Content area
Aim
To examine the literature on the impact of Trauma Informed Care education on paediatric health care practitioners’ self-reported knowledge and practice.
BackgroundPsychosocial trauma during childhood is prevalent and linked to increased risk of adverse physical and mental health outcomes. Trauma Informed Care recognises the significant impact of childhood trauma in health outcomes. Education is key to health care practitioners’ integrating Trauma Informed Care into practice.
DesignIntegrative review of the literature.
MethodsThe review employed Whittemore and Knafl's (2005) framework and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2021 statement. A systematic search of Medline, CINAHL and SCOPUS, covering 2019 toMay 2024. Data were critically appraised using the Mixed Methods Appraisal Tool.
ResultsNine studies were included, identifying four themes using Braun and Clarke’s thematic analysis: (1) ‘awareness and understanding’, (2)‘self-efficacy and feeling competent’, (3)‘applying knowledge to practice’ and (4)‘barriers to implementation’. Following educational intervention, health care practitioners experienced increased knowledge regarding prevalence and impact of trauma for children and families and developed confidence to respond with trauma informed practices.
ConclusionsFindings closely relate to the four components of Trauma Informed Care practice; realising the widespread impact of trauma, recognising symptomology, responding through integrating trauma knowledge into policies and practice and resisting re-traumatisation. The findings illustrate that Trauma Informed Care educational interventions significantly improves health care practitioners’ knowledge and practice. In addition, this review supports the implementation of routine Trauma Informed Care education and associated practice policies into paediatric practice settings.
Details
Trauma;
Resilience (Psychology);
Mental Health Programs;
Health Services;
Authors;
Psychological Patterns;
Information Seeking;
Physical Health;
Professional Education;
Predominantly White Institutions;
Well Being;
Outcomes of Treatment;
Child Abuse;
Family (Sociological Unit);
Disease Control;
Search Strategies;
Data Analysis;
Substance Abuse;
Emotional Response
Literature reviews;
Mental health care;
Childhood;
Health status;
Families & family life;
Data analysis;
Pediatrics;
Knowledge;
Systematic review;
Psychosocial factors;
Health education;
Child abuse & neglect;
Education;
Disease control;
Mental health services;
Drug abuse;
Self report;
Medical personnel;
Health care industry;
Appraisal;
Trauma;
Educational programs;
Clinical outcomes;
Health services;
Self-efficacy;
Nursing education;
Child & adolescent mental health;
Meta-analysis;
Education policy;
Literary criticism
1 Starship Childrens Hospital, Auckland, 2 Park Road, Grafton, Auckland 1023, New Zealand
2 Auckland University of Technology, School of Clinical Sciences, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand; AUT Child and Youth Health Research Centre, New Zealand
3 Auckland University of Technology, School of Clinical Sciences, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand; Edith Cowan University, School of Nursing and Midwifery, Perth, Western Australia, Australia; AUT Child and Youth Health Research Centre, New Zealand
4 Faculty of Medical and Health Sciences, the University of Auckland, Auckland Mail Center, Private Bag 02019, 1142, New Zealand