Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial

Introduction A strong nurse-patient therapeutic relationship is crucial in acute mental health care yet remains challenging, potentially affecting outcomes and perceived quality of care. Interventions that foster structured, person-centred encounters may address these challenges effectively.Aim To e...

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Autores: Roviralta-Vilella M, El-Abidi K, Sanchez-Balcells S, Roldán-Merino JF, Lluch-Canut MT, Garcia-Sanchez JA, Muñoz-Ruoco E, Pérez-Moreno JJ, Pita-De-La-Vega J, Cañabate-Ros M, Rubia-Ruiz G, Santos-Pariente C, Rodrígez López AM, Golmar LJ, Esquinas López C, Ghrijou-Abselam N, Pastor-Bernabeu MV, Puig-Llobet M, Moreno-Poyato AR
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2026
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p29741
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29741
Access Level:acceso abierto
Palabra clave:coercion
length of stay
mental health
nurse-patient relations
psychiatric hospitals
psychiatric nursing
quality of health care
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spelling Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental TrialRoviralta-Vilella MEl-Abidi KSanchez-Balcells SRoldán-Merino JFLluch-Canut MTGarcia-Sanchez JAMuñoz-Ruoco EPérez-Moreno JJPita-De-La-Vega JCañabate-Ros MRubia-Ruiz GSantos-Pariente CRodrígez López AMGolmar LJEsquinas López CGhrijou-Abselam NPastor-Bernabeu MVPuig-Llobet MMoreno-Poyato ARcoercionlength of staymental healthnurse-patient relationspsychiatric hospitalspsychiatric nursingquality of health careIntroduction A strong nurse-patient therapeutic relationship is crucial in acute mental health care yet remains challenging, potentially affecting outcomes and perceived quality of care. Interventions that foster structured, person-centred encounters may address these challenges effectively.Aim To evaluate the effects of the 'Reserved Therapeutic Space' intervention in terms of its impact on the improvement of the nurse-patient therapeutic relationship, the quality of care, perceived coercion and humiliation and length of stay.Methods A multicentre quasi-experimental trial design in twelve acute mental health units compared the Reserved Therapeutic Space to standard care. Participants completed validated instruments assessing the therapeutic relationship, perceived quality of care and coercion. Mixed-effects models and survival analyses evaluated intervention effects.Results Participants receiving the Reserved Therapeutic Space reported stronger nurse-patient relationships, higher quality of care ratings and lower coercion scores compared to those receiving standard care. Survival analysis indicated significantly shorter hospitalizations in the intervention group.Implications Findings suggest that dedicating structured time for nurse-patient engagement enhances therapeutic relationships, reduces negative experiences and potentially improves both satisfaction and resource use. Providing structured therapeutic encounters can advance person-centred, collaborative mental health nursing practices in acute settings. Future research should explore long-term outcomes of this intervention.WILEY2026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29741Journal of Psychiatric and Mental Health NursingISSN: 13510126ISSNe: 13652850reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p297412026-05-27T12:37:41Z
dc.title.none.fl_str_mv Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
title Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
spellingShingle Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
Roviralta-Vilella M
coercion
length of stay
mental health
nurse-patient relations
psychiatric hospitals
psychiatric nursing
quality of health care
title_short Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
title_full Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
title_fullStr Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
title_full_unstemmed Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
title_sort Impact of the 'Reserved Therapeutic Space' Nursing Intervention on Acute Mental Health Inpatients' Perceptions of the Therapeutic Relationship, Quality of Care, Perceived Coercion and Length of Stay: A Multicentre Quasi-Experimental Trial
dc.creator.none.fl_str_mv Roviralta-Vilella M
El-Abidi K
Sanchez-Balcells S
Roldán-Merino JF
Lluch-Canut MT
Garcia-Sanchez JA
Muñoz-Ruoco E
Pérez-Moreno JJ
Pita-De-La-Vega J
Cañabate-Ros M
Rubia-Ruiz G
Santos-Pariente C
Rodrígez López AM
Golmar LJ
Esquinas López C
Ghrijou-Abselam N
Pastor-Bernabeu MV
Puig-Llobet M
Moreno-Poyato AR
author Roviralta-Vilella M
author_facet Roviralta-Vilella M
El-Abidi K
Sanchez-Balcells S
Roldán-Merino JF
Lluch-Canut MT
Garcia-Sanchez JA
Muñoz-Ruoco E
Pérez-Moreno JJ
Pita-De-La-Vega J
Cañabate-Ros M
Rubia-Ruiz G
Santos-Pariente C
Rodrígez López AM
Golmar LJ
Esquinas López C
Ghrijou-Abselam N
Pastor-Bernabeu MV
Puig-Llobet M
Moreno-Poyato AR
author_role author
author2 El-Abidi K
Sanchez-Balcells S
Roldán-Merino JF
Lluch-Canut MT
Garcia-Sanchez JA
Muñoz-Ruoco E
Pérez-Moreno JJ
Pita-De-La-Vega J
Cañabate-Ros M
Rubia-Ruiz G
Santos-Pariente C
Rodrígez López AM
Golmar LJ
Esquinas López C
Ghrijou-Abselam N
Pastor-Bernabeu MV
Puig-Llobet M
Moreno-Poyato AR
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv coercion
length of stay
mental health
nurse-patient relations
psychiatric hospitals
psychiatric nursing
quality of health care
topic coercion
length of stay
mental health
nurse-patient relations
psychiatric hospitals
psychiatric nursing
quality of health care
description Introduction A strong nurse-patient therapeutic relationship is crucial in acute mental health care yet remains challenging, potentially affecting outcomes and perceived quality of care. Interventions that foster structured, person-centred encounters may address these challenges effectively.Aim To evaluate the effects of the 'Reserved Therapeutic Space' intervention in terms of its impact on the improvement of the nurse-patient therapeutic relationship, the quality of care, perceived coercion and humiliation and length of stay.Methods A multicentre quasi-experimental trial design in twelve acute mental health units compared the Reserved Therapeutic Space to standard care. Participants completed validated instruments assessing the therapeutic relationship, perceived quality of care and coercion. Mixed-effects models and survival analyses evaluated intervention effects.Results Participants receiving the Reserved Therapeutic Space reported stronger nurse-patient relationships, higher quality of care ratings and lower coercion scores compared to those receiving standard care. Survival analysis indicated significantly shorter hospitalizations in the intervention group.Implications Findings suggest that dedicating structured time for nurse-patient engagement enhances therapeutic relationships, reduces negative experiences and potentially improves both satisfaction and resource use. Providing structured therapeutic encounters can advance person-centred, collaborative mental health nursing practices in acute settings. Future research should explore long-term outcomes of this intervention.
publishDate 2026
dc.date.none.fl_str_mv 2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29741
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=29741
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv WILEY
publisher.none.fl_str_mv WILEY
dc.source.none.fl_str_mv Journal of Psychiatric and Mental Health Nursing
ISSN: 13510126
ISSNe: 13652850
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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