دانلود رایگان مقاله انگلیسی ادغام تجربیات نامطلوب دوران کودکی در سراسر برنامه درسی پرستاری - الزویر 2018

ABSTRACT

Adverse childhood experiences (ACEs) devastate the lives of children, families and the community. Nearly 35 million children in the United States (US) have experienced one or more types of childhood trauma and nearly a third of youth between ages 12 and 17 have experienced two or more traumatic events. Adverse childhood experiences place an economic toll in the U.S., costing between $5.8 billion and $12.6 billion annually. Child maltreatment costs $124 billion, conservatively. Health Professionals play a major role to prevent and effectively intervene in ACEs. To this end, building a nursing workforce with necessary ACEs knowledge is critical as nursing graduates can make a sustainable impact as they translate knowledge in practice to improve health and health outcomes for children, families and communities. This paper describes how a College of Nursing initiated a systematic integration of ACEs knowledge across BSN curriculum from designing an ACEs Curriculum Integration Model, engaging and enabling faculty in the integration process and how ACEs concepts and contents were integrated. Suggestions are made for ongoing work and evaluations of the effects of ACEs curriculum integration.

Conclusions

Adverse childhood experiences have harmful effects on health of children, families and communities. Health professionals can make a difference by raising ACEs awareness, using ACEs prevention strategies, reducing toxic stress, practicing trauma informed care, enabling care providers and informing health policies and ultimately building a culture of health for all. Educating future health professionals needs systematic integration of ACEs curriculum across educational programs. The ACEs curriculum integration in the BSN program was initiated with the aim to build a nursing workforce capacity with necessary and much needed ACEs knowledge. Work continues to integrate ACEs in clinical and graduate courses. Interprofessional education about ACEs is needed as preventing ACEs requires collaborative efforts. Health professional and nursing education programs may adopt the designed ACI Model to educate students about ACEs knowledge that guides practice and policy development emphasizing building a culture of health for urban children, families and communities.