Trauma-Informed Leadership in Quality Improvement: What We Learned From Practicing in a Pandemic

PEDIATRICS, Год журнала: 2024, Номер 153(Supplement 1)

Опубликована: Янв. 1, 2024

In 2020, midway through the Collaborative Improvement and Innovation Network to Advance Care for Children with Medical Complexity project, coronavirus disease 2019 pandemic erupted caused significant disruptions 10 participating state teams, project leadership, collaborative partner organizations. Clinics shut down in-person care, a scramble ensued quickly leverage telehealth fill gap, trauma by anxiety, isolation, exhaustion affected health wellbeing of children, families, clinicians alike. We conducted series key informant interviews surveys, alongside other process measures, learn from teams what it was like “on ground” try continue improving care delivery, child quality life, family under such upheaval. this article, we synthesize qualitative descriptive findings these varied data sources within framework trauma-informed principles applied as leadership team prevent burnout, increase resilience, maintain progress among all participants, especially uniquely vulnerable leaders. Lessons learned will be offered that can future natural human-made emergencies impact responsive pediatric delivery improvement.

Язык: Английский

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A cross-sectional needs assessment for a trauma-informed care curriculum for multidisciplinary healthcare providers

BMC Health Services Research, Год журнала: 2025, Номер 25(1)

Опубликована: Март 24, 2025

Trauma-informed care (TIC) is a framework that recognizes the pervasive impact of trauma, aiming to enhance both patient outcomes and provider well-being. Given high prevalence trauma among individuals seeking healthcare, it essential for healthcare providers (HCPs) be informed. However, standardized TIC curricula training staff are lacking. This study assessed perceptions towards multidisciplinary HCPs, patients, leadership at two urban hospitals in Canada. mixed-methods prospective cross-sectional employed Kern's six-step approach curriculum development. A needs assessment was conducted via an online questionnaire HCPs semi-structed interviews with from three participant groups: staff. The knowledge, skills, attitudes regarding TIC. Semi-structured explored perspectives on TIC, including priorities potential implementation barriers. Findings informed development virtual curriculum, iterative feedback collected refine assess its acceptability. Among 106 HCP respondents Medical Doctors, Social Workers Registered Nurses, 96 (90.6%) identified as women, 97 (91.5%) direct care. Despite 93 (87.7%) having prior education, 77 (72.6%) reported low confidence applying knowledge clinical practice. Key perceived challenges included time constraints lack standardization across disciplines. multimedia, self-paced course preferred solution. Thematic analysis 28 participants (10 10 8 staff) revealed six major themes: interactions, implementation, needs, system level barriers, preferences, systems improvements. Participants underscored risk re-traumatization patients settings without emphasized need universal all strong interest supports translation into practice incorporates focus cultural humility. Integrating insights key stakeholders this phase resulted inclusive diverse voices viewpoints strengthened understanding contextual factors will support effective implementation.

Язык: Английский

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Burnout, Moral Distress, and Compassion Fatigue as Correlates of Posttraumatic Stress Symptoms in Clinical and Nonclinical Healthcare Workers

Journal of Healthcare Management, Год журнала: 2023, Номер 68(6), С. 427 - 451

Опубликована: Ноя. 1, 2023

Research has highlighted psychological distress resulting from the COVID-19 pandemic on healthcare workers (HCWs), including development of posttraumatic stress symptoms (PTSS). However, degree to which these conditions have endured beyond and extent they affect entire team, both clinical nonclinical workers, remain unknown. This study aims identify correlates PTSS in workforce with goal providing evidence support trauma-informed leadership strategies.Data were collected June July 2022 using a cross-sectional anonymous survey large academic medical center setting. A total 6,466 employees completed (27.3% response rate). Cases at least one missing variable omitted, for sample size 4,806, evaluation enabled us understand individual, organizational, work-related nonwork-related stressors associated PTSS. Data analyzed ordinal logistic regression dominance analyses predictors specific workers.While previous studies shown that HCWs different job roles experience unique stressors, our data indicate top among are same: burnout, moral distress, compassion fatigue. These three factors alone explained 45% 44.4% variance respectively. was also lower sense recognition feeling mistreated by other work workforce. Concerningly, women sexual minorities exhibited higher incidence In social isolation or loneliness trust confidence senior Nonwork-related factors, such as exhaustion caregiving responsibilities financial strain, significantly Even after controlling discrimination outside samples, we found non-White populations more likely PTSS, highlighting deeply concerning issue workforce.The primary objective this article is help leaders across team organizations recover pandemic. Understanding will develop best practices aim reduce HCW strategies circumvent trauma derived future crises. Our must address workforce, focusing attention those who frontlines behind scenes. We urge adopt approach ensure recognized, supported, cared each plays role care patients.

Язык: Английский

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Providing Trauma-Informed Care During a Pandemic: How Health Care Workers at Ryan White-Funded Clinics in the Southeastern United States Responded to COVID-19 and Its Effects on Their Well-Being

Journal of the International Association of Providers of AIDS Care (JIAPAC), Год журнала: 2024, Номер 23

Опубликована: Янв. 1, 2024

As HIV/AIDS health care workers (HCWs) deliver services during COVID-19 under difficult conditions, practicing trauma-informed (TIC) may mitigate negative effects on mental and well-being. This secondary qualitative analysis of a larger mixed methods study sought to understand the pandemic's impact HCWs at Ryan White-funded clinics (RWCs) across southeastern US assess changes in prioritization TIC. RWC administrators, providers, staff were asked about impacts clinic operations/culture, HCW well-being, institutional support for described strenuous work environments decreased well-being (eg, increased stress, burnout, fear, social isolation) due COVID-19. RWCs initiated novel responses disruptions operations culture encourage continuity promote Despite awareness need TIC, remained variable. Implementing institutionalizing practices could strengthen safeguard public emergencies.

Язык: Английский

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H.E.R.O. Unmasking: A mixed methods pilot study to explore the impact of a tele-drama therapy protocol on frontline healthcare workers during COVID-19

Drama Therapy Review, Год журнала: 2022, Номер 8(2), С. 213 - 233

Опубликована: Окт. 1, 2022

H.E.R.O. (Helping Essential workers Reclaim roles Online) Unmasking was a virtual drama therapy protocol designed to support frontline healthcare (re)connect part of their humanity overshadowed by the role Healthcare Hero during COVID-19 pandemic. The intervention, grounded in Role Theory, sought provide immediate relief and meaning making through embodied storytelling. This pilot study utilized quasi-experimental mixed methods design measure effect protocol. Integration Stressful Life Experiences Scale-Short Form implemented. A dependent t -test did not yield statistical significance from pre-test (17.26) post-test (20.47), although medium size (0.64) found. Post-test scores suggested that participants demonstrated more adaptive after workshop. small sample ( n = 19) likely impacted ability find significance. Qualitative results produced prominent themes transformation, connection joy. Clinical implications future directions are discussed.

Язык: Английский

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Trauma-informed leadership: a new concept or has it been here all along?

Administrative Issues Journal Education Practice and Research, Год журнала: 2023, Номер 13(2)

Опубликована: Апрель 17, 2023

Язык: Английский

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