Nancy Kusmaul, PhD, LMSW received her MSW from the University of Michigan and her PhD from the University at Buffalo School of Social Work. She is an Associate Professor in the Baccalaureate Social Work program at the University of Maryland Baltimore County. Dr. Kusmaul worked in health care for more than a decade, in nursing homes, hospitals, home care, and adult day care. Her research focuses on organizational culture, trauma informed care, and the impact of trauma experiences on the workforce. She is particularly interest in the experience of direct care workers in organizations, particularly Certified Nursing Assistants in long term care settings. She is a member of the Baltimore County Elder Abuse Coalition and the Maryland Nursing Home Culture Change Coalition.