目标:探索青年,护理人员和工作人员对创伤知情护理愿景的看法,并确定和了解儿科医院内住院精神健康部门实施创伤知情护理计划的潜在考虑因素。
方法:我们应用了解释性描述方法,在复杂性理论和实施路线图的指导下,并采用应用主题分析方法。
结果:2022年3月至6月期间,25人参加了个人或团体访谈,其中包括21名医疗保健专业人员。3名青年和1名照顾者。我们确定了两个总体主题。第一个主题,“理解和解决痛苦的根本原因”,与参与者在当前环境中对TIC的理解和愿景有关,包括:(a)“参与者”“对TIC的理解”;(b)“TIC内的创伤筛查和创伤处理”;(c)“采取”更个性化的方法”;(d)“单元编程”;(e)“与社区的连接”。第二个主题,“支持或限制TIC成功实施的因素”包括:(a)“需要广泛的“文化转变””;(b)“单位的物理环境”;(c)“可能限制成功实施的因素”。
结论:我们确定了在创伤知情护理实施中需要考虑的五个关键领域:(a)青年参与的中心地位,提供和实施创伤知情护理的护理人员和工作人员,(b)创伤护理核心方案构成部分,(c)可能支持或限制在精神卫生部门内成功实施创伤知情护理的因素,以及(d)全院范围和(e)部门间合作(与外部组织和部门合作)的重要性。
结论:实施TIC时,目前有必要增加TIC干预措施和实施举措的清晰度。青春,护理人员和医疗保健专业参与者分享了在他们的环境中计划提供和实施创伤知情护理的重要考虑因素.我们确定了在创伤知情护理实施中需要考虑的五个关键领域:(a)关系参与的中心性,(b)创伤知情护理方案构成部分,(c)可能支持或限制在精神卫生部门内成功实施创伤知情护理的因素,以及(d)整个医院和(e)部门间合作的重要性。希望实施创伤知情护理的组织应考虑在整个过程中与所有相关知识用户群体进行持续接触。
■定性研究报告标准(SRQR)。
■当地医院研究所的患者和家庭咨询委员会审查了研究方法草案并提供了反馈。
OBJECTIVE: To explore youth, caregiver and staff perspectives on their vision of trauma-informed care, and to identify and understand potential considerations for the implementation of a trauma-informed care programme in an inpatient mental health unit within a paediatric hospital.
METHODS: We applied the Interpretive Description approach, guided by complexity theory and the Implementation Roadmap, and used Applied Thematic Analysis methods.
RESULTS: Twenty-five individuals participated in individual or group interviews between March and June 2022, including 21 healthcare professionals, 3 youth and 1 caregiver. We identified two overarching themes. The first theme, \'Understanding and addressing the underlying reasons for distress\', related to participants\' understanding and vision of TIC in the current setting comprising: (a) \'Participants\' understanding of TIC\'; (b) \'Trauma screening and trauma processing within TIC\'; (c) \'Taking \"a more individualized approach\"\'; (d) \'Unit programming\'; and (e) \"Connecting to the community\". The second theme, \'Factors that support or limit successful TIC implementation\' comprises: (a) \'The need for a broad \"cultural shift\"\'; (b) \'The physical environment on the unit\'; and (c) \'Factors that may limit successful implementation\'.
CONCLUSIONS: We identified five key domains to consider within trauma-informed care implementation: (a) the centrality of engagement with youth, caregivers and staff in trauma-informed care delivery and implementation, (b) trauma-informed care core programme components, (c) factors that may support or limit success in implementing trauma-informed care within the mental health unit and (d) hospital-wide and (e) the importance of intersectoral collaboration (partnering with external organizations and sectors).
CONCLUSIONS: When implementing TIC, there is an ongoing need to increase clarity regarding TIC interventions and implementation initiatives. Youth, caregiver and healthcare professional participants shared considerations important for planning the delivery and implementation of trauma-informed care in their setting. We identified five key domains to consider within trauma-informed care implementation: (a) the centrality of relational engagement, (b) trauma-informed care programme components, (c) factors that may support or limit successful implementation of trauma-informed care within the mental health unit and (d) hospital-wide and (e) the importance of intersectoral collaboration. Organizations wishing to implement trauma-informed care should consider ongoing engagement with all relevant knowledge user groups throughout the process.
UNASSIGNED: Standards for Reporting Qualitative Research (SRQR).
UNASSIGNED: The local hospital research institute\'s Patient and Family Advisory Committee reviewed the draft
study methods and provided feedback.