Human trafficking;
sex trafficking;
labor trafficking;
emergency departments;
protocol;
training;
D O I:
10.1016/j.jen.2018.03.021
中图分类号:
R4 [临床医学];
学科分类号:
1002 ;
100602 ;
摘要:
Introduction: Hospitalization is one of the few circumstances in which the lives of trafficking victims intersect with the general population. Based on survivor testimonies, the majority of human trafficking victims may receive medical treatment in a hospital's emergency department while in captivity. With evidenced-based training, ED personnel have a better opportunity to screen persons who are being trafficked and intervene on their behalf. Methods: This project examined the efficacy of an innovative, evidence-based online training module (HTEmergency.com) created by the project team. Participants completed a pre-survey to determine learning needs and a post-survey to determine the effectiveness of the online education. The learning module contained a PowerPoint presentation, identification and treatment guidelines, and 2 realistic case studies. Results: Data were collected among ED personnel in 2 suburban hospitals located near a northeast metropolitan city. Seventy-five employees participated in the survey and education. Staff completing the education included nurses, physicians, nurse practitioners/physician assistants, registration, and ED technicians. Results indicated that 89% of participants had not received previous human trafficking training. Less than half of the participants stated that they had a comprehensive understanding of human trafficking before the intervention, with an increase to 93% after education. The training module significantly increased confidence in identification (from an average confidence level of 4/10 to 7/10) and treatment (from an average confidence level of 4/10 to 8/10) of human trafficking victims within the emergency department; 96% found the educational module to be useful in their work setting. Discussion: Participants reported that they are more confident in identifying a possible trafficking victim and are more likely to screen patients for human trafficking after participation in the online training module. The proposed general guideline for care provided ED personnel with a useful tool in perpetuity. The results of this project, coupled with the growth of worldwide human trafficking, highlights the need for focused human trafficking education within the hospital setting.
机构:
Univ Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Icahn Sch Med Mt Sinai, ACEP Publ Hlth & Injury Prevent Comm, New York, NY 10029 USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Shandro, Jamie
Chisolm-Straker, Makini
论文数: 0引用数: 0
h-index: 0
机构:
Icahn Sch Med Mt Sinai, Dept Emergency Med, New York, NY 10029 USA
Univ Iowa, Sch Med, HEAL Trafficking, Iowa City, IA 52242 USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Chisolm-Straker, Makini
Duber, Herbert C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Icahn Sch Med Mt Sinai, ACEP Publ Hlth & Injury Prevent Comm, New York, NY 10029 USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Duber, Herbert C.
Findlay, Shannon Lynn
论文数: 0引用数: 0
h-index: 0
机构:
Univ Iowa, Sch Med, Dept Emergency Med Residency, Iowa City, IA 52242 USA
Pali Momi Med Ctr, Emergency Serv, ACEP Acad Affairs Comm, Aiea, HI USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Findlay, Shannon Lynn
Munoz, Jessica
论文数: 0引用数: 0
h-index: 0
机构:
Pali Momi Med Ctr, Emergency Serv, Aiea, HI USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Munoz, Jessica
Schmitz, Gillian
论文数: 0引用数: 0
h-index: 0
机构:
Pali Momi Med Ctr, Emergency Serv, ACEP Acad Affairs Comm, Aiea, HI USA
Univ Texas Hlth Sci Ctr San Antonio, Dept Emergency Med, San Antonio, TX 78229 USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Schmitz, Gillian
Stanzer, Melanie
论文数: 0引用数: 0
h-index: 0
机构:
John Peter Smith Hlth Network, Emergency Med Residency, Ft Worth, TX USA
Harvard Med Sch, EMSC, Boston, MA USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Stanzer, Melanie
Stoklosa, Hanni
论文数: 0引用数: 0
h-index: 0
机构:
Univ Iowa, Sch Med, HEAL Trafficking, Iowa City, IA 52242 USA
Harvard Med Sch, Dept Emergency Med, Boston, MA USA
Harvard Med Sch, Dept Med, Boston, MA USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Stoklosa, Hanni
Wiener, Dan E.
论文数: 0引用数: 0
h-index: 0
机构:
Icahn Sch Med Mt Sinai, ACEP Publ Hlth & Injury Prevent Comm, New York, NY 10029 USA
Bronx Lebanon Hosp Ctr, Bronx, NY 10456 USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
Wiener, Dan E.
Wingkun, Neil
论文数: 0引用数: 0
h-index: 0
机构:
Icahn Sch Med Mt Sinai, ACEP Publ Hlth & Injury Prevent Comm, New York, NY 10029 USA
Univ Texas Houston, Dept Emergency Med, Houston, TX USAUniv Washington, Sch Med, Div Emergency Med, Seattle, WA 98195 USA
机构:
Univ Pretoria, Sch Hlth Care Sci, Dept Nursing Sci, Pretoria, South AfricaUniv Pretoria, Sch Hlth Care Sci, Dept Nursing Sci, Pretoria, South Africa
van Rooy, Leanne
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机构:
Botma, Yvonne
Filmalter, Celia J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Free State, Sch Nursing, Bloemfontein, South AfricaUniv Pretoria, Sch Hlth Care Sci, Dept Nursing Sci, Pretoria, South Africa
Filmalter, Celia J.
Heyns, Tanya
论文数: 0引用数: 0
h-index: 0
机构:
Univ Free State, Sch Nursing, Bloemfontein, South AfricaUniv Pretoria, Sch Hlth Care Sci, Dept Nursing Sci, Pretoria, South Africa
机构:
Arizona State Univ, Sch Social Work, Tempe, AZ 85287 USA
Univ Penn, Program Res Relig, Philadelphia, PA 19104 USA
Univ Penn, Urban Civil Soc, Philadelphia, PA 19104 USAArizona State Univ, Sch Social Work, Tempe, AZ 85287 USA
机构:
Department of Psychology, University of Windsor, 401 Sunset Avenue, Windsor, N9B 3P4, ONDepartment of Psychology, University of Windsor, 401 Sunset Avenue, Windsor, N9B 3P4, ON
Kim J.
Morrison O.-P.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Psychology, University of Windsor, 401 Sunset Avenue, Windsor, N9B 3P4, ONDepartment of Psychology, University of Windsor, 401 Sunset Avenue, Windsor, N9B 3P4, ON