Date of Graduation

Fall 12-17-2021

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Psychiatric Mental Health Nurse Practitioner

First Advisor

Dr. Trinette Radasa

Second Advisor

Dr. Mahmoud Kaddoura

Abstract

Background: The purpose of this study is to develop and implement a de-escalation toolkit to help improve memory, retention, and utility of de-escalation techniques within an outpatient mental health crisis stabilization unit.

Problem: The aforementioned crisis stabilization unit has elevated rates of patient aggression/violence and staff present with difficulty recalling de-escalation techniques due to the lapse in memory and/or retention.

Methods: The project was introduced to the stakeholders of the crisis stabilization unit and input was obtained on the design and components of the toolkit. Various analyses were conducted to ensure the appropriate implementation of the project.

Intervention: A de-escalation toolkit was developed and implemented within the crisis stabilization unit to help increase de-escalation technique utility and increase staff competency of techniques.

Results: Staff responded positively to the implementation of the de-escalation toolkit and found it to be beneficial in their practice. Moreover, staff education and perception regarding de-escalation techniques was improved and technique utility due to the toolkit was also prevalent.

Conclusions: The de-escalation toolkit was helpful in improving de-escalation technique utility and improving memory and retention of techniques. The toolkit can continue to be improved in the future and used at other sites with benefit as well.

Keywords: de-escalation, de-escalation techniques, de-escalation toolkit, mental health, mental health outpatient setting, aggression/violence, staff education/training.

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