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Application of Milieu Based Principles in Primary Care.

Journal articles  - Review, Journal Article
Convoy, S; Convoy, D; McMillian-Bohler, J; Westphal, RJ
Published in: The Nursing clinics of North America
March 2026

This article (re)introduces the construct of the traditional therapeutic milieu and then reframes its application within the primary care environment relevant to the patient, family, and health care team. Building on the seminal work of Gunderson, the foundational elements of milieu provide an accessible and actionable framework by which members of the health care team can more effectively assess and manage primary care's therapeutic milieu with the goals of preserving life, preventing further harm, and promoting recovery.

Duke Scholars

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Published In

The Nursing clinics of North America

DOI

EISSN

1558-1357

ISSN

0029-6465

Publication Date

March 2026

Volume

61

Issue

1

Start / End Page

73 / 80

Related Subject Headings

  • Workplace Violence
  • Primary Health Care
  • Nursing
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Convoy, S., Convoy, D., McMillian-Bohler, J., & Westphal, R. J. (2026). Application of Milieu Based Principles in Primary Care. The Nursing Clinics of North America, 61(1), 73–80. https://doi.org/10.1016/j.cnur.2025.09.003
Convoy, Sean, Dana Convoy, Jacquelyn McMillian-Bohler, and Richard J. Westphal. “Application of Milieu Based Principles in Primary Care.” The Nursing Clinics of North America 61, no. 1 (March 2026): 73–80. https://doi.org/10.1016/j.cnur.2025.09.003.
Convoy S, Convoy D, McMillian-Bohler J, Westphal RJ. Application of Milieu Based Principles in Primary Care. The Nursing clinics of North America. 2026 Mar;61(1):73–80.
Convoy, Sean, et al. “Application of Milieu Based Principles in Primary Care.” The Nursing Clinics of North America, vol. 61, no. 1, Mar. 2026, pp. 73–80. Epmc, doi:10.1016/j.cnur.2025.09.003.
Convoy S, Convoy D, McMillian-Bohler J, Westphal RJ. Application of Milieu Based Principles in Primary Care. The Nursing clinics of North America. 2026 Mar;61(1):73–80.
Journal cover image

Published In

The Nursing clinics of North America

DOI

EISSN

1558-1357

ISSN

0029-6465

Publication Date

March 2026

Volume

61

Issue

1

Start / End Page

73 / 80

Related Subject Headings

  • Workplace Violence
  • Primary Health Care
  • Nursing
  • Humans