Arceneaux Stephanie P
University of Louisiana at Lafayette, Lafayette.
Adv Emerg Nurs J. 2023;45(2):138-144. doi: 10.1097/TME.0000000000000455.
The purpose of this quality improvement (QI) initiative was to implement a human trafficking (HT) education module for the emergency department (ED) staff and providers along with implementation of a policy and protocol for screening, identification, and referral of HT victims in the ED to increase provider knowledge of HT and ensure provider compliance with the HT protocol via documentation of red flags and screening questions in the electronic medical record along with social services referrals. The goal of the social services referral was to connect the HT victim with community resources that facilitated placement, food, and shelter in the event the trafficking victim accepted rescue. HT is a public health concern, globally, nationally, and at the state and local levels. ED providers, which include advanced practice registered nurses such as nurse practitioners and clinical nurse specialists, are positioned to be able to identify and treat victims of HT. Therefore, HT victims are being seen and treated in EDs; however, health care providers are not recognizing them. Project design was a QI initiative, which utilized a convenience sample of ED providers. All ED providers and staff completed the HT Education module in Health Stream with pretest/posttest assessments via the PROTECT instrument, which evaluated ED staff/provider knowledge, perceived, actual, and confidence of HT, demographics, previous contact with HT victims, and participant preference for future HT training. HT Education resulted in improved knowledge of participants' perceived, actual, and confidence of HT as demonstrated by statistical significance from pretest to posttest scores; therefore, the HT educational training proved to be beneficial.
这项质量改进（QI）计划的目的是为急诊科（ED）工作人员和医疗服务提供者实施一个人口贩运（HT）教育模块，并实施一项政策和协议，用于在急诊科筛查、识别和转介HT受害者，以增加医疗服务提供者对HT的了解，并通过在电子病历中记录红旗标志和筛查问题以及社会服务转介，确保医疗服务提供者遵守HT协议。社会服务转介的目标是，在人口贩运受害者接受救援的情况下，将HT受害者与提供安置、食物和住所的社区资源联系起来。HT是一个全球、国家以及州和地方层面的公共卫生问题。包括执业护士和临床护士专家等高级执业注册护士在内的急诊科医疗服务提供者有能力识别和治疗HT受害者。因此，HT受害者在急诊科接受诊治；然而，医疗服务提供者并未识别出他们。项目设计是一项QI计划，采用了急诊科医疗服务提供者的便利样本。所有急诊科医疗服务提供者和工作人员通过PROTECT工具在Health Stream中完成了HT教育模块，并进行了前测/后测评估，该工具评估了急诊科工作人员/医疗服务提供者对HT的知识、认知、实际情况和信心、人口统计学特征、以前与HT受害者的接触情况以及参与者对未来HT培训的偏好。HT教育使参与者对HT的认知、实际情况和信心有所提高，前测到后测分数的统计学显著性证明了这一点；因此，HT教育培训被证明是有益的。
