Date of Doctor of Nursing Practice Project Completion
Winter 12-17-2024
Faculty Advisor
Dr. Ololade Bello
Abstract
Purpose: This Doctor of Nursing Practice project explores the impact of implementing trauma-informed care (TIC) training and screening interventions within an inpatient adolescent psychiatric unit. The goal is to reduce physical restraint use and improve patient care by fostering a more compassionate and effective treatment approach.
Background: Adolescents in psychiatric settings often experience restraints, which can cause trauma and harm therapeutic relationships. Implementing TIC strategies equips staff with de-escalation techniques and structured trauma screenings, creating safer environments and improving patient outcomes.
Methodology: The Plan-Do-Study-Act (PDSA) cycle was chosen to guide improvements, aligning with best practices in quality improvement by allowing for continuous assessment and adaptation. 16 out of 28 nurses underwent in-depth TIC training, and the Child and Adolescent Trauma Screening (CATS) tool was implemented. Training transitioned from formal sessions to huddle-based formats to improve participation. Screening tools were relocated to intake charts for easier access. Data analysis involved comparing pre- and post-intervention restraint rates and trauma screening compliance. While participation varied among nursing staff, challenges such as time constraints and initial resistance to change impacted overall engagement.
Results: Restraint use decreased by over 50% during the study period, and trauma screening compliance improved significantly. Increased staff engagement and consistent reinforcement of TIC principles contributed to these outcomes.
Implications: Expanding data tracking to seclusions would provide a more comprehensive understanding of crisis management. While restraints decreased, time constraints and staff resistance impacted implementation. Making TIC training mandatory, reinforcing leadership, and integrating policies will support long-term improvements in psychiatric care.
Keywords
trauma-informed care, psychiatric, adolescents, restraints, trauma
Recommended Citation
Mejia, Alanna G., "Reducing Restraints in Adolescent Psychiatric Inpatient Units Through Trauma-Informed Care" (2024). Doctor of Nursing Practice Final Project Abstract. 53.
https://digitalcommons.library.tmc.edu/dnp_abstract/53