Evidence map›Paper›PMID 41556199›Full record

ArticleJournal of psychiatric and mental health nursing2026

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.

Maria Roviralta-Vilella, Khadija El-Abidi, Sara Sanchez-Balcells, Juan F Roldán-Merino, M Teresa Lluch-Canut, Juan A Garcia-Sanchez, Estibaliz Muñoz-Ruoco, Juan J Pérez-Moreno, Javier Pita-De-La-Vega, Montse Cañabate-Ros and 9 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of psychiatric and mental health nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Maria Roviralta-VilellaInstitut de Neuropisquiatria i Addiccions, Hospital del Mar., Barcelona, Spain.
Khadija El-AbidiInstitut de Neuropisquiatria i Addiccions, Hospital del Mar., Barcelona, Spain.ORCID 0000-0001-7267-8388
Sara Sanchez-BalcellsDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-1890-7554
Juan F Roldán-MerinoGrup de Recerca en Cures Infermeres de Salut Mental, Psicocials i de Complexitat, NURSEARCH - 2021 SGR 1083, Barcelona, Spain.ORCID 0000-0002-7895-6083
M Teresa Lluch-CanutDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-2064-8811
Juan A Garcia-SanchezDepartment of Mental Health, Biomedical Research Institute of Malaga (IBIMA), University General Hospital of Málaga, Málaga, Spain.
Estibaliz Muñoz-RuocoPsychiatry Service, Galdakao-Usansolo Hospital, Osakidetza-Basque Health Service, Galdakao-Usansolo, Spain.ORCID 0009-0005-7634-6432
Juan J Pérez-MorenoPsychiatry Service, Galdakao-Usansolo Hospital, Osakidetza-Basque Health Service, Galdakao-Usansolo, Spain.
Javier Pita-De-La-VegaChildren's Mental Health Centre, Department of Mental Health, Consorci Sanitari del Maresme, Mataró, Spain.ORCID 0000-0001-9397-109X
Montse Cañabate-RosUniversidad Católica de Valencia, San Vicente Mártir, Grupo de investigación MHG, Valencia, Spain.ORCID 0000-0002-8613-6341
Gemma Rubia-RuizHospital Infanta Leonor, Madrid, Spain.ORCID 0000-0002-3300-8995
Carolina Santos-ParienteHospital Virgen de los Lirios, Alicante, Spain.ORCID 0009-0003-2730-0724
Ana Maria Rodrígez LópezComplejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain.
Laura Jardón GolmarHospital Alvaro Cunqueiro, Vigo, Spain.
Cristina Esquinas LópezDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0001-5568-257X
Nabil Ghrijou-AbselamDepartamento de Salud Alicante-Sant Joan D'alacant, Unidad de hospitalización de Salut Mental, Sant Joan d'Alacant, Spain.
Marcelino Vicente Pastor-BernabeuDepartamento de Salud Alicante-Sant Joan D'alacant, Unidad de hospitalización de Salut Mental, Sant Joan d'Alacant, Spain.
Montserrat Puig-LlobetDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-3893-4488
Antonio R Moreno-PoyatoDepartment of Public Health, Mental Health and Maternal and Child Health Nursing, Nursing School, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-5700-4315

Funding

College of Nurses of Barcelona PR-487/2021Instituto de Salud Carlos III PI21/00605
6 · The paper itself

Abstract

introductionA 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.

aimTo 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.

methodsA 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.

resultsParticipants 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.

Indexed as

CoercionInpatientsLength of StayMental DisordersNurse-Patient RelationsPatient SatisfactionPsychiatric Department, HospitalPsychiatric NursingQuality of Health CareAdultFemaleHumansMaleMiddle Agedcoercionlength of staymental healthnurse–patient relationspsychiatric hospitalspsychiatric nursingquality of health care

Identifiers

PMID41556199
PMCPMC12974914

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.