Publication Date
Spring 2025
Degree Type
Doctoral Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Ruth K. Rosenblum
Keywords
ACEs, Trauma, Toxic-stress
Abstract
Adverse Childhood Experiences (ACEs) are strongly linked to long-term health outcomes, yet discussions around ACEs in clinical settings remain inconsistent. This study investigates the comfort levels of healthcare providers in addressing ACEs with their patients, identifying barriers and facilitators to such conversations. Using a Quasi-experimental, single group, pretest-post test experimental design, we surveyed a diverse group of physicians, nurse practitioners, and physician assistants working in a primary care setting, providing ACE training, and an opportunity for learning reflection. Preliminary results indicate that while most providers acknowledge the importance of discussing ACEs, many report discomfort due to time constraints, lack of training, and concerns about patient comfort. Factors associated with increased comfort included prior ACEs education, institutional support, and access to behavioral health resources. These findings highlight the need for targeted training and systemic changes to foster trauma-informed care environments where providers feel equipped and supported to address ACEs with sensitivity and confidence.
Recommended Citation
Culcasi, Cameo, "Healthcare Provider Comfort Surrounding Adverse Childhood Events (ACEs)" (2025). Doctoral Projects. 187.
DOI: https://doi.org/10.31979/etd.xbru-v39w
https://scholarworks.sjsu.edu/etd_doctoral/187
Included in
Family Practice Nursing Commons, Nursing Administration Commons, Psychiatric and Mental Health Commons
