Trauma-informed care is designed to assist persons who have experienced adversity and focuses on change at the clinical and organizational level. Its goals center around prevention, intervention, and treatments that are evidence-based, encourage resilience, and enhance coping.
This textbook is designed to give a comprehensive overview of trauma-informed care to students and faculty involved in nursing care programs.
This textbook is designed to give a comprehensive overview of trauma-informed care to students and faculty involved in nursing care programs.
Key Features
- Explains the skill sets to assess and care for persons who have experienced trauma.
- Emphasizes key principles of trauma-informed care
- Includes the use of client-centered, person-centered, and resilience-based tools to deal with trauma
- Recommends trauma recovery from a positive psychology and post-traumatic growth perspective
- Utilizes a caring pedagogy intended to foster resilience and help offset the secondary traumatic stress and compassion fatigue experienced by student and practicing nurses.
- Communicates the value of fostering psychological safety, compassion satisfaction, and joy in work
- Includes narrative case studies and learning activities in all chapters to help the reader to actively engage with the subject matter.
- Presents self-care strategies to enhance physical and emotional well-being.
Readership
Students and trainees in nursing care programs (diploma, undergraduate and graduate levels)Table of Contents
Chapter 1 the Prevalence and Impact of Trauma and Why Trauma-- Informed Care is Needed in Nursing Education
- Learning Guide
- Introduction to the Book
- A Brief Overview of the Book
- Caring as An Embedded Theme
- Qualitative Research, Phenomenology, Narratives & the Ethic Of
- Care
- Qualitative Research
- Phenomenology
- Narratives
- The Ethic of Care
- Psychological Trauma
- The Prevalence of Trauma
- Types of Trauma and Traumatic Experiences
- Historical, Transgenerational & Violent Traumas
- Adverse Childhood Experiences (Aces)
- Structural Traumas Experienced by Special Populations
- What is Meant by Sexual Orientation & Gender Identity?
- Traumas Experienced by People With Differing Sexual Orientation or Gender Identity
- Traumas Suffered by Refugees & Immigrants
- Racial Trauma & People of Color
- An Historical Account of Racial Discrimination Toward Black People of Color
- Discrimination Toward Other People of Color
- Present Day Discrimination Toward People of Color
- Traumas Experienced by Older Adults
- Indigenous People & Trauma
- The Impact of Colonization & Intergenerational Trauma on Indigenous People
- Systemic Racism and Its Negative Impact on Indigenous Health
- Embracing Diversity & Self-Awareness to Combat Implicit Bias
- The Role of Bias & Implicit Bias in Inflicting Harm
- The Role of Self-Awareness
- Changing Inherent Biases Requires Action
- Questions to Ponder for Further Reflection
- Specific Trauma-Related Responses
- The Traumatic Stress Response
- Acute Stress Disorder
- Physical Problems Associated With Trauma
- Trauma, Mental Illness & Substance Use
- Trauma and Its Impact on Relationships
- The Role of Trauma Triggers
- Narrative Case Study One: Identification of Themes & Analysis
- Questions for Further Discussion
- Traumas Associated With Working in Healthcare
- Post-Traumatic Stress Disorder
- Secondary Traumatic Stress
- Vicarious Traumatization
- Compassion Fatigue
- Narrative Case Study Two: Identification of Themes & Analysis
- Some Key Components of Trauma-Informed Care
- The Importance of Being Trauma-Informed and Trauma-Responsive
- Creating a Trauma-Sensitive Practice
- Two Key Objectives of Trauma-Informed Care
- The Four Core Assumptions of Trauma-Informed Care
- Why Trauma Informed Care is Needed in Nursing Education
- Student Nurses & Inadequate Preparation in Trauma-Informed Care
- Student Nurses & a Personal History of Trauma
- Student Nurses & Clinical Training & Exposure to Trauma & Death
- The Learning Environment & Increased Emotional Stress Due to COVID-19
- Positive Outcomes Associated With Implementing Trauma-Informed Care into Nursing
- School
- Nursing Faculty Also Need Support
- Self-Care Strategy: Learning Self-Compassion
- Self-Compassion Challenge
- Conclusion
- Recommended Readings
- References
- Learning Guide
- Introduction to Chapter Two & the Six Guiding Principles to Trauma Informed Care
- Safety
- Physical Safety is Important
- Social Safety
- Facilitating the Psychological Safety of Clients/Patients
- How to Avoid Re-Traumatization
- Narrative Case Study One: Identification of Themes & Analysis
- Questions for Further Discussion
- Measures That Help to Keep Caregivers Psychologically Safe
- Trustworthiness & Transparency
- Trustworthiness
- The Way That You Communicate Matters
- Protect Personal Privacy
- Be Cautious With Physical Touch
- Transparency
- Keeping Promises & Clearly Explaining Explanations
- Protecting Confidentiality
- Limits to Confidentiality
- Is It Ever Okay to Lie to a Client/Patient?
- Additional Situations That Impede Trust
- Peer Support
- Peer Support Following Tragic Loss
- The Value of Peer Support Groups After Trauma: It is All About Trust
- Peer Grief Support for Helping Bereaved Children
- Narrative Case Study Two: Identification of Themes & Analysis
- Collaboration and Mutuality
- Equal Partners & Working Together Toward a Common Goal
- Don’T Give Advice or Make False Reassurances
- Empowerment, Voice & Choice
- Empowerment Builds Confidence
- Do Your Best to Avoid Power Struggles
- Be Aware of Language Usage
- Avoid Microaggressions
- Encourage Them to Move Past Victimization
- Empowerment Programs That Target Teenaged Youth
- Voice & Choice
- Include Clients/Patients in Their Plan of Care & in Informed Decision-Making
- Three Ways to Effectively Ask Questions
- First Rule
- Second Rule
- Third Rule
- Create a Safe Place for People to Tell Their Stories
- Pursue Empathy & Other-Focussed Listening
- Cultural, Historical & Gender Issues
- Cultural & Historical Understanding
- Discrimination Due to Sexual Orientation or Gender Identity
- Nurses, a Lack of Education & Stigma
- Questions to Ponder for Further Reflection
- Cultural Competence, Cultural Awareness & Cultural Sensitivity
- The Role of Self-Awareness, Self-Reflection in Fostering Cultural Humility
- Self-Care Strategy: the Benefits of Mindfulness for Caregivers ... 80
- Mindfulness Challenge
- Conclusion
- Recommended Readings
- References
- Approaches to Trauma-Informed Care
- Learning Guide
- Introduction to Chapter Three
- The Differences Between Client-Centered, Patient-Centered,
- Person-Centered, & Resilience-Focused Trauma-Informed Care
- Client-Centered Care
- The Reality of Status and How Some People Are Treated and Judged
- People Who Have Been Traumatized Also Feel Judged by Healthcare Professionals
- The Importance of Respect for Self-Worth & Unconditional Positive Regard
- Actions That Undermine a Person’S Self-Worth
- Victim Blaming & Other Hurtful Behaviors
- Strategies That Honour a Person’S Self-Worth
- The Importance of Human Connection in Trauma-Informed Care
- Establishing Connection Through Effective Communication
- The Value of the Therapeutic Relationship
- Caring Relationships & Knowledge Competence
- Person-Centered Care
- Collaboration
- Utilizing Effective Person-Centered Communications Skills
- Barriers to Person-Centered Communication
- Offering Person-Centered Care to People from Special
- Populations
- The Elderly
- People With Disabilities
- Persons Suffering from Dementia
- People and Families Requiring Palliative Care
- Wisdom for Caring for People Who Are Dying
- People Suffering from Mental Illness and Substance Use
- The Value of Recovery-Oriented Care
- Change & Courage
- Responsibility for Growth
- How to Deal With Resistance to Change
- The Power of Resilience
- Attributes of Resilience
- The Role of Positive Emotions
- Adopting a Sturdy Mindset: the Importance of a Commitment to Life & Challenge ... 104
- Learning How to Deal With Mistakes
- Individualism Versus Community Well-Being
- Conducting Trauma-Screening in a Safe Manner
- Why Training in Trauma-Screening is Needed
- Risks Associated With a Lack of Training in Trauma-Screening
- Being Aware of Someone’S Trauma History is Helpful
- Take Measures to Avoid Re-Traumatization
- An Unskilled Practitioner Must Not Set Out to Uncover Repressed Memories
- Up-Front Versus Later Trauma-Screening
- How to Begin An Assessment for Trauma
- For Specific Tools to Assess for Trauma Visit
- Healing Often Begins With Acknowledging That Trauma Has Occurred
- The Role of Validation
- The Importance of Setting Professional Boundaries
- Avoiding Boundary Violations
- Rescuing is Unacceptable
- Clear Communication is Needed When Establishing Professional Boundaries
- Narrative Case Study One: Identification of Themes & Analysis
- Question for Further Reflection
- Transforming Implicit Bias & Myths Aimed at Survivors Of
- Intimate Partner Violence & Stranger Rape
- Intimate Partner Violence (Ipv) & Stranger Rape
- Implicit Bias & Unsubstantiated Myths Cause Harm
- Challenging the Myths
- The Reality of the Ipv Survivor’S Experience of Being Judged
- Adopt a Survivor-Centered Approach
- Advocacy & Survivors of Intimate Partner Violence (Ipv)
- Narrative Case Study Two: Identification of Themes & Analysis
- Questions for Further Discussion
Author
- Kathleen Stephany