Abstract

The inpatient psychiatry unit at Phoenix Children's Hospital is implementing trauma-informed care via the Sanctuary Model to provide trauma-responsive care to the patients served. Initial training on the Sanctuary Model was provided to unit employees in 2021 as the new model of care. A decrease in the use of restraints and seclusions and an increase in employee retention rates since initial training indicate the positive effects following a trauma-informed care model can have on both patients and employees. However, there continues to be resistance to full model utilization and underlying incivility since initial training. This Doctor of Nursing Practice (DNP) project aims to evaluate the effectiveness of refresher training sessions on the Sanctuary Model in improving employee understanding and use of trauma-informed care and overall unit culture. A 6-hour training was provided to all employees and included pre- and post-training surveys. An optional anonymous survey surrounding perceived unit incivility was also provided for completion. Mean scores and variances of both surveys were calculated and compared. The comparison shows slightly improved scores in pre- versus post-training sessions, however, the difference was not significant. The high pre-training results indicate good retention of the Sanctuary model and trauma-informed care knowledge before the refresher training. This retention was an unexpected finding given the perceived resistance to full utilization of trauma-informed care. This continued resistance as indicated by Sanctuary fidelity checks provides insight to areas needing improvement and reinforcement, which is necessary to sustain a culture supportive of trauma-informed care.

Michele Bronder

Author Details

Michele Bronder, DNP, RN, CPN, PMHRN-BC

Sigma Membership

Theta Tau

Lead Author Affiliation

Northern Arizona University, Flagstaff, Arizona, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Trauma-Informed Care, Mental Health, Patient Care

Advisor

O'Haver, Judith

Second Advisor

McManis, Beth

Degree

DNP

Degree Grantor

Northern Arizona University

Degree Year

2024

Rights Holder

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Review Type

None: Degree-based Submission

Acquisition

Self-submission

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