Patient journey mapping in an open-door psychiatric inpatient unit - Summary - MDSpire

Mapping the Patient Experience in a Psychiatric Inpatient Unit with an Open-Door Policy

  • 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

  • July 20, 2026

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Objective:

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.

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