Related Experiment Video
Updated: Jun 30, 2026
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Core Concepts for Trauma-Informed Substance Use Education in Graduate Nursing: A Delphi Study
Jennie E Ryan1, Meghan Gannon, Kate Daugherty
1Author Affiliations: Thomas Jefferson University, College of Nursing, Philadelphia, Pennsylvania (Dr Ryan, Dr Gannon, Ms Daugherty, and Dr DiDonato); Center for Maternal Addiction, Treatment, Education, & Research (MATER), Philadelphia, Pennsylvania (Dr Gannon); and Appalachian State University, Boone, North Carolina (Dr Lynch).
Background:
Trauma exposure and substance use frequently co-occur, yet guidance for integrating trauma-informed substance use education in graduate nursing is limited.
Purpose:
This study aimed to establish consensus on core concepts for trauma-informed substance use education in graduate nursing.
Methods:
A 3-round Delphi study was conducted with nursing educators, trauma-informed and substance use experts, and individuals with lived experience. Round 1 elicited concepts, round 2 involved importance ratings, and round 3 focused on prioritization.
Results:
Nine core concepts were identified, all achieving consensus in round 2 (80%-95% rated ≥4). Round 3 showed differences in prioritization (χ2 (8) =49.84, P < .001; Kendall's W = 0.27). Highest ranked concepts included trauma as a root cause, safe and empowering environments, and empathic care.
Conclusions:
These findings provide a consensus-based framework to guide curriculum development and prepare advanced practice nurses to deliver trauma-informed, stigma-reducing care.
Related Concept Videos
01:24Substance Use Disorders Affecting Sleep
Understanding the concepts of physical dependence,...
01:27Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's cancer...
01:22Nursing Ethical Principles I
Autonomy
Autonomy underscores the significance of a patient's self-determination and freedom from external control. In healthcare, respecting the...
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:29Nursing Code of Ethics
01:30Theoretical Foundations of Nursing Practice
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...