Date of Paper/Work


Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice



First Advisor

Emily Nowak


Doctor of Nursing Practice


Interventions for the prevention and reduction of the use of restraints and seclusion in acute psychiatric care emergencies continues to be an ongoing dilemma for healthcare organizations. Nurses wish to form a therapeutic relationship with their patients, however, research in psychiatric care is still indicative of difficulties in the interactions within patient engagement and nursing staff. As patient engagement is an essential component to recovery, nursing services within the confinements of an acute locked psychiatric unit must also focus on providing a safe therapeutic milieu. This literature review explores models of patient engagement and their positive effects on a locked psychiatric ward in the promotion of reduction in the number of restraint and seclusion episodes. Additionally, it will describe strategies to improve patient engagement within the mental health system and communities.