Vol. 2, Issue 1, Part A (2025)

Background: Person-centered psychiatric nursing emphasizes individualized care, shared decision-making, and active patient participation, aligning closely with reco-oriented mental health models. Despite strong theoretical support, its structured implementation in clinical practice remains limited.
Objective: This study aimed to evaluate the effectiveness of a structured person-centered psychiatric nursing intervention in enhancing patient reco outcomes, therapeutic alliance, and satisfaction compared to standard nursing care.
Methods: A mixed-methods design was used in a tertiary psychiatric care setting with 120 inpatients randomized to intervention or control groups. The intervention consisted of structured person-centered nursing protocols emphasizing individualized goal setting and collaborative engagement. Outcomes were measured pre- and post-intervention using standardized instruments: Reco Assessment Scale (RAS), Working Alliance Inventory (WAI), and Patient Satisfaction Questionnaire (PSQ). Statistical analyses included paired t-tests, independent t-tests, and effect size calculations. A qualitative component involved thematic analysis of interviews and focus group discussions with a subsample of participants.
Results: Participants receiving person-centered care demonstrated significantly greater improvements in RAS scores compared to controls, with a large effect size. The intervention also yielded higher post-intervention WAI and PSQ scores, indicating stronger therapeutic alliances and greater patient satisfaction. A larger proportion of the intervention group achieved clinically meaningful reco improvements. Qualitative data revealed themes of empowerment, collaborative engagement, and trust, offering explanatory insight into the observed quantitative outcomes.
Conclusion: Person-centered psychiatric nursing significantly enhances reco outcomes, therapeutic alliance, and satisfaction among psychiatric inpatients. Integrating structured person-centered care into routine nursing practice can meaningfully improve patient experiences and outcomes. Practical recommendations include embedding person-centered frameworks in clinical protocols, training nursing staff in communication and shared decision-making, fostering supportive organizational cultures, and implementing structured assessment tools to monitor and sustain reco-oriented care. These findings support broader adoption of person-centered nursing as a core component of psychiatric care deli.