Trauma Risk Management (TRiM): An Organizational Approach to Traumatic Stress

2007 ◽  
Author(s):  
Neil Greenberg
2018 ◽  
Vol 13 (4) ◽  
pp. 531-535 ◽  
Author(s):  
Ian Hesketh ◽  
Noreen Tehrani

Abstract This paper discusses the current approaches to psychological trauma risk management in the UK policing. It stresses the need for a concerted effort by senior management, supervisors, and occupational health in order to identify those at risk. Furthermore, to reduce the incidence of harm, provide protective training and education, and where necessary provide post trauma interventions and treatments (HSE, 2013). The evidence presented in this article supports the division of the policing workforce into three cohorts. Those being, responders, specialists, and those involved in major disasters. This is seen as the most effective approach to providing an appropriate level of trauma support for all those at risk of traumatic stress. Thus, making it easier to identify and manage the effects of psychological trauma on police officers and staff.


2021 ◽  
Author(s):  
Maryam Hajiesmaello ◽  
Sepideh Hajian ◽  
Hedyeh Riazi ◽  
Hamid Alavi Majd ◽  
Roya Yavarian⁵

Abstract Background: The present qualitative study was conducted to explain the experiences of secondary traumatic stress (STS) and its related factors in midwives working in maternity wards.Methods: Data were collected using semi-structured interviews with 11 midwives working in the maternity wards of hospitals in Urmia, Iran, through in-depth interviews with open-ended questions. Data were analyzed using the conventional content analysis approach.Results:The results of data analysis led to the extraction of three themes, seven main categories, and 18 subcategories. The first theme was “STS stimuli,” with the two categories of “Discriminatory approach to midwifery” and “The nature of the midwifery profession”. The second theme was “Traumatic outcomes”, which included the subcategories of “Psychological-emotional trauma”, “physical trauma” and “social trauma”. The third theme was “Risk management”, which had the two subcategories of “Reactive approach” and “Proactive approach”.Conclusions:The results showed that, in addition to the traumatic nature of events that midwives experience during work as the secondhand victims, factors such as governance-organizational structure, unbalanced distribution of power, and poor supportive laws undermine their professional role and provide conditions conducive to STS. Therefore, avoiding traumatic situations and scientific and skill self-empowerment were the most important strategies adopted by the midwives in this study to prevent risky situations and cope with the consequences of STS. The participation of midwifery stakeholders in policy-making and adopting supportive legislation in redefining the position and role of midwives can play a major role in reducing STS and sustaining their role and position in maternal care.


Author(s):  
Gabriele d’Ettorre ◽  
Giancarlo Ceccarelli ◽  
Letizia Santinelli ◽  
Paolo Vassalini ◽  
Giuseppe Pietro Innocenti ◽  
...  

Prevention of post-traumatic stress symptoms (PTSS) in healthcare workers (HCWs) facing the current COVID-19 pandemic is a challenge worldwide as HCWs are likely to experience acute and chronic, often unpredictable, occupational stressors leading to PTSS. This review aims to analyze the literature to discover which topics have been focused on and what the latest developments are in managing the occupational risk of PTSS in HCWs during the current pandemic. For the purpose of this review, we searched for publications in MEDLINE/Pubmed using selected keywords. The articles were reviewed and categorized into one or more of the following categories based on their subject matter: risk assessment, risk management, occurrence rates. A total of 16 publications matched our inclusion criteria. The topics discussed were: “Risk Assessment”, “Occurrence Rates”, and “Risk Management”. Young age, low work experience, female gender, heavy workload, working in unsafe settings, and lack of training and social support were found to be predictors of PTSS. This review’s findings showed the need for urgent interventions aimed at protecting HCWs from the psychological impact of traumatic events related to the pandemic and leading to PTSS; healthcare policies need to consider preventive and management strategies toward PTSS, and the related psychic sequelae, in HCWs.


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