Factors that influence interprofessional implementation of trauma‐informed care in the emergency department

Author:

Lewis‐O'Connor Annie12ORCID,Olson Rose3,Grossman Samara4,Nelson Derek1,Levy‐Carrick Nomi45,Stoklosa Hanni67,Banning Stephanie3,Rittenberg Eve12

Affiliation:

1. Division of Women's Health, Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA

2. Harvard Medical School Boston Massachusetts USA

3. Department of Medicine, Brigham and Women's Hospital Boston Massachusetts USA

4. Department of Psychiatry Brigham and Women's Hospital Boston Massachusetts USA

5. Department of Psychiatry Harvard Medical School Boston Massachusetts USA

6. Department of International Emergency Medicine and Humanitarian Programs Brigham and Women's Hospital Boston Massachusetts USA

7. Department of Medicine Harvard Medical School Boston Massachusetts USA

Abstract

AbstractBackgroundTo describe factors that influence interprofessional staff decisions and ability to implement trauma‐informed care (TIC) in a level‐one emergency department (ED) trauma center.MethodsThis qualitative research study consisted of semi‐structured interviews and quantitative surveys that were conducted between March and December 2020 at an urban trauma center. Eligible participants were staff working in the ED. Interview questions were developed using the Theoretical Domains Framework (TDF), which is designed to identify influences on health professional behavior related to implementation of evidence‐based recommendations. Interview responses were transcribed, coded using Atlas software, and analyzed using thematic analysis.ResultsKey themes identified included awareness of TIC principles, impact of TIC on staff and patients, and experiences of bias. Participants identified opportunities to improve care for patients with a trauma history, including staff training, more time with patients, and efforts to decrease bias toward patients. Most participants (85.7%) felt that a TIC plan, tiered trauma inquiry, and warm handovers would be easy or very easy to implement.ConclusionWe identified key interprofessional staff beliefs and attitudes that influence implementation of TIC in the ED. These factors represent potential individual, team‐based, and organizational targets for behavior change interventions to improve staff response to patient trauma and to address secondary trauma experienced by ED staff.

Funder

Robert Wood Johnson Foundation

Publisher

Wiley

Subject

Emergency Medicine

Reference36 articles.

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Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Realizing the promise of trauma‐informed care through hospital staff support programs;Journal of the American College of Emergency Physicians Open;2023-08

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