Date of Submission

Spring 4-23-2021

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Dr. Trinette Radasa

Second Advisor

Dr. Mahmoud Kaddoura


Objective: To appraise and evaluate evidence recognizing the lack of effective staff education on de-escalation techniques, the impact that this creates on nursing practice, and staff perceptions on de-escalation methods and techniques in acute care inpatient and/or outpatient mental health settings.

Methods: Three databases were searched (CINAHL, PubMed, and PsycINFO) to identify articles/reviews which focused on de-escalation techniques and training. Additionally, five journals were also reviewed to help with the search process. Specific inclusion criteria were used to streamline the search process and to help identify articles/reviews which were primarily focused on the desired objective. Five different articles were identified and appraised using different appraisal tools.

Results: There is an overall lack of evidence displaying the benefits of de-escalation techniques and de-escalation staff trainings due to a lack of proper evaluative methods. Staff perceptions regarding de-escalation techniques also differ from optimal practice. The transference of de-escalation education and training to real-life practice is lacking.

Conclusions: De-escalation staff trainings within acute care mental health inpatient and/or outpatient settings should be properly evaluated to identify potential improvements in memory and retention of de-escalation education. Improving these trainings will lead to increased technique utility during appropriate situations and will potentially lead to better patient outcomes, decrease in injuries and lessened costs.

Included in

Nursing Commons