Creating Buy-In from Nurse Leaders to Implement Inpatient Education and Screening for Human Trafficking: A Quality Improvement Initiative
Date of Award
College or School
Program or Major
BACKGROUND: Human trafficking is an under-recognized healthcare issue affecting an
estimated 20 to 40 million individuals globally. Professional nursing organizations, healthcare
regulatory bodies and legislators have declared the need for education and screening practices. A
quality improvement initiative designed to create buy-in from nurse leaders to create and
implement education, screening and a protocol to guide care of human trafficking victims who
may present to inpatient and clinic settings at the organization was developed to bridge gaps in
knowledge and inform evidence-based practice.
METHODS: Literature review informed the development of an education intervention presented
to nurse leaders using multi-modal learning strategies. National Academy of Medicine criteria
for safe, high quality, patient-centered care was used to determine need for the quality
improvement initiative. Victimology paradigm guided development of the content and the
educational initiative was implemented using a framework recommended by subject matter
experts Miller, Chisolm-Straker, Duke and Stoklosa (2019). A brief educational intervention was
deployed in effort to engage a voluntary participant group of 191 nurse leaders with purpose to
create endorsement for policy and practice change.
INTERVENTION: Brief education about human trafficking and the need for education,
screening and a protocol to guide care was deployed to the participant group using multi-modal
strategies. Pre and post assessment surveys were conducted to detect any changes in knowledge
about human trafficking as a healthcare issue and any changes in attitudes related to
implementation of standardized education and screening practices with a protocol to guide care
CREATING BUY-IN THROUGH EDUCATION: HUMAN TRAFFICKING
RESULTS: Data was analyzed using two statistical methods for increased understanding of
results. The primary statistical analysis method, a two-tailed student’s t-test assuming unequal
variances found statistical significance for four of the eight survey items. Three knowledge
questions and one attitude question evidenced a statistically significant increase in knowledge
and support related to the quality improvement intervention. Two attitude questions related to
support for education and screening for human trafficking evidenced near statistical significance.
The secondary statistical analysis method, randomized and equal sized samples, yielded no
statistical significance for any of the survey items. Significant differences in response rates to the
pre and post assessment surveys along with homogeneity of the target population may have
impacted the results of data analysis.
CONCLUSIONS: The quality improvement initiative demonstrated some ability to meet all of
identified aims. Statistical significance was noted for a number of survey items, but the primary
focus items, endorsement for education and screening practices for human trafficking, did not
achieve statistical significance. Unanticipated tacit knowledge about human trafficking within
the participant group along with existing attitudes of support for education and screening for
human trafficking may have affected survey results. Despite lack of statistical significance
related to nurse leader buy-in for education and screening practices, overwhelming positive
feedback from the participant group and support for the quality improvement initiative
demonstrated a high degree of clinical significance.
MacDonald, Andrea, "Creating Buy-In from Nurse Leaders to Implement Inpatient Education and Screening for Human Trafficking: A Quality Improvement Initiative" (2020). DNP Scholarly Projects. 31.