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Practice Improvement|Articles in Press

Implementing a Human Trafficking Educational Module and Protocol in the Emergency Department

Published:March 01, 2023DOI:https://doi.org/10.1016/j.jen.2023.01.006

      Abstract

      Introduction

      The purpose of this quality improvement initiative was to educate emergency nurses and social workers about human trafficking and implement a human trafficking screening, management, and referral protocol adapted from the National Human Trafficking Resource Center.

      Methods

      A human trafficking educational module was developed and delivered at a suburban community hospital emergency department to 34 emergency nurses and 3 social workers through the hospital’s e-learning platform, with learning outcomes evaluated via a pretest/posttest and program evaluation. The emergency department electronic health record was revised to include a human trafficking protocol. Patient assessment, management, and referral documentation were evaluated for protocol adherence.

      Results

      With established content validity, 85% of nurses and 100% of social workers completed the human trafficking educational program, with posttest scores being significantly higher than pretest scores (mean difference = 7.34, P ≤ .01) along with high (88%-91%) program evaluation scores. Although no human trafficking victims were identified during the 6-month data collection period, nurses and social workers adhered to the documentation parameters in the protocol 100% of the time.

      Discussion

      The care of human trafficking victims can be improved when emergency nurses and social workers can recognize red flags using a standard screening tool and protocol, thereby identifying and managing potential victims.

      Key words

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      References

      1. Myths, facts and statistics. Polaris.
      2. 2019 data report: the U.S. national human trafficking hotline. Polaris.
        (Published)
        • Reid J.A.
        • Piquero A.R.
        • Baglivio M.T.
        • Greenwald M.A.
        • Epps N.
        No youth left behind to human trafficking: exploring profiles of risk.
        Am J Orthopsychiatry. 2019; 89: 704-715https://doi.org/10.1037/ort0000362
        • Moore J.L.
        • Houch C.
        • Hirway P.
        • Barron C.E.
        • Goldberg A.P.
        Trafficking experiences and psychosocial features of domestic minor sex trafficking victims.
        J Interpers Violence. 2017; 35: 3148-3163https://doi.org/10.1177/0886260517703373
      3. Resources: common health issues seen in victims of human trafficking. Department of Health and Human Services.
        • Marcozzi D.
        • Carr B.
        • Liferidge A.
        • Baehr N.
        • Browne B.
        Trends in the contribution of emergency departments to the provision of health care in the USA.
        Int J Health Serv. 2017; 48: 267-288https://doi.org/10.1177/0020731417734498
        • Long E.
        • Dowdell E.B.
        Nurses’ perceptions of victims of human trafficking in an urban emergency department: a qualitative study.
        J Emerg Nurs. 2018; 44: 375-383https://doi.org/10.1016/j.jen.2017.11.004
        • Hachey l.
        • Phillippi J.
        Identification and management of human trafficking victims in the emergency department.
        Adv Emerg Nurs J. 2017; 39: 31-51https://doi.org/10.1097/tme.0000000000000138
        • Miller C.L.
        • Chisolm-Straker M.
        • Duke G.
        • Stoklosa H.
        A framework for the development of healthcare provider education programs on human trafficking part three: recommendations.
        J Hum Trafficking. 2020; 6: 425-434https://doi.org/10.1080/23322705.2019.1635342
        • Scott J.T.
        • Ingram A.M.
        • Nemer S.L.
        • Crowley D.M.
        Evidence-based human trafficking policy: opportunities to invest in trauma-informed strategies.
        Am J Community Psychol. 2019; 64: 348-358https://doi.org/10.1002/ajcp.12394
      4. What to look for in a healthcare setting. National Human Trafficking Hotline.
        • Mumma B.E.
        • Scofield M.E.
        • Mendoza L.P.
        • Toofan Y.
        • Youngyunpipatk J.
        • Hernandez B.
        Screening for victims of sex trafficking in the emergency department: a pilot program.
        West J Emerg Med. 2017; 18: 616-620https://doi.org/10.5811/westjem.2017.2.31924
      5. Frameworks for a human trafficking protocol in healthcare. National Human Trafficking Resource Center.
        https://humantraffickinghotline.org
        Date accessed: December 10, 2022
      6. Screening for human trafficking. Guidelines for administering the trafficking victim’s identification tool. Vera Institute of Justice.
        (Published)
        • Leslie J.
        Human trafficking: clinical assessment guideline.
        J Trauma Nurs. 2018; 25: 282-289https://doi.org/10.1097/jtn.0000000000000389
        • Tiller J.
        • Reynolds S.
        Human trafficking in the emergency department: improving our response to a vulnerable population.
        West J Emerg Med. 2020; 21: 549-554https://doi.org/10.5811/westjem.2020.1.41690
        • Sheridan T.
        Human trafficking, identification, and assessment of victims essential. Nurse.com.
        (Published)
        • Stoklosa H.
        • Miller C.
        • Duke G.
        • Chisolm-Straker M.
        A framework for the development of healthcare provider education programs on human trafficking: part one.
        J Hum Trafficking. 2020; 6: 388-409https://doi.org/10.1080/23322705.2019.1584724
        • Powell C.
        • Dickins K.
        • Stoklosa H.
        Training US health care professionals on human trafficking: where do we go from here?.
        Med Educ Online. 2017; 221267980https://doi.org/10.1080/10872981.2017.1267980
        • Donahue S.
        • Schwien M.
        • LaVallee D.
        Educating emergency department staff on the identification and treatment of human trafficking victims.
        J Emerg Nurs. 2019; 45: 16-23https://doi.org/10.1016/j.jen.2018.03.021
        • Egyud A.
        • Stephens K.
        • Swanson-Bierman B.
        • DiCuccio M.
        • Whiteman K.
        Implementation of human trafficking education and treatment algorithm in the emergency department.
        J Emerg Nurs. 2017; 43: 526-531https://doi.org/10.1016/j.jen.2017.01.008
      7. Human trafficking awareness training for healthcare professionals. Congressional Research Service. Published 2021.
        • Schmidt L.A.
        Making sure: registered nurses watching over their patients.
        Nurs Res. 2010; 59: 400-406https://doi.org/10.1097/nnr.0b013e3181faa1c9
        • Glasgow R.E.
        • Vogt T.M.
        • Boles S.M.
        Evaluating the public health impact of health promotion interventions: the RE-AIM framework.
        Am J Public Health. 1999; 89: 1322-1327https://doi.org/10.2105/ajph.89.9.1322
      8. Human trafficking assessment tool for medical professionals. LHA Trust Funds.
      9. Adult Human Trafficking Screening Tool and Guide. National Human Trafficking Training and Technical Assistance Center. Published 2018. January, 2018.
        • Sangha M.R.
        • Birkholz L.
        Nurses’ ability to identify human trafficking victims.
        J Nurs Prof Dev. Published online October. 2021; 7 (Accessed October 7, 2021. https://doi.org/10.1097/nnd.0000000000000798)
      10. Protocol development for human trafficking. National Human Trafficking Training and Technical Assistance Center. Published 2022.

      Biography

      Gail Greiner-Weinstein is a Clinical Assistant Professor of Nursing, Loyola University Chicago School of Nursing, Maywood, IL.

      Biography

      Vicki Bacidore, Member, Illinois State Council, is a Clinical Assistant Professor of Nursing, Loyola University Chicago School of Nursing, Maywood, IL. ORCID identifier: https://orcid.org/0000-0003-3737-1457