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
Por:
Roviralta-Vilella M, El-Abidi K, Sánchez-Balcells S, Roldan-Merino J, Lluch-Canut T, 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 and Moreno-Poyato AR
Publicada:
1 abr 2026
Ahead of Print:
1 ene 2026
Resumen:
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.
Filiaciones:
Roviralta-Vilella M:
Institut de Neuropisquiatria i Addiccions, Hospital del Mar., Barcelona, Spain
Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain
El-Abidi K:
Institut de Neuropisquiatria i Addiccions, Hospital del Mar., Barcelona, Spain
Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain
Sánchez-Balcells S:
Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain
Grup de Recerca en Cures Infermeres de Salut Mental, Psicocials i de Complexitat, NURSEARCH - 2021 SGR 1083, Barcelona, Spain
Roldan-Merino J:
Grup de Recerca en Cures Infermeres de Salut Mental, Psicocials i de Complexitat, NURSEARCH - 2021 SGR 1083, Barcelona, Spain
Campus Docent Sant Joan de Déu Fundació Privada. School of Nursing, University of Barcelona, Barcelona, Spain
Lluch-Canut T:
Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain
Grup de Recerca en Cures Infermeres de Salut Mental, Psicocials i de Complexitat, NURSEARCH - 2021 SGR 1083, Barcelona, Spain
Garcia-Sanchez JA:
Department of Mental Health, Biomedical Research Institute of Malaga (IBIMA), University General Hospital of Málaga, Málaga, Spain
Muñoz-Ruoco E:
Psychiatry Service, Galdakao-Usansolo Hospital, Osakidetza-Basque Health Service, Galdakao-Usansolo, Spain
Pérez-Moreno JJ:
Psychiatry Service, Galdakao-Usansolo Hospital, Osakidetza-Basque Health Service, Galdakao-Usansolo, Spain
Pita-De-La-Vega J:
Children's Mental Health Centre, Department of Mental Health, Consorci Sanitari del Maresme, Mataró, Spain
Cañabate-Ros M:
Universidad Católica de Valencia, San Vicente Mártir, Grupo de investigación MHG, Valencia, Spain
Hospital Clínico Universitario de Valencia, Unidad de hospitalización de psiquiatría y toxicomanía, Valencia, Spain
Rubia-Ruiz G:
Hospital Infanta Leonor, Madrid, Spain
Santos-Pariente C:
Hospital Virgen de los Lirios, Alicante, Spain
Rodrígez López AM:
Complejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain
Golmar LJ:
Hospital Alvaro Cunqueiro, Vigo, Spain
Esquinas López C:
Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain
Ghrijou-Abselam N:
Departamento de Salud Alicante-Sant Joan D'alacant, Unidad de hospitalización de Salut Mental, Sant Joan d'Alacant, Spain
Pastor-Bernabeu MV:
Departamento de Salud Alicante-Sant Joan D'alacant, Unidad de hospitalización de Salut Mental, Sant Joan d'Alacant, Spain
Departamento de Enfermería de la Facultad de Ciencias de la Salud de la, Universidad de Alicante, Alicante, Spain
Puig Llobet M:
Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain
Grup de Recerca en Cures Infermeres de Salut Mental, Psicocials i de Complexitat, NURSEARCH - 2021 SGR 1083, Barcelona, Spain
Moreno-Poyato AR:
Department of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain
Grup de Recerca en Cures Infermeres de Salut Mental, Psicocials i de Complexitat, NURSEARCH - 2021 SGR 1083, Barcelona, Spain
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