Trauma informed care education for midwives: An integrative review

Long, Teresa D.; Aggar, Christina; Grace, Sandra; Thomas, Tamsin

doi:10.1016/j.midw.2021.103197

Cited by 14 publications

(20 citation statements)

References 50 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 Examples of actions that could be taken at the institutional level for diversifying the nursing workforce include advertising employment to target groups; diversifying interviewing teams; providing internship opportunities to support new nurses' transition to practice; focusing on retention and engagement; facilitating leadership development opportunities; and cultivating a culture of inclusivity and belonging. 10,38,39 Bias mitigation. Healthcare professionals are encouraged to perform a self-inventory of personal biases prior to caring for traditionally marginalized people.…”

Section: ■ Phcr In Actionmentioning

confidence: 99%

“…Aurilio and colleagues described an internship program entailing thoughtful mentorship and community involvement opportunities as a successful intervention for diversifying the nursing workforce 10. Examples of actions that could be taken at the institutional level for diversifying the nursing workforce include advertising employment to target groups; diversifying interviewing teams; providing internship opportunities to support new nurses' transition to practice; focusing on retention and engagement; facilitating leadership development opportunities; and cultivating a culture of inclusivity and belonging 10,38,39…”

Section: Practical Recommendations For the Futurementioning

confidence: 99%

“…This process offers an opportunity to interrupt bias-influenced decision making and approach person care from a humanitarian perspective. Additionally, healthcare practitioners should adopt a trauma-informed approach, recognizing the impact of traumatic experiences on a person's life and well-being 39. This approach provides a strategy for practitioners to reframe their focus from “what is wrong with this person?” to “what happened to this person?”39 This approach emphasizes the impact of trauma on a person's behavior, coping skills, and ability to trust or interact with healthcare providers.…”

Section: Practical Recommendations For the Futurementioning

confidence: 99%

“…Additionally, healthcare practitioners should adopt a trauma-informed approach, recognizing the impact of traumatic experiences on a person's life and well-being. 39 This approach provides a strategy for practitioners to reframe their focus from "what is wrong with this person?" to "what happened to this person?"…”

Section: ■ Phcr In Actionmentioning

confidence: 99%

See 3 more Smart Citations

The impact of systemic racism on health outcomes among Black women

James-Conterelli

Dunkley

McIntosh

et al. 2023

The Nurse Practitioner

View full text Add to dashboard Cite

he COVID-19 pandemic heightened the world's awareness of disparities, particularly in healthcare. 1 The combination of inadequate healthcare systems and deep-rooted structural racism has been the center of recent discussion.Immediate action is necessary to address the causes of disparate health outcomes. The evidence is clear that Black people are most affected and are the fi rst-line casualties in all areas of mortality and morbidity from birth to death. 1

show abstract

Section: ■ Phcr In Actionmentioning

confidence: 99%

Section: Practical Recommendations For the Futurementioning

confidence: 99%

Section: Practical Recommendations For the Futurementioning

confidence: 99%

Section: ■ Phcr In Actionmentioning

confidence: 99%

See 2 more Smart Citations

The impact of systemic racism on health outcomes among Black women

James-Conterelli

Dunkley

McIntosh

et al. 2023

The Nurse Practitioner

View full text Add to dashboard Cite

show abstract

“…Furthermore, to navigate the issue of trust in services, and encourage a timely and honest approach to support, services need to be commissioned with a trauma-informed approach in mind. Midwives are not routinely provided with trauma-informed care training [25] which could prevent compounding a re-experiencing of trauma for couples. This study demonstrates that trauma-informed care in maternity services could involve considering the loss of trust that parents may feel in relation to health care services, as well as issues pertaining to location of services, staff training and a sense of control for service users.…”

Section: Clinical and Research Implicationsmentioning

confidence: 99%

An interpretative phenomenological analysis of the experience of couples’ recovery from the psychological symptoms of trauma following traumatic childbirth

Attard

Iles

Satherley

2022

Preprint

View full text Add to dashboard Cite

Globally, a large proportion of birthing mothers, and a to a lesser extent their partners, experience birth trauma each year, and yet access to adequate post-natal trauma support is rarely available. Untreated birth trauma has been shown to negatively impact the family in terms of the parents’ relationship with one another, and long-term negative consequences for the child. Despite a drive towards integrating mental health support into maternity services and a call to provide mental health support for couples rather than solely the birthing mother, there is little research exploring what birthing couples find helpful in recovery from birth trauma. The current research interviewed six couples using an Interpretative Phenomenological Approach in order to explore their understanding of what supported their recovery from birth trauma. Four themes were identified: ‘We need validation’, ‘Feeling paper thin’, ‘This is a system failure’ and ‘Birth trauma is always going to be a part of you’. The data describes an understanding of parents’ feelings of vulnerability and loss of trust in services to provide support following birth trauma. Further, parents’ need for validation and repositioning of control away from healthcare professionals when considering the availability and knowledge of the support options available is discussed. Clinical implications for supporting parents following birth trauma are explored, including an identified need for trauma informed care communication training for all healthcare professionals involved in maternity care, and the requirement for sources of therapeutic support external from the parent dyad in order to maintain the couples’ interpersonal relationship.

show abstract

Exploratory pedagogical research of a bespoke eye movement desensitisation and reprocessing therapy training for midwives

McCullough,

Gillen,

Miller

et al. 2024

Mental Health Science

View full text Add to dashboard Cite

Eye movement desensitisation and reprocessing (EMDR) therapy is a transdiagnostic, comprehensive, integrative, evidence‐based treatment intervention for post‐traumatic stress disorder (PTSD), complex PTSD, and perinatal PTSD. PTSD can arise from an experience of pregnancy or birth related trauma. Despite this, there is limited availability and access to EMDR therapy within the United Kingdom National Health Service. EMDR is a psychotherapeutic intervention which is usually delivered by highly specialist mental health professionals. However, with such a robust protocol, it is appropriate to consider if other health professionals should be trained to deliver EMDR. Humanitarian trauma capacity‐building projects in a global context have shown that task shifting can assist with addressing unmet mental health therapy needs. Midwives are highly skilled graduates working in the perinatal period who understand that women's emotional health is as important as their physical health. Therefore, it was proposed that EMDR knowledge and skills could be efficiently task shifted to midwives. The aim and objectives were to train midwives to deliver modified EMDR scripted protocols and techniques and explore qualitative and quantitative outcomes of a bespoke EMDR for midwives (EMDR‐m) educational programme. The online training was delivered to the midwives over 4 days with clinical practicums incorporated throughout. Pre and post‐tests demonstrated an increase in their EMDR knowledge, skills and confidence. EMDR Group Supervision provided by three experienced EMDR Accredited Practitioners was mandatory for 6 weeks post‐training and ongoing one‐to‐one supervision was made available. Midwives scored the course 9.6/10 (range 8–10) and described it as ‘amazing’ and ‘invaluable’. Challenges for the future include ring‐fenced time and an appropriate space to deliver the therapy. Those midwives who completed the training have progressed to deliver early EMDR‐m interventions in a perinatal mental health research study in their own Health and Social Care Trust (reported elsewhere).

show abstract

Trauma informed care education for midwives: An integrative review

Cited by 14 publications

References 50 publications

The impact of systemic racism on health outcomes among Black women

The impact of systemic racism on health outcomes among Black women

An interpretative phenomenological analysis of the experience of couples’ recovery from the psychological symptoms of trauma following traumatic childbirth

Exploratory pedagogical research of a bespoke eye movement desensitisation and reprocessing therapy training for midwives

Contact Info

Product

Resources

About