The importance of trauma-informed care (TIC) is now recognized across most
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.
Objective: Organizations are identifying trauma-informed care (TIC) as a priority yet implementation is slow. Research suggests commitment to a change effort is an important predictor for change behavior; however, there is little theoretical or empirical evidence exploring commitment to TIC. This study examines the variables that predict affective commitment to TIC including foundational knowledge, principal support, self-efficacy, and beliefs about trauma. Does foundational knowledge independently predict affective commitment to TIC or is this relationship mediated by other variables? Method: Data were collected from 118 participants working in human services, using cross-sectional survey design. Participants completed selfreport measures of affective commitment to TIC, foundational knowledge, principal support, self-efficacy, and beliefs about trauma. It was hypothesized that the relationship between foundational knowledge and affective commitment to TIC would be mediated through selfefficacy and beliefs about trauma, but not through principal support. Structural equation modeling was used to test the direct and indirect effects. Results: The findings support a partially mediated model with a direct effect between foundational knowledge and affective commitment to TIC (explaining 5% of the variance in affective commitment) and indirect effects between foundational knowledge and affective commitment through principal support, TIC self-efficacy, and beliefs about trauma. Altogether, the model explained 65% of the variance in affective commitment to TIC. Conclusion: This study contributes to both the organizational change literature and the growing TIC literature. As individuals and organizations work to implement TIC, these findings provide theoretical and practical implications for the field, addressing an important gap in research.
Trauma-informed climates prioritize staff and client experiences of safety, trust, choice, collaboration, and empowerment. The Trauma-Informed Climate Scale (TICS) was developed to measure staff perceptions of these values within the service environment. The aims of the current study were to create a reduced version of the original TICS and assess its psychometric properties to increase its efficiency and appropriateness in human service settings. Item retention was based on discrimination parameters, item-total correlations, and correlations with external criteria. The analytic approach yielded a 10-item scale reduction, with confirmatory factor analyses supporting the scale's construct validity and reliability (α=.91).
Trauma-informed care (TIC) is an approach to service delivery based on the understanding of the prevalence of psychological trauma among service users, knowledge about the impact trauma has on engagement to services, and recognition that service settings can be re-traumatizing. For more than a decade, momentum has been building on this topic. Practitioners are pursuing the knowledge and skills needed to implement trauma-informed service delivery, while organizations are building infrastructure and processes aimed at supporting this approach. Disciplines across many human service sectors are eager to incorporate TIC into policy and practice. Despite this enthusiasm, implementation efforts are slow. Acquiring foundational knowledge about TIC has typically been recommended as a first step when implementing a trauma-informed approach. However, slow progress in implementation suggests knowledge may not be enough. This study investigated the individual characteristics that impact a commitment to TIC, with specific attention to the relationship between foundational knowledge about trauma-informed care and commitment to TIC. Other variables of interest included perceived principal support, TIC self-efficacy, beliefs about trauma and its impact, and organizational strain. Survey data were collected from 118 participants working in mental health, public health, and early childhood. Results from structural equation modeling suggest that foundational knowledge predicts affective commitment to TIC both directly vi
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.