Date of Graduation

Spring 5-15-2025

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 Executive Summary

First Advisor

Dr. Kletter

Second Advisor

Dr. Goyal

Abstract

Background Effective therapeutic communication is essential for building strong patient relationships, yet bias, stigma, and judgment can exacerbate trauma and widen health disparities. Trauma-Informed Care (TIC) emphasizes respect, compassion, and empathy to mitigate these issues. Problem Although TIC is extensively studied in high-income regions such as the United States, Europe, and Australia, its application in developing countries remains limited. This gap impedes culturally sensitive healthcare practices that address unique social, cultural, and economic challenges, potentially deepening disparities. Methods A comprehensive literature review was conducted to assess current TIC training research among healthcare workers. The review aimed to underscore TIC's importance in medical practice and identify strategies to enhance provider knowledge, attitudes, and skills. Interventions A quality improvement project was implemented in Chogoria, Kenya, involving 16 healthcare workers. Utilizing a single-group pretest–posttest design, participants attended a one-hour PowerPoint presentation on TIC and subsequently participated in exploratory qualitative interviews. Results Post-workshop surveys demonstrated a 3% increase in TIC-related knowledge, attitudes, and skills. Qualitative analysis identified three emerging themes: the relevance of TIC, the impact of cultural stigma and bias, and the need for additional community resources. Conclusion This study highlights the critical importance of extending TIC practices to resource-limited settings like Chogoria, Kenya, where tailored interventions can significantly enhance patient care and promote holistic healing while reducing health disparities.

Keywords: adult trauma, adverse childhood events, harm reduction trauma-informed care

Previous Versions

Jul 21 2025
Jul 21 2025 (withdrawn)
May 19 2025 (withdrawn)

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