Adverse childhood experiences (ACEs) are potentially traumatic events that occur in childhood (0-17 years). Examples of ACEs include experiencing violence, abuse, or neglect; witnessing violence in the home or community; having a family member attempt or die by suicide. Other aspects of a child’s environment that can have in impact on their sense of safety, stability, and bonding are also considered ACEs. This includes growing up in a household with substance misuse, mental health problems, or instability due to parental separation or household members being in jail or prison.
ACEs are linked to chronic health problems, mental illness, and substance misuse in adulthood. ACEs can also negatively impact education and job opportunities.
The purpose of this assignment is to introduce you to ACEs, the concept of resilience, and to reflect on the impact these have on public health and the nurse’s role.
Reference: https://www.cdc.gov/violenceprevention/aces/index.htmlLinks to an external site.
Task
WATCH: Watch the following TED talk about ACEs.
Additional Videos available at the KPJR websiteLinks to an external site. to help understand ACEs and Resiliency:
Video 1: ACEs Primer
Video 2: How Does a Community Become Trauma Informed?
Video 3: How To Prevent Caregiver Burnout
EXPLORE: Explore this websiteLinks to an external site. to learn a little more about Trauma Informed Care. Watch the short video at the top of the page, and then review some of the content.
READ: Choose 2 of the following articles to read.
**I highly recommend reading the article by Edsen first because it gives the best overview of the ACEs AND talks about interventions from a nursing perspective.
Balio, C., & Greene, M. S. (2018). Adverse childhood experiences (ACEs) and their impact on substance misuse and overall health. The Center for Health Policy at the IU Richard M. Fairbanks School of Public Health. http://hdl.handle.net/1805/16560Links to an external site. (hint, click on view/open after you click this link)
Esden J. L. (2018). Adverse childhood experiences and implementing trauma-informed primary care. The Nurse Practitioner, 43(12), 10–21. https://doi.org/10.1097/01.NPR.0000547550.48517.e9Links to an external site.
Direct link to Edsen Article: https://journals.lww.com/tnpj/Fulltext/2018/12000/Adverse_childhood_experiences_and_implementing.3.aspxLinks to an external site.
Campbell, J. A., Walker, R. J., & Egede, L. E. (2016). Associations between adverse childhood experiences, high-risk behaviors, and morbidity in adulthood. American Journal of Preventive Medicine, 50(3), 344–352. https://doi.org/10.1016/j.amepre.2015.07.022
Direct link to Campbell, et al. article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762720Links to an external site.
Frydman, J.S., & Mayor, C. (2017). Trauma and early adolescent development: Case examples from a trauma-informed public health middle school program. Children & Schools, 39(4), 238–247. https://doi.org/10.1093/cs/cdx017Links to an external site.
Direct link to Frydman & Mayor article: https://academic.oup.com/cs/article/39/4/238/409132Links to an external site.
Ortiz, R., & Sibinga, E. M. (2017). The role of mindfulness in reducing the adverse effects of childhood stress and trauma. Children, 4(3), 1-19. https://doi.org/10.3390/children4030016Links to an external site.
Direct link to Ortiz & Sibinga article: https://pubmed.ncbi.nlm.nih.gov/28264496/Links to an external site.
WRITE: A 3-4 page reflection in APA format (title page, double spaced, 1-inch margins, professional language, in-text citations, reference page) using the following prompts/questions to guide your writing. Responses to a minimum of 6 prompts must be included in your paper.
What did you learn about Adverse Childhood Experiences (ACEs)?
What is a health or social issue you discovered in the articles that you were surprised tied back to Adverse Childhood Experiences and other toxic stressors?
What does resilience mean to you?
What strategies or methods are helpful to build resilience in everyday life when facing adversity?
What supports or community resources can nurses provide to build resilience in in our patients and strengthen families?
How do we let people know that everyone needs help sometimes and it’s okay to ask for help?
What are potential barriers to implementing these strategies as a nurse? How might you work around them?
What are you going to do now that you know this information?
Anything else regarding ACEs, resilience, or public health that you feel compelled to address after watching the TED talk and reading the articles.
Remember to format your paper using APA, 7th edition formatting guidelines (This includes a title page, body of paper, reference page, in-text citations, etc. Abstract is not needed for this paper.) Cite your sources in the body of your paper and include on your reference page. You are not limited to the articles listed above for this paper.
Resources for APA formatting: APA Style and Grammar Guidelines, APA Style Blog and Purdue OWL APA Resources.
Note: Turn It In is enabled for this assignment. This means your paper will be checked for similarity to other sources.
Criteria for Success
Your submission will be graded on the following:
3-4 page paper using professional writing/language
APA format, 7th edition followed for student papers. This includes title page, body, reference page, double spaced, 1-inch margins, and appropriate citations and references (abstract is not needed).
A minimum of three scholarly citations/references included. Two may be from the above list of articles,
Thorough reflection on and addresses at least 6 of the prompts listed above in the writing instructions.
Your paper will be graded according to the attached rubric.
6 pts
Exemplary
At least six or more prompts from the assignment instructions addressed in the paper in a well-developed manner with citations for validation. Uses professional language. Understanding of the subject matter is demonstrated, concepts thoroughly discussed.
4 pts
Advanced
At least six or more prompts from the assignment instructions addressed in the paper, however, ideas not fully developed or addressed. Citations included for validation. Uses professional language. More than a surface level understanding of the subject matter is demonstrated.
2 pts
Intermediate
Less than six prompts from the assignment instructions addressed in the paper. Ideas not fully developed or addressed. Citations not included to validate paper content. A moderate understanding of the subject matter is demonstrated, concepts discussed on surface level only.
1 pts
Novice
Demonstrates incomplete understanding of content and/or inadequate preparation. Less than six prompts from the assignment instructions addressed in the paper. Citations not included to validate paper content. Professional language not used.
0 pts
No Marks
No submission.
/ 6 pts
APA formatting
2 pts
Exemplary
APA formatting correct according to 7th edition. This includes: title page, body, reference page, double spaced, 1″ margins, proper citations, and references listed correctly.
1 pts
Intermediate
Some APA errors noted, with up to four unique APA errors.
0 pts
No Marks
No submission. Five to six or more unique formatting errors or no attempt to format in APA.
/ 2 pts
Spelling / Grammar
1 pts
Exemplary/Advanced
There are minimal to no spelling, punctuation, or word-usage errors.
0.5 pts
Intermediate/ Novice
There are many errors of spelling, punctuation and word-usage.
0 pts
No submission
/ 1 pts
References
1 pts
Exemplary/Advanced
Minimum of three scholarly references included.
0.5 pts
Intermediate/Novice
Minimum number of references not included. References were not from scholarly sources.
0 pts
No Marks
No references included. OR No submission.
/ 1 pts
Total Points: 0
