Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude, and Practice

King, Simmy; Chen, Kuan-Lung Daniel; Chokshi, Binny

doi:10.1097/pq9.0000000000000215

Cited by 20 publications

(24 citation statements)

References 23 publications

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“…While there are studies that investigated physicians’ knowledge and attitudes towards TIC [ 7 , 8 ], there has been little to no investigation of patients’ opinions on TIC. The present study attempted to fill a gap in the research by examining perspectives from two different stakeholder groups: patients and primary care physicians.…”

Section: Discussionmentioning

confidence: 99%

“…Further, there are concerns that TIC is simply good, patient-centered care and that implementing specialized training and practice would be redundant [ 3 , 5 , 6 ]. While some research has examined providers’ knowledge and sense of efficacy regarding TIC [ 7 , 8 ], there is limited investigation assessing both consumers’ (i.e., patients) and providers’ (i.e., physicians) opinions on TIC, whether they believe TIC is important, and whether or not TIC is already part of the care they receive or deliver. Lastly, patient engagement, which helps to tailor research to fit patient needs [ 9 ], has been inadequate in addressing this gap in previous studies of TIC.…”

Section: Introductionmentioning

confidence: 99%

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A patient-oriented research approach to assessing patients’ and primary care physicians’ opinions on trauma-informed care

2021

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Objective To gather patients’ and primary care physicians’ (PCP) opinions on trauma-informed Care (TIC) and to investigate the acceptability of recommendations developed by patient, family, and physician advisors. Design Cross-sectional research survey design and patient engagement. Setting Canada, 2017 to 2019. Participants English-speaking adults and licensed PCPs residing in Canada. Main outcome measures Participants were given a series of questionnaires including a list of physician actions and a list of recommendations consistent with TIC. Results Patients and PCPs viewed TIC as important. Both patients and PCPs rated the following recommendations as helpful and likely to positively impact patient care: physician training, online trauma resource centres, information pamphlets, the ability to extend appointment times, and clinical pathways for responding to trauma. PCPs’ responses were significantly more positive than patients’ responses. Conclusion TIC is important to patients and PCPs. Patients and PCPs believe changes to physician training, patient engagement, and systemic factors would be helpful and likely to positively impact patient care. Future research needs to be conducted to investigate whether these recommendations improve patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A patient-oriented research approach to assessing patients’ and primary care physicians’ opinions on trauma-informed care

2021

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“…Finally, staff will complete a survey before implementation commences and again at the end of the implementation period assessing their understanding of trauma-informed care and their skills in responding to trauma-related needs. The 21-item ‘Knowledge Attitudes, and Practice Related to Trauma-Informed Practice’ tool [ 38 ] asks respondents to indicate the extent to which they agree with statements (from 1 = strongly disagree to 5 = strongly agree) examining knowledge about TIC (e.g. “Trauma can have lifelong effects that may span generations”), attitudes toward TIC (e.g.…”

Section: Methodsmentioning

confidence: 99%

Trauma-informed care in geriatric inpatient units to improve staff skills and reduce patient distress: a co-designed study protocol

et al. 2021

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Background Geriatric hospital wards are highly medicalised environments with limited opportunities for choice and control, and can be distressing for older survivors of psychological trauma. While trauma-informed models of care (TIC) are effectively applied across mental health and other settings, the utility of these models in aged care settings has not been assessed. The objective of this study was to examine whether TIC can reduce responsive behaviour, chemical restraint, and improve staff skills and patient experiences in inpatient geriatric settings. Methods Four wards participated in this type I hybrid implementation-effectiveness study across southern Adelaide, Australia, including 79 beds. Using a co-design method, the principles of TIC were transformed into an implementation strategy including staff training, establishment of highly trained ‘champions’ on each ward, screening for trauma-related needs, and amending ward policies and procedures. Primary outcomes will be examined using an interrupted time-series design and are monthly incidence of responsive behaviour incidents and use of chemical restraint. Process evaluation will be used to examine secondary, implementation outcomes including the acceptability, feasibility, and fidelity to the implementation strategy. Discussion Trauma-informed care has potential to improve the safety and accessibility of hospital wards for older people who have survived psychologically traumatic events and has an extensive evidence base supporting its effectiveness in other settings. Identifying trauma-related needs and amending care to reduce the risk of re-traumatisation and distress may also reduce the incidence of responsive behaviour change, which has a significant impact on the quality of life of hospital patients and staff and is very costly. The inclusion of a process evaluation will allow us to identify and report changes made on each ward and make recommendations for future implementation efforts.

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“…Two of statements had 'undecided' replaced with 'I don't know what they are' and 'I do not have experience'to provide more detail than undecided. Most of these statements were sourced from a previously validated tool [14] with additional statements developed from reviewing the literature for relevance to this study setting. There were a further six statements for clinical staff only.…”

Section: Survey Toolmentioning

confidence: 99%

Trauma-informed knowledge, awareness, practice, competence and confidence of rural health staff: A descriptive study

Ervin¹,

Reid²,

Podubinski³

et al. 2021

JNEP

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Background and objective: By adopting a trauma-informed approach to care at the organisational and clinical levels, health care systems and providers can enhance the quality of care that they deliver and improve health outcomes for individuals with a trauma history. This study aimed to explore the trauma-related knowledge, attitudes awareness, practice, competence and confidence of health service staff from three small rural health services in Victoria, Australia, and examine their self-reported capacity to respond to clients with a trauma history.Methods: Staff from each site were invited to complete a paper-based survey. The survey included demographic information and questions related to knowledge and understanding of trauma, experience of trauma-informed care and confidence engaging in, and perceived importance of, trauma-informed practices. Results: The respondents were predominately nurses. Results showed that 16% of respondents had undertaken training in trauma-informed care and 44% disagreed that they had an understanding of trauma-informed practices. There were high levels of agreement for statements related to knowledge and understanding of trauma and low levels of agreement with statements related to experience of trauma-informed care. More than 70% of respondents reported that they had little knowledge of the principals of trauma-informed care, and little experiencing with practicing trauma-informed care.Discussion and conclusions: Overall, the survey results showed that staff were trauma-aware, but supported the need for more education and training in trauma-informed practices and improved organisational approaches to support trauma-informed approaches. It is important for organisations to shift from being trauma aware to being trauma-informed, by building foundational awareness of these practices and reinforcement through continuing education.

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Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude, and Practice

Cited by 20 publications

References 23 publications

A patient-oriented research approach to assessing patients’ and primary care physicians’ opinions on trauma-informed care

A patient-oriented research approach to assessing patients’ and primary care physicians’ opinions on trauma-informed care

Trauma-informed care in geriatric inpatient units to improve staff skills and reduce patient distress: a co-designed study protocol

Trauma-informed knowledge, awareness, practice, competence and confidence of rural health staff: A descriptive study

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