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

J Psychiatr Ment Health Nurs. 2026 Jan 20. doi: 10.1111/jpm.70095. Online ahead of print.

ABSTRACT

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.

PMID:41556199 | DOI:10.1111/jpm.70095