Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



Department Name when Degree Awarded

Baccalaureate and Graduate Nursing

First Advisor

Donna J. Corley

Department Affiliation


Second Advisor

Mary Clements

Department Affiliation



The need to enhance nursing staff’s knowledge, perceptions and attitudes around alternatives to seclusion and restraint has been well validated in the literature. Seclusion and restraint use in the inpatient psychiatric setting are highly dangerous physical interventions, used to control the behavior of a mentally ill patient who is a danger to self or others. Seclusion and restraint events have the potential to cause emotional trauma, physical injury to patients or staff and the possibility of patient death. The purpose of the capstone project was to implement an evidence-based education program to, improve nursing staff’s (RN, LPN, MHA and SRNA) knowledge and attitudes of alternatives to seclusion and restraint in an inpatient psychiatric setting. As part of annual mandatory education requirements for the agency, thirty-five nursing staff (MHA,SRNA, LPN, and RN) participated in the project and completed the 3 hour course, CPI: “How To” Strategies for Intervening With Challenging Individuals; including pre and post measures, CPI Knowledge Assessment and Reducing Seclusion and Restraint Organizational Questionnaire (RSROQ); assessing perception and attitudes. Results of the project indicated, significant increases in knowledge of alternatives to seclusion and restraint in MHA/SRNA’s and RN/LPN’s from baseline. RN/LPN’s had significant increases in the attitude subscore of the RSROQ and total RSROQ score.