Many patients in mental health settings are likely to have histories of interpersonal traumatic experiences. Mental health providers are recommended to adopt trauma-informed care (TIC) to ensure sensitivity and responsiveness to the impact of trauma on patients. However, few studies have examined the effectiveness of a TIC training programme using standardized measures with follow-up assessments. The aim of the study was to evaluate the effects of a TIC training programme on attitudes towards TIC in mental health professionals. The study involved a pre-post design with 3-month follow-up assessments conducted between March and June 2018. In total, 65 mental health professionals from 29 psychiatric hospitals in Tokyo and its suburban prefectures participated in the study. Mental health professionals participated in a 1-day programme consisting of a 3.5-hour lecture and 1-hour group discussion. Development of favourable attitudes towards TIC was the primary outcome, as assessed by using the Attitude Related Trauma-Informed Care scale. The majority of participants were women (86%), and the mean age was 42.2 years. The mean score of the Attitude Related Trauma-Informed Care scale scores increased significantly from 5.1 during pre-training to 5.5 immediately after training (mean difference: 0.4; 95% confidence interval: 0.3-0.5) and 5.4 after 3 months (mean difference: 0.3; 95% confidence interval: 0.2-0.4). Furthermore, half of the participants claimed to have implemented TIC practice in daily clinical settings at the 3-month follow-up. These results suggested that this brief TIC training programme improved attitudes towards TIC practice significantly. KEY WORDS: attitude, mental health professional, programme evaluation, training programme, trauma-informed care. matic stress (Elliott et al. 2005; Frueh et al. 2005; Kendler et al. 2000; Varese et al. 2012).Trauma-informed care (TIC) is a multidimensional and recovery-oriented approach based on an understanding of how trauma impacts the entire lives of patients

No abstract

Moral distress of psychiatric nurses may affect their job satisfaction or quality of nursing care, thus examination of their moral distress is a significant issue for practice. The purpose of this study was to investigate the level of moral distress and job satisfaction, and association between moral distress and job satisfaction. One hundred and thirty nurses who worked in psychiatric wards in a hospital in Japan completed the Moral Distress Scale for psychiatric nurses (MDS-P) and the Job Satisfaction scale (JS). The MDS-P consisted of subdomains such as "unethical conduct by caregivers," "low staffing," and "acquiescence to violations of patients' rights" in intensity and frequency; the JS consisted of seven subcategories. An institutional review board in the researcher's college approved this study. Results showed that the "acquiescence to violations of patients' rights" was the highest of the subdomains of MDS-P, and the "interactions among nurses" was the highest of the subdomains of the JS. The unethical conduct by caregivers (MDS-P) score was negatively correlated with administration (JS) for intensity (r =-.40, p < .001) and frequency (r = .37, p < .001). Moreover "acquiescence to violations of patients' rights (MDS-P)" was also negatively correlated with the "task requirement (JS)" score for intensity (r =-0.49, p < .001) and for frequency (r =-0.50, p < .001). These results suggest that reduction of moral distress increases job satisfaction particularly for administration and task requirement in nursing care.

No abstract

No abstract