To explore and map the patient experience in an open-door acute psychiatric inpatient unit using a mixed-methods approach.
Approach:
Study Design: An exploratory sequential mixed-methods design was employed, starting with qualitative data collection through focus groups followed by quantitative data collection using a Likert-type scale.
Data Collection: Qualitative data were gathered from 18 patients in focus groups, and quantitative data were collected from 32 patients to assess satisfaction with identified touchpoints.
Data Analysis: Content analysis methods were used to analyze the qualitative and quantitative data.
Key Findings:
Main phases of hospitalization were identified, along with key experiential touchpoints: 'Moments of Truth,' 'Moments of Pain,' and 'Wow Moments,' which substantially shaped patients’ perceptions of care quality.
Open-door policies were perceived as enhancing patient autonomy and reducing psychological distress.
Challenges were noted in the admission process, privacy during medication administration, and communication about structured activities.
Interpretation:
Patient Journey Mapping provides a useful patient-centered approach for evaluating experiences in open-door psychiatric inpatient settings.
Limitations:
The study's findings may not be generalizable beyond the specific setting.
The sample size for both qualitative and quantitative data collection was relatively small.
Conclusion:
The findings highlight opportunities to optimize service delivery, strengthen therapeutic environments, and support recovery-oriented practices in acute psychiatric care.
by Jorge Cuevas-Esteban, Esther Ruiz-Garros, Encarnacion Romero-Diaz, Nicole Motta-Rojas, Beltran Jimenez-Fernandez, Aurea Fernandez-Ribas, Barbara Martinez-Cirera, Anna Moreno-Orea, Laura Miro-Mezquita