Training Pediatric Primary Care Residents in Trauma-Informed Care: A Feasibility Trial

2019 ◽  
Vol 58 (11-12) ◽  
pp. 1239-1249
Author(s):  
Aubrey R. Dueweke ◽  
Rochelle F. Hanson ◽  
Elizabeth Wallis ◽  
Emily Fanguy ◽  
Carla Newman
Keyword(s):  
Primary Care ◽  
Perceived Competence ◽  
Perceived Barriers ◽  
Feasibility Trial ◽  
Pediatric Residents ◽  
Paired Samples ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Care Practices ◽  
Residents Attitudes

This study examined the feasibility and outcomes of a training designed to enhance pediatric residents’ trauma-informed practices in primary care. Paired samples t tests examined changes in 33 residents’ attitudes, perceived competence, and perceived barriers toward trauma-informed care after a 2-hour training. Fisher’s exact tests measured changes in residents’ screening and referral behaviors. A subsample (n = 9) of residents were interviewed about the training. Residents reported increases in favorable attitudes ( P = .065) and perceived competence ( P < .001) and decreases in perceived barriers ( P = .001 to .521) to implementing trauma-informed care practices. Chart reviews revealed a significant increase in completed trauma screens (0% to 8.0%, P < .001) but no difference in referrals for psychology/psychiatry services (1.9% to 4.2%, P = .200). Residents reported finding the training helpful. Although residents were willing and understood the utility of assessing for trauma, they faced substantial barriers.

scholarly journals Low provider and staff self-care in a large safety-net HIV clinic in the Southern United States: Implications for the adoption of trauma-informed care

2019 ◽  
Vol 7 ◽  
pp. 205031211987141 ◽  
Author(s):  
Jessica M Sales ◽  
Kaitlin Piper ◽  
Clara Riddick ◽  
Betelihem Getachew ◽  
Jonathan Colasanti ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Self Care ◽  
Safety Net ◽  
Team Meetings ◽  
Care Services ◽  
Trauma Informed Care ◽  
Complex Patients ◽  
Trauma Informed ◽  
Care Practices ◽  
Multi Disciplinary Team

Objective: This mixed-methods needs assessment study examined self-care practices among providers, staff, and administrators at an HIV clinic and identified barriers and facilitators to strengthening self-care services in this setting. Methods: Surveys (n = 31) and qualitative interviews (n = 23) were conducted with staff, providers, and administrators at a large, safety-net HIV clinic. Results: Surveys indicated an overall absence of formal self-care services including resources to manage stress, opportunities to debrief, and formal mechanisms to voice concerns. Based on interviews with staff and providers, deficiencies in self-care services included support for dealing with complex patients, formal mechanisms for feedback, and time for self-care. Administrators recognized the need for more support, acknowledged that opportunities for employees to voice concerns were lacking, and felt that implementing multi-disciplinary team meetings could improve morale and reduce stress and burnout. Conclusion: This assessment revealed a need to enhance self-care in safety-net HIV services. Adoption of trauma-informed care, which includes activities to strengthen self-care, could reduce workplace burnout.

Development and Pilot Implementation of a Trauma-Informed Care Curriculum for Pediatric Residents

2017 ◽  
Vol 17 (7) ◽  
pp. 794-796 ◽  
Author(s):  
Davida M. Schiff ◽  
Barry Zuckerman ◽  
Elizabeth Hutton ◽  
Carolyn Genatossio ◽  
Catherine Michelson ◽  
...  
Keyword(s):  
Pediatric Residents ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Pilot Implementation

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

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254266
Author(s):  
Seint Kokokyi ◽  
Bridget Klest ◽  
Hannah Anstey
Keyword(s):  
Primary Care ◽  
Patient Care ◽  
Patient Engagement ◽  
Primary Care Physicians ◽  
Clinical Pathways ◽  
Physician Training ◽  
Research Approach ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Impact Patient Care

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.

Trauma-Informed Care for Primary Care: The Lessons of War

2012 ◽  
Vol 157 (12) ◽  
pp. 905 ◽  
Author(s):  
Robert J. Ursano ◽  
David M. Benedek ◽  
Charles C. Engel
Keyword(s):  
Primary Care ◽  
Trauma Informed Care ◽  
Trauma Informed

Trauma-informed care in practice: Observed use of psychosocial care practices with children and families in a large pediatric hospital.

2019 ◽  
Vol 16 (1) ◽  
pp. 16-28 ◽  
Author(s):  
Katrina M. Moss ◽  
Karyn L. Healy ◽  
Jenny Ziviani ◽  
Peter Newcombe ◽  
Vanessa E. Cobham ◽  
...  
Keyword(s):  
Psychosocial Care ◽  
Pediatric Hospital ◽  
Children And Families ◽  
Trauma Informed Care ◽  
Trauma Informed ◽  
Care Practices
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