Date of Award

Spring 5-22-2021

Document Type

Doctor of Nursing Practice Final Manuscript

Degree Name

Doctor of Nursing Practice

Department

Nursing

First Advisor

Michael Terry, DNP, FNP, PMHNP

Second Advisor

Leslie Sanders, PsyD

Abstract

Background: The link between trauma exposure and substance use is well established. Seventy-five percent of individuals in substance use treatment report histories of abuse and trauma. Early traumatic experiences or repetitive trauma exposure disrupts a person’s ability to self-regulate which may demonstrate as disruptive behavior or present as physiological symptoms.

Purpose: The purpose of this project was to introduce and increase awareness of trauma and resiliency informed definitions, techniques, and provide resources for staff in a residential treatment setting.

Evidence-based Intervention and Methods: Participating nurses and resident assistants received a one hour presentation on trauma, resiliency, and its associated interventions. The primary interventions reviewed were de-escalation techniques and Community Resiliency Model (CRM) skills developed by Trauma Resource Institute.

Results/Evaluation: Data was collected immediately before and after the presentation as well as six-weeks later. In both data sets, participating nurses noted an increase in their confidence level. Sixty percent reported utilization of de-escalation techniques and CRM skills. A lack of appropriate clinical scenario was cited most frequently as the reason for not utilizing the presented techniques.

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