scholarly journals Trauma-informed care: recognizing and resisting re-traumatization in health care

2021 ◽  
Vol 6 (1) ◽  
pp. e000815
Author(s):  
Samara Grossman ◽  
Zara Cooper ◽  
Heather Buxton ◽  
Sarah Hendrickson ◽  
Annie Lewis-O'Connor ◽  
...  

Trauma is often viewed as an individual or interpersonal issue. This paper expands the definition of trauma to include the impact collective and structural elements on health and well-being. The need for a trauma-informed response is demonstrated, with instruction as to how to implement this type of care in order to resist re-traumatization. Three examples from healthcare settings across the nation are provided, to demonstrate the ways in which organizations are bringing forward this patient-centered, trauma-informed approach to care.

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Minna Tiainen ◽  
Outi Ahonen ◽  
Leena Hinkkanen ◽  
Elina Rajalahti ◽  
Alpo Värri

Digital transformation is changing the ecosystem and at the same time professionals’ competencies worldwide. Minimising health care and social welfare costs while increasing citizens’ health and well-being is challenging. Technology and digital tools play an important role in reaching this goal. However, there are inequalities concerning technology, and this has many impacts. Digitalisation brings challenges not only to health care and social welfare professionals but to citizens, too. Working with or using services in digital environments demands new skills. This has social and ethical impacts, e.g. how is equal access to services ensured. Health and social care professionals should have different competencies to respond to this, such as societal competencies. The purpose of this article is to describe how the definition of competencies in health care and social welfare version 1.0 (developed in the national SotePeda 24/7 project) was finalised as the final version 2.0 for Finnish healthcare and social welfare education by experts’ evaluation. Data was collected through an electronic questionnaire administered to selected experts (N=140) during January 2020. The number of experts who responded to the study was 52. These experts (social and health, business and IT) work or have worked in tasks related to the digitalisation of social and health care. The questionnaire was based on version 1.0 of the definition of digital competencies of health care and social welfare informatics. The questionnaire was mainly quantitative, but it also included open-ended qualitative questions. The experts agreed to a large extent on the version 1.0 definition, but some adjustments were made to the definition based on our study. The resulting definition is intended for use in the planning, implementation and evaluation of health care and social welfare education, but it can also be used for polytechnic education. The aim is to develop the digital skills of educators, degree students and in-service trainees in a multidisciplinary way (social and health, business and IT) to meet the needs of working life.


Author(s):  
Catherine García ◽  
Fernando I Rivera ◽  
Marc A Garcia ◽  
Giovani Burgos ◽  
María P Aranda

Abstract Objectives The COVID-19 outbreak has worsened the ongoing economic crisis in Puerto Rico by creating “parallel pandemics” that exacerbate socioeconomic and health inequalities experienced by its most vulnerable residents. Unfortunately, conditions on the island have been largely overlooked by national media outlets and the mainland U.S. population. Thus, this research report aims to draw attention to the disparate burden multiple and compounding disasters have on older island-dwelling Puerto Rican adults’ health and well-being. Methods We characterize the lived experiences of the older population in Puerto Rico by incorporating data from multiple sources and contextualizing the effects of compounding disasters, the fiscal pandemic, and health care challenges to provide a more nuanced portrait of existing compounding factors that negatively affect the health and well-being of older adults in the era of COVID-19. Results We highlight 2 main factors that exacerbate pre-pandemic inequities experienced by the older adult population amid the COVID-19 pandemic in Puerto Rico: (a) the impact of multiple and compounding disasters; and (b) health care challenges. Discussion The human suffering of the Puerto Rican population is compounded by the consequences of fiscal austerity, increasing levels of income and wealth inequality, the debt crisis, significant emigration, and a dysfunctional health care system. Future governmental actions are required to lessen the burden of parallel pandemics on older adults in Puerto Rico.


2016 ◽  
Vol 72 (4) ◽  
Author(s):  
Sophia Chirongoma

Through an exploration of the collapse of the Zimbabwean health delivery systems during the period 2000–2010, this article examines the Karanga people’s indigenous responses to utano (health and well-being). The first section explores the impact of Zimbabwe’s economic and sociopolitical development on people’s health and well-being. The next section foregrounds the ‘agency’ of the Karanga community in accessing and facilitating health care, especially their utilisation of multiple healthcare providers as well as providing health care through indigenous remedies such as traditional medicine and faith-healing. In line with the Sustainable Development Goals (SDGs), particularly SDG 3 which aspires to ensure healthy lives and promote well-being for all at all ages, the concluding section offers insights for developing an indigenous Karanga theology of utano utilising communal resources and illustrating that the concept of ‘development’ should not be confined to rigid Western development perspectives.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515315p1-7512515315p1
Author(s):  
Susan M. Knier ◽  
Julie L. Watson ◽  
Jennifer O’Connor Duffy

Abstract Date Presented 04/22/21 Health care professionals are vulnerable to stress overload and risks that threaten health and well-being. This study investigated the impact of mindful self-compassion (MSC) training on people working in health care. Overall, self-compassion and subscale scores showed significant improvement. Participants indicated that self-compassion and positive mind states were integrated into their lives. OTs could assimilate MSC as an adjunct approach for their clients and their selves. Primary Author and Speaker: Susan M. Knier


2006 ◽  
Vol 81 (1) ◽  
pp. 27-34 ◽  
Author(s):  
Barbara A. Schindler ◽  
Dennis H. Novack ◽  
Diane G. Cohen ◽  
Joel Yager ◽  
Dora Wang ◽  
...  

2020 ◽  
pp. 60-65
Author(s):  
Inna Irtyshcheva ◽  
Dmytro Ryabets

Introduction. The main priorities for the development and reform of the health care system are to create conditions for improving the quality, life expectancy and efficiency of citizens by increasing the availability of medical services and medical care, improving the quality of medical services, early prevention and prevention of timely medical care. The aim of the article is to develop recommendations for ensuring the availability of medical care as a basic basis for the formation of good health and well-being of the population on the way to achieving the Sustainable Development Goals. Methods (methodology). The general scientific methods, in particular theoretical generalization - for research of theoretical bases of maintenance of availability of medical care are applied in research; system economic analysis - for correlation-regression analysis of the relationship between morbidity, mortality and economic affordability of medical services in Ukraine. Results. The impact of public and private sector expenditures on the level of morbidity was analyzed and compared, which showed that both factors have a positive impact on reducing the incidence rate. At the same time, there is a tendency to increase household spending on health care and the purchase of medicines much faster than at the state level, which confirms the targeted trends in health care reform to significantly reduce the number of free medical services. To a certain extent, these trends are positive, but in the event of a significant deterioration in the situation with the level of morbidity, this financial policy should be revised.


Author(s):  
Joan Fleishman ◽  
Hannah Kamsky ◽  
Stephanie Sundborg

Trauma-informed care (TIC) is a patient-centered approach to healthcare that calls on health professionals to provide care in a way that prevents re-traumatization of patients and staff. TIC is applied universally regardless of trauma disclosure. Grounded in an understanding of the impact of trauma on patients and the workforce, TIC is conceptualized as a lens through which policy and practice are reviewed and revised to ensure settings and services are safe and welcoming for both patients and staff. The TIC framework is being implemented in healthcare and should be incorporated in daily practice, especially in nursing. Nurses have ample opportunities to influence the experience of patients and colleagues, and nursing is a critical field in which to introduce a trauma-informed approach. However, TIC implementation can be challenging if it’s unclear what to do. This article discusses trauma-informed care, and TIC in healthcare and provides strategies for trauma-informed nursing practice, followed by organizational considerations for the nursing workforce.


2021 ◽  
Vol 8 ◽  
pp. 237437352199862
Author(s):  
Kimberly N Hutchison ◽  
Jennifer Sweeney ◽  
Christine Bechtel ◽  
Brian Park

The US health care system has a long history of discouraging the creation and maintenance of meaningful relationships between patients and providers. Fee-for-service payment models, the 1-directional, paternalistic approach of care providers, electronic health records, anddocumentation requirements, all present barriers to the development of meaningful relationships in clinic visits. As patients and providers adopt and experiment with telemedicine and other systems changes to accommodate the impact of Coronavirus disease 2019, there is an opportunity to reimagine visits entirely—both office-based and virtual—and leverage technology to transform a unidirectional model into one that values relationships as critical facilitators of health and well-being for both patients and providers.


Author(s):  
T.S. Gruzieva ◽  
N.V. Hrechyshkina ◽  
H.V. Inshakova ◽  
S.V. Vlasenko

Aim: substantiation of educational content on the impact of stress on health and countermeasures in a public health curriculum. Materials and methods: bibliographic, information and analytical methods and content analysis were used in the work. The study was carried out as part of the research work of the Bogomolets National Medical University on the topic «Medical and social substantiation of the optimization of the healthcare organization in the context of the public healthcare system development» (state registration number 0120U100807). Sources of information included scientific literature on the research topic, strategic and policy documents of WHO and WHO / Europe, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services, educational standards for the preparation of Masters in Medicine and Public Health, an exemplary curriculum of the discipline «social medicine, public health» for the preparation of Masters of Medicine. Results. A study of scientific sources of literature has shown the growing influence of psychological factors, including stress, on the formation of population health and the need for countermeasures, which requires, among other things, the training of health care professionals able to determine the impact of stresses on public health, assess their prevalence, justify countermeasures. Justification of educational content on these issues was carried out on the basis of an analysis of the provisions of educational standards for the training of masters of health, an exemplary curriculum "social medicine, public health" for training masters of medicine, WHO documents, including the WHO-ASPHER Competency Framework for the Public Health Workforce in the European Region, the Health 2020: the European policy for health and well-being, the European Action Plan for Strengthening Public Health Capacities and Services etc. Learning content includes a statement of the purpose of the lesson on the topic «Stresses and Conflicts, mechanisms of protecting people from stress actions», its rationale, a list of basic concepts, educational target tasks, pre-classroom training issues, basic theoretical questions, typical examples of solving specific situational tasks, a list of recommended literature. The theoretical part of the lesson includes versatile questions of the prevalence of stressful situations in society, their causes, types and signs of stress, the impact of stressful situations on the health of the population, types of conflicts, their consequences, causes of conflicts, phases of their deployment and methods of settlement, measures to protect people from stress, psychoprophylaxis, strategies and measures to counter the negative impact of stress on public health. Conclusions. Training of Masters of Health Care in countering the negative effects of stressful situations on health will contribute to improving the preventive component in health care, reducing the global burden of disease caused by stressful situations, maintaining and strengthening the health of the population.


2015 ◽  
Vol 5 (1) ◽  
pp. 1-8
Author(s):  
Juan E Mezzich ◽  
Michel Botbol ◽  
Ihsan M Salloum

Person Centered Medicine is fundamentally aimed at promoting the health and well-being of the totality of the person. Here the person is the key concept as the center and goal of health care. An important implication is that the focus of contemporary medicine should be shifted from disease to patient to person. In the clinical arena, Iona Heath has spoken critically of “promotion of disease and distortion of medicine” and concerning public health, WHO’s definition of health as “a state of complete physical, emotional and social wellbeing and not merely the absence of disease” is compelling


Sign in / Sign up

Export Citation Format

Share Document