Trauma-informed care in nursing education

The widespread effects of trauma are beginning to be recognized as a social determinant of health and are fueling a movement to include trauma-informed care (TIC) approaches universally. Adverse Childhood Experiences (ACEs) have become a concern of public health due to their relationship with chronic illness, mental illness, and substance abuse. Cultural, historical, and gender issues cause toxic stress leading to morbid consequences, which support Leininger's theory that nurses need training in transcultural nursing to foster healing. Current data support the need for TIC in nursing curriculum. However, nurse educators report a lack of knowledge about the topic and methods of delivery. The Centers for Disease Control recommends a universal approach to TIC that extends beyond healthcare and into all public sectors using the Substance Abuse and Mental Health Services Administration's six principles of TIC.