Introduction

Repetitive transcranial magnetic stimulation (rTMS) is administered by nurses and can be effective in treating depression. Little is known about individual care and support practices in rTMS intervention, despite the acknowledgement that non-treatment factors can positively impact patient outcomes.

Aim

To understand and explore non-treatment factors associated with service delivery that reduce stress and improve patient experiences of rTMS Method: A qualitative design was employed, 15 semi-structured interviews were undertaken with staff delivering rTMS. Thematic analysis was utilised with data.

Results

Five themes identified non-treatment factors, comprising: ‘pre-treatment visit’; ‘communication and rapport’; ‘environment’; ‘aftercare’; and ‘staff morale’. These represented the environment, processes and behaviours that enhanced rTMS treatment experience.

Discussion

Adding to existing evidence: a therapeutic environment and thoughtful communication and rapport were deemed the most important factors for improving patient experience. Examples included staff engagement with patients, communication of information and processes, individualised therapeutic conversations, and a comfortable and patient centred environment.

Implications for Practice

Findings can inform rTMS delivery advocating a holistic approach, combining psychological and biological interventions. Best practice must include guidance on non-treatment factors, and mental health nurses can then implement them to in order to reduce stress, assess recovery progress and enhance patient experience.