Impact of the 'Reserved Therapeutic Space' Nursing Intervention: an Intervention Study in Acute Mental Health Units
NCT ID: NCT05220566
Last Updated: 2023-12-04
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
250 participants
INTERVENTIONAL
2022-04-01
2023-11-01
Brief Summary
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To evaluate the effectiveness of the "Reserved Therapeutic Space" intervention for improving the nurse-patient therapeutic relationship in acute mental health units in Spain, as well as its impact in terms of quality of care and patients' perceptions of coercion.
Design:
Multicenter intervention study with control group.
Methods:
The study will be carried out in 12 mental health units in Spain. Given the conditions of evaluation in real clinical practice, paired randomization will be performed to assign centers to intervention and control groups. The "Reserved Therapeutic Space" intervention to be tested has been co-designed and validated by both nurses and patients. The quality of the therapeutic relationship, the care received, and perceived coercion among patients will be assessed at baseline and at discharge using instruments validated in our context. An estimated 131 patients per group are expected to participate. Funding was granted in July 2021 by the Institute of Health Carlos III (PI21/00605, Ministry of Science and Innovation) and in October 2021 by the College of Nurses of Barcelona (PR-487/2021). The proposal was approved by all the Research Ethics Committees of participating centers.
Discussion:
This study is expected to demonstrate the effectiveness of a specific nursing intervention on patient health outcomes including the level of the therapeutic relationship, the quality of care, the level of coercion and other specific indicators for acute mental health units.
Impact:
This project will lead to changes in clinical practice, transforming the current models of organization and care management in mental health hospitalization units, promoting the quality of the therapeutic relationship and, ultimately, the quality of person-centered care.
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
DOUBLE
Study Groups
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'Reserved Therapeutic Space'
Participants will receive 'Reserved Therapeutic Space' Nursing Intervention
Reserved Therapeutic Space
The main objective of the 'Reserved Therapeutic Space' intervention is to enhance the therapeutic bond of trust, to enable the agreement of objectives and interventions in a shared manner in relation to their recovery process in the unit. The intervention is carried out through individual meetings between the nurse and the patient in a comfortable and intimate space, where there are no interruptions and which is also chosen by the person who is hospitalized. The content of the spaces must be constructed individually according to the patients' concerns at each moment of the process.
Control
Participants will receive usual care
No interventions assigned to this group
Interventions
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Reserved Therapeutic Space
The main objective of the 'Reserved Therapeutic Space' intervention is to enhance the therapeutic bond of trust, to enable the agreement of objectives and interventions in a shared manner in relation to their recovery process in the unit. The intervention is carried out through individual meetings between the nurse and the patient in a comfortable and intimate space, where there are no interruptions and which is also chosen by the person who is hospitalized. The content of the spaces must be constructed individually according to the patients' concerns at each moment of the process.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Campus docent Sant Joan de Déu-Universitat de Barcelona
OTHER
Hospital Universitario Fundación Alcorcón
OTHER
Hospital Regional de Malaga
OTHER
Hospital Gil Casares de Santiago de Compostela
UNKNOWN
Hospital Universitario Infanta Leonor
OTHER
Hospital Virgen de los Lirios de Alcoi
UNKNOWN
Hospital Universitari de Bellvitge
OTHER
Hospital de Galdakao
OTHER
Hospital de Mataró
OTHER
Hospital del Mar
OTHER
Complejo Hospitalario Universitario de Vigo
OTHER
Hospital Universitario San Juan de Alicante
OTHER
Instituto de Salud Carlos III
OTHER_GOV
Colegio Oficial de Enfermeras y Enfermeros de Barcelona
UNKNOWN
Hospital Clínico Universitario de Valencia
OTHER
University of Barcelona
OTHER
Responsible Party
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Antonio R. Moreno Poyato
PhD, Professor
Locations
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Hospital Gil Casares
Santiago de Compostela, A Coruña, Spain
Hospital Universitario Fundacion Alcorcon
Alcorcón, Madrid, Spain
Hospital Universitario Regional
Málaga, , Spain
Hospital Clinic Universitari de Valencia
Valencia, , Spain
Countries
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References
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El-Abidi K, Moreno-Poyato AR, Canabate-Ros M, Garcia-Sanchez JA, Lluch-Canut MT, Munoz-Ruoco E, Perez-Moreno JJ, Pita-De-La-Vega J, Puig-Llobet M, Rubia-Ruiz G, Santos-Pariente C, Lopez AMR, Golmar LJ, Lopez CE, Roldan-Merino JF. The therapeutic relationship from the perspective of patients and nurses in the first days of admission: A cross-sectional study in acute mental health units. Int J Ment Health Nurs. 2024 Feb;33(1):134-142. doi: 10.1111/inm.13227. Epub 2023 Sep 24.
Moreno-Poyato AR, El Abidi K, Lluch-Canut T, Canabate-Ros M, Puig-Llobet M, Roldan-Merino JF. Impact of the 'reserved therapeutic space' nursing intervention on patient health outcomes: An intervention study in acute mental health units. Nurs Open. 2023 Aug;10(8):5749-5757. doi: 10.1002/nop2.1750. Epub 2023 Apr 21.
Other Identifiers
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2021/9835
Identifier Type: -
Identifier Source: org_study_id