Training of Nursing Students in the Approach and De-escalation of Psychomotor Agitation in Severe Mental Disorder through Clinical Simulation

Background Addressing psychomotor agitation is a key competency in the mental health setting. Clinical simulation allows nursing students to train in a safe environment, favouring the learning of verbal restraint and de-escalation strategies. This methodology improves decision-making, therapeutic communication, teamwork and patient safety. Integrating this training strengthens professional preparation for situations of high emotional complexity. Methods Qualitative descriptive phenomenological descriptive study through focus groups and reflective narratives. A thematic analysis was performed via ATLAS-ti.24. Results Three thematic blocks with their categories were identified: (T1) recognition and initial coping with psychomotor agitation and (T2) de-escalation strategies and communication skills. (T3) Reflecting on the nursing role and decision making in crisis contexts. Conclusions Clinical simulation allows nursing students to train their approach to psychomotor agitation in a safe environment. It favours symptom recognition, decision making, teamwork and emotional control. The participants integrated theory and practice, developing communication skills and ethical reflection. The experience strengthens professional preparation in mental health. Its systematic inclusion in nursing education is recommended.