ArticleBMC psychiatry2022
Containment and therapeutic relationships in acute psychiatric care spaces: the symbolic dimensions of doors.
Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 19 citations in OpenAlex.
- Examining the Association Between Perceived Quality of Care and Experienced Coercion Among Patients in Acute Mental Health Units in Spain: A National Cross-Sectional Study.Journal of clinical nursing · 2026Article
- 'The Bird Fights Its Way Out of the Egg': A Phenomenological Study of Nurses' Lived Experiences of Self-Care in South Korea's Closed Psychiatric Wards.Healthcare (Basel, Switzerland) · 2026Article
- Mental Health Nurses' Spiritual Well-Being, Personal Trauma History, Compassion Fatigue, and Compassion Satisfaction.Advances in experimental medicine and biology · 2026Article
- Spirituality, Personal Trauma History, Compassion Fatigue, and Compassion Satisfaction Among Nurses: Traumatized Heroes or Wounded Healers?Advances in experimental medicine and biology · 2026Article
- RutiSafeNet: a behavioral risk and nursing workload monitoring tool for open-door acute inpatient mental health units.Frontiers in psychiatry · 2026Article
- Exploring How the Psychological Safety of Patients Is Impacted by Restrictive Practices in Inpatient Mental Healthcare: A Qualitative Study.International journal of mental health nursing · 2025Article
- Article
- Experiences of nurses caring for state patients in North West Province of South Africa: a qualitative study.BMC nursing · 2025Article
- Patient Perspectives on Open-Door Policies in Psychiatry: Mixed Methods Study.Journal of medical Internet research · 2025Article
- Prevention of Violence in an Acute Psychiatric Unit: Spanish Validation of the Brøset Violence Checklist and Assessment of Its Predictive Capacity for Physical Restraint.Journal of psychiatric and mental health nursing · 2025Article
- Gratitude despite unease among Swedish male forensic psychiatric patients with substance use disorders: an interview study.International journal of qualitative studies on health and well-being · 2024Article
- Exploring the lived experience of receiving mental health crisis care at emergency departments, crisis phone lines and crisis care alternatives.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Impact of the 'reserved therapeutic space' nursing intervention on patient health outcomes: An intervention study in acute mental health units.Nursing open · 2023Article
- Triangulation study of needs assessment of people with severe mental illness in "follow-up" day hospital settings.Nursing open · 2023Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is an increasing trend of door locking practices in acute psychiatric care. The aim of the present study was to illuminate the symbolic dimensions of doors in Greek mental health nurses' experiences of open and locked working spaces.
resultsA sequential mixed-method designexplored the experiences of nurses working in both open and locked psychiatric acute care units. Participants experiences revealed four types of doors related to the quality of recovery-oriented care: (a) the open door, (b) the invisible door, (c) the restraining door, and (d) the revolving door. Open doors and permeable spacesgenerated trust and facilitated the diffusion of tension and the necessary perception of feeling safe in order to be involved in therapeutic engagement. When the locked unit was experienced as a caring environment, the locked doors appeared to be "invisible". The restraining doors symbolized loss of control, social distance and stigma echoing the consequences of restrictingpeople's crucial control over spaceduring the COVID-19 pandemicin relation toviolence within families, groups and communities. The revolving door (service users' abscondence/re-admission) symbolised the rejection of the offered therapeutic environment and was a source of indignation and compassion fatigue in both open and locked spaces attributed to internal structural acute care characteristics (limited staffing levels, support, resources and activities for service users) as well as 'locked doors' in the community (limited or no care continuity and stigma).
conclusionsThe impact of COVID-19 restrictions on people's crucial control of space provides an impetus for erecting barriers masked by the veil of habit and reconsidering the impact of the simple act of leaving the door open/locked to allow both psychiatric acute care unit staff and service users to reach their potential.
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