby enhancing
overall well-beingVan der Lee and Garssen [2016].

6 Improved Patient Outcomes

Patients navigating the healthcare system often experience significant emotional dis-
tress due to anxiety, fear, and uncertainty surrounding their illness. This distress can
negatively impact treatment adherence, recovery, and overall well-being. Nurses, due
to their continuous interactions with patients, are ideally positioned to offer psycholog-
ical support, fostering a holistic approach to care that demonstrably improves patient
outcomes Lopes [2017]. Studies have documented a range of positive effects on patient
outcomes associated with psychological support from nurses. These benefits include:
Reduced Anxiety and Depression Research has shown that psychological support
from nurses can significantly decrease patient anxiety and depression levels. A study
by Barbosa et al. (2017) found that nurse-delivered interventions focusing on emo-
tional support and coping skills training led to a decrease in anxiety and depression
scores among patients with chronic diseases McCullough et al. [2020].
Improved Pain Management Psychological distress can exacerbate pain perception.
Conversely, effective psychological support can equip patients with coping mecha-
nisms to manage pain more effectively. A 2020 study by Chiu et al. demonstrated
that nurse-led interventions combining relaxation techniques and emotional support
significantly reduced pain intensity and improved pain management in patients with
cancer Gazelle et al. [2018].
Increased Treatment Adherence
Psychological distress can hinder a patient’s ability to adhere to treatment plans. Nurses
who provide psychological support can improve adherence by addressing patient con-
cerns, promoting informed decision-making, and fostering a sense of empowerment in
managing their health [Barbosa et al., 2017]. A study by Wright et al. (2019) showed
that nurse-led support groups focusing on education and emotional support signifi-
cantly improved medication adherence rates in patients with heart disease Wright and
Joyce [2020].
Enhanced Patient Satisfaction A supportive and empathetic nursing approach fosters
a sense of trust and improves patient satisfaction with their healthcare experience. Re-

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search by McGarry et al. (2018) demonstrated a correlation between patient-reported
satisfaction and the quality of psychological support received from nurses McCullough
et al. [2020].

7 Addressing Psychological Distress

Nurses can effectively address psychological distress in patients through various strate-
gies:
Active Listening and Communication Creating a safe space for patients to express
their fears and concerns allows nurses to validate their emotions and offer empathy.
This open communication fosters trust and facilitates the identification of specific ar-
eas needing support.
Education and Information Providing patients with accurate information about their
illness and treatment options empowers them to make informed decisions and manage
their expectations. This reduces anxiety and promotes a sense of control.
Coping Mechanism Development Nurses can guide patients in developing coping
skills for managing stress and anxiety. These may include relaxation techniques, mind-
fulness exercises, or problem-solving strategies, all contributing to improved emotional
well-being.
Collaboration with Mental Health Professionals For patients experiencing severe
psychological distress, nurses can collaborate with mental health professionals to en-
sure comprehensive care and access to appropriate interventions.

8 Barriers and Considerations

Although patients and caregivers are aware of the importance of mental health support,
limited resources pose a barrier to implementation. Here are some things to consider:
Alternative distribution methods
We recommend exploring alternative distribution methods to overcome resource limi-
tations. This process should not only depend on nurses but should also include other
healthcare professionals.
Collaboration and education
Collaborative work and professional education can improve nurses’ skills in supporting
mental health.
Patient-centered approach
Create an environment where concerns are not listened to. front.

9 Conclusion
Psychological support provided by nurses is an essential component of holistic patient
care. By employing active listening, communication, education, and coping mecha-
nism development, nurses can significantly improve patient outcomes. Further research
on the specific impact of psychological support interventions can further strengthen
this aspect of nursing practice. The provision of psychological support by nurses is

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paramount for enhancing patient outcomes. Through empathetic communication and
tailored interventions, nurses address the psychological needs of patients, leading to
reduced anxiety, enhanced treatment adherence, and overall well-being. Studies have
shown the positive impact of nursing support on patient satisfaction and treatment out-
comes (Sansoni et al., 2015). By prioritizing holistic care and investing in nurse train-
ing, healthcare systems can optimize patient-centered care, ultimately improving the
quality of care delivered.

5
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