How does trauma informed care education for paediatric healthcare professionals' impact self-reported knowledge and practice. An integrative review.

IF 3.3 3区 医学 Q1 NURSING Nurse Education in Practice Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI:10.1016/j.nepr.2024.104227
Megan Thornton, Julie Blamires, Mandie Foster, Rebecca Mowat, Stephanie Haven
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Abstract

Aim: To examine the literature on the impact of Trauma Informed Care education on paediatric health care practitioners' self-reported knowledge and practice.

Background: Psychosocial 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.

Design: Integrative review of the literature.

Methods: The 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.

Results: Nine 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.

Conclusions: Findings 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.

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创伤知情护理教育如何影响儿科保健专业人员自我报告的知识和实践。综合综述。
目的:探讨创伤知情护理教育对儿科医护人员自述知识和行为的影响。背景:儿童时期的社会心理创伤很普遍,并与不良身心健康结果的风险增加有关。创伤知情护理认识到儿童创伤对健康结果的重大影响。教育是关键卫生保健从业人员的创伤知情护理整合到实践。设计:综合文献综述。方法:本综述采用Whittemore和Knafl(2005)的框架,并遵循系统评价和元分析首选报告项目(PRISMA) 2021声明。系统检索Medline, CINAHL和SCOPUS,涵盖2019年至2024年5月。使用混合方法评估工具对数据进行严格评估。结果:纳入9项研究,采用Braun和Clarke的主题分析方法确定了4个主题:(1)“意识和理解”,(2)“自我效能感和胜任感”,(3)“将知识应用于实践”,(4)“实施障碍”。在教育干预之后,卫生保健从业人员对儿童和家庭创伤的患病率和影响有了更多的了解,并建立了以创伤知情做法作出反应的信心。结论:研究结果与创伤知情护理实践的四个组成部分密切相关;认识到创伤的广泛影响,认识到症状,通过将创伤知识整合到政策和实践中来应对,并抵制再次创伤。研究结果表明,创伤知情护理教育干预可显著提高医护人员的知识和实践水平。此外,本综述支持在儿科实践环境中实施常规创伤知情护理教育和相关实践政策。
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来源期刊
CiteScore
5.40
自引率
9.40%
发文量
180
审稿时长
51 days
期刊介绍: Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.
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