Graduation Year

2021

Degree Type

Open Access Capstone

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Angela Wood

Department Affiliation

Nursing

Second Advisor

Molly J. Bradshaw

Department Affiliation

Nursing

Abstract

Racism and racial discrimination occur in a variety of forms (Kendi, 2017). Both can contribute to poor mental health outcomes in the United States (Alvarez, Liang, & Neville, 2016; Comas-Diaz, Hall, & Neville, 2019; Levy, 2019; Malott & Schaefle, 2015; Williams, Lawrence, Davis, & Vu, 2019). These social conditions have been identified as chronic stressors that can illicit trauma symptoms, result in post-traumatic stress disorder (PTSD), and contribute to increased suicidality (French et al., 2020). Providers should understand the ramifications of the psychological trauma that can occur and endeavor to deliver evidence-based solutions. This doctoral project was designed to develop, implement, and evaluate a Trauma-Informed Care Program to improve provider awareness, knowledge, and confidence. Using the modified Trauma Informed System Change Instrument (TISCI), a significant improvement was seen in these areas, even among providers who had some previous understanding of trauma-informed care. Utilization of a trauma-informed care model allows for successful provision of culturally responsive, trauma-informed health care for patients who have experienced racism and racial discrimination.

IRB Approval Number (if applicable)

3785

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