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Trauma-Informed Care: Helping the Healthcare Team Thrive

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Trauma-Informed Healthcare Approaches

Abstract

Many individuals have experienced trauma, which can adversely impact health. Healthcare professionals may have experienced trauma at home or at work or secondary (vicarious) trauma. These experiences of trauma can contribute to compassion fatigue and ultimately to the epidemic of burnout among healthcare professionals. In order to provide trauma-informed care and best serve patients, healthcare professionals must recognize and respond to their own experiences of trauma. There are evidence-based strategies grounded in neurobiology that can mitigate the adverse effects of trauma and foster resilience for both health professionals and our patients, many of which center on mindfulness and positive psychology. Assessment of “wellness” on the individual and institutional levels is valuable when designing and implementing change. Healthcare professionals can use a number of trauma-informed strategies to support personal, organizational, and patient wellness and resilience, in turn, leading to healing-centered engagement and higher quality care for our patients and greater well-being for ourselves.

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References

  1. Dewa CS, Loong D, Bonato S, Trojanowski L. The relationship between physician burnout and quality of healthcare in terms of safety and acceptability: a systematic review. BMJ Open. 2017;7(6):e015141.

    Article  Google Scholar 

  2. Lanctôt N, Guay S. The aftermath of workplace violence among healthcare workers: a systematic literature review of the consequences. Aggress Violent Behav. 2014;19(5):492–501.

    Article  Google Scholar 

  3. Hogh A, Hoel H, Carneiro IG. Bullying and employee turnover among healthcare workers: a three-wave prospective study. J Nurs Manag. 2011;19(6):742–51.

    Article  Google Scholar 

  4. Phillips JP. Workplace violence against health care workers in the United States. Longo DL, editor. N Engl J Med. 2016;374(17):1661–9.

    Google Scholar 

  5. Ellis C, Knight KE. Advancing a Model of Secondary Trauma: Consequences for Victim Service Providers. J Interpers Violence. 2018:088626051877516.

    Google Scholar 

  6. Maunder RG, Peladeau N, Savage D, Lancee WJ. The prevalence of childhood adversity among healthcare workers and its relationship to adult life events, distress and impairment. Child Abuse Negl. 2010;34(2):114–23.

    Article  Google Scholar 

  7. International Labor Organization. Code of practice on workplace violence in services sectors and measures to combat this phenomenon. Geneva 2003.

    Google Scholar 

  8. Centers for Disease Control and Prevention/National Institute for Occupational Safety and Health (NIOSH). Workplace violence prevention strategies and research needs. Report from the Conference, Partnering in Workplace Violence Prevention: Translating Research to Practice. November 17-19, 2004, Baltimore, MD; 2006, September. Contract No.: DHHS (NIOSH) Publication No. 2006–144.

    Google Scholar 

  9. Edward K, Ousey K, Warelow P, Lui S. Nursing and aggression in the workplace: a systematic review. Br J Nurs. 2014;23(12):653–9.

    Article  Google Scholar 

  10. US Department of Labor, Occupational Safety and Health Administration. Caring for our caregivers caring for our caregivers workplace violence in healthcare. Accessed 23 May 2018. Available from: https://www.osha.gov/Publications/OSHA3826.pdf.

  11. Gerberich SG, Church TR, McGovern PM, Hansen HE, Nachreiner NM, Geisser MS, et al. An epidemiological study of the magnitude and consequences of work related violence: the Minnesota Nurses’ Study. Occup Environ Med. 2004;61(6):495–503.

    Article  CAS  Google Scholar 

  12. Newell JM, Nelson-Gardell D, MacNeil G. Clinician responses to client traumas. Trauma Violence Abus. 2016;17(3):306–13.

    Article  Google Scholar 

  13. Shoji K, Bock J, Cieslak R, Zukowska K, Luszczynska A, Benight CC. Cultivating secondary traumatic growth among healthcare workers: the role of social support and self-efficacy. J Clin Psychol. 2014;70(9):831–46.

    Article  Google Scholar 

  14. Cieslak R, Benight CC, Rogala A, Smoktunowicz E, Kowalska M, Zukowska K, et al. Effects of internet-based self-efficacy intervention on secondary traumatic stress and secondary posttraumatic growth among health and human services professionals exposed to indirect trauma. Front Psychol. 2016;7:1009.

    Article  Google Scholar 

  15. Smart D, English A, James J, Wilson M, Daratha KB, Childers B, et al. Compassion fatigue and satisfaction: a cross-sectional survey among US healthcare workers. Nurs Health Sci. 2014;16(1):3–10.

    Article  Google Scholar 

  16. Adimando A. Preventing and alleviating compassion fatigue through self-care: an educational workshop for nurses. J Holist Nurs. 2017;089801011772158.

    Google Scholar 

  17. Salvagioni DAJ, Melanda FN, Mesas AE, González AD, Gabani FL, de Andrade SM. Physical, psychological and occupational consequences of job burnout: a systematic review of prospective studies. van Wouwe JP, editor. PLoS One. 2017 Oct 4;12(10):e0185781.

    Google Scholar 

  18. Dzau VJ, Kirch DG, Nasca TJ. To care is human — collectively confronting the clinician-burnout crisis. N Engl J Med. 2018;378(4):312–4.

    Article  Google Scholar 

  19. Dyrbye LN, Shanafelt TD, Sinsky CA, Cipriano PF, Bhatt J, Ommaya A, et al. Burnout among health care professionals: a call to explore and address this underrecognized threat to safe, high-quality care. Washington, DC: National Academy of Medicine; 2017.

    Google Scholar 

  20. West CP, Dyrbye LN, Erwin PJ, Shanafelt TD. Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis. Lancet. 2016;388(10057):2272–81.

    Article  Google Scholar 

  21. Wright AA, Katz IT. Beyond burnout — redesigning care to restore meaning and sanity for physicians. N Engl J Med. 2018;378(4):309–11.

    Article  Google Scholar 

  22. Mani M, Kavanagh DJ, Hides L, Stoyanov SR. Review and evaluation of mindfulness-based iPhone apps. JMIR Mhealth Uhealth. 2015;3(3):e82.

    Article  Google Scholar 

  23. National Academy of Medicine. Validated instruments to assess work-related dimensions of wellbeing 2018. Accessed 6 July 2018. Available from: https://nam.edu/valid-reliable-survey-instruments-measure-burnout-well-work-related-dimensions/

  24. Sinsky CA, Willard-Grace R, Schutzbank AM, Sinsky TA, Margolius D, Bodenheimer T. In search of joy in practice: a report of 23 high-functioning primary care practices. Ann Fam Med. 2013;11(3):272–8.

    Article  Google Scholar 

  25. Epstein RM, Privitera MR. Doing something about physician burnout. Lancet. 2016;388(10057):2216–7.

    Article  Google Scholar 

  26. Linzer M, Poplau S, Grossman E, Varkey A, Yale S, Williams E, et al. A cluster randomized trial of interventions to improve work conditions and clinician burnout in primary care: results from the Healthy Work Place (HWP) Study. J Gen Intern Med. 2015;30(8):1105–11.

    Article  Google Scholar 

  27. Perlo J, Balik B, Swenson S, Kabcenell A, Landsman J, Feeley D. IHI framework for improving joy in work. IHI White Paper. Cambridge, MA, 2017. Accessed 6 July 2018. Available from: http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx

  28. National Educational Service (U.S.). Reclaiming children and youth : journal of emotional and behavioral problems. [Internet]. National Educational Service; Accessed 6 July 2018. Available from: http://vb3lk7eb4t.scholar.serialssolutions.com/?sid=google&auinit=H&aulast=Bath&atitle=The+three+pillars+of+trauma-informed+care&title=Reclaiming+children+and+youth&volume=17&issue=3&date=2008&spage=17&issn=1089-5701.

  29. Schulz R, Beach SR. Caregiving as a risk factor for mortality. JAMA. 1999;282(23):2215.

    Article  CAS  Google Scholar 

  30. Adverse Childhood Experiences (ACEs) [Internet]. Accessed 6 July 2018. Available from: https://www.cdc.gov/violenceprevention/acestudy/index.html.

  31. Kabat ZJ. Coming to our senses: healing ourselves and the world through mindfulness. New York: Hyperion; 2005.

    Google Scholar 

  32. Tang YY, Hölzel BK, Posner MI. The neuroscience of mindfulness meditation. Nat Rev Neurosci. 2015;16(4):213–25.

    Article  CAS  Google Scholar 

  33. Hempel S, Taylor SL, Marshall NJ, Miake-Lye IM, Beroes JM, Shanman R, et al. Evidence Map of Mindfulness [Internet]. Department of Veterans Affairs (US); 2014. Accessed 6 July 2018. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25577939.

  34. Goyal M, Singh S, Sibinga EMS, Gould NF, Rowland-Seymour A, Sharma R, et al. Meditation programs for psychological stress and well-being. JAMA Intern Med. 2014;174(3):357.

    Article  Google Scholar 

  35. Epstein RM. Mindful practice. JAMA. 1999;282(9):833–9.

    Article  CAS  Google Scholar 

  36. Beach MC, Roter D, Korthuis PT, Epstein RM, Sharp V, Ratanawongsa N, et al. A multicenter study of physician mindfulness and health care quality. Ann Fam Med. 2013;11:421.

    Article  Google Scholar 

  37. Krasner MS. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009;302(12):1284.

    Article  CAS  Google Scholar 

  38. Shanafelt TD, Noseworthy JH. Executive leadership and physician well-being: nine organizational strategies to promote engagement and reduce burnout. Vol. 92, Mayo Clinic Proceedings; 2017.

    Google Scholar 

  39. Li Q. ‘Forest bathing’ is great for your health. Here’s how to do it. Time [Internet]. 2018; Accessed 1 August 2018. Available from: http://time.com/5259602/japanese-forest-bathing/.

  40. Crane RS, Brewer J, Feldman C, Kabat-Zinn J, Santorelli S, Williams JMG, et al. What defines mindfulness-based programs? The warp and the weft. Psychol Med. 2017;47(06):990–9.

    Article  CAS  Google Scholar 

  41. Fredrickson BL, Joiner T. Reflections on positive emotions and upward spirals. Perspect Psychol Sci. 2018;13(2):194–9.

    Article  Google Scholar 

  42. Garland EL, Farb NA, Goldin P, Fredrickson BL. Mindfulness broadens awareness and builds eudaimonic meaning: a process model of mindful positive emotion regulation. Psychol Inq. 2015;26(4):293–314.

    Article  Google Scholar 

  43. Cohn MA, Fredrickson BL, Brown SL, Mikels JA, Conway AM. Happiness unpacked: positive emotions increase life satisfaction by building resilience. Emotion. 2009;9(3):361–8.

    Article  Google Scholar 

  44. Rippstein-Leuenberger K, Mauthner O, Bryan Sexton J, Schwendimann R. A qualitative analysis of the Three Good Things intervention in healthcare workers. BMJ Open. 2017;7(5):e015826.

    Article  Google Scholar 

  45. Immordino-Yang MH, Christodoulou JA, Singh V. Rest is not idleness. Perspect Psychol Sci. 2012;7(4):352–64.

    Article  Google Scholar 

  46. Remen RN, Rabow MW. The Healer’s Art: professionalism, service and mission. Med Educ. 2005;39(11):1167–8.

    Article  Google Scholar 

  47. Branch WT, Frankel RM, Hafler JP, Weil AB, Gilligan MC, Litzelman DK, et al. A multi-institutional longitudinal faculty development program in humanism supports the professional development of faculty teachers. Acad Med. 2017;92(12):1680–6.

    Article  Google Scholar 

  48. Branch WT, Weil AB, Gilligan MC, Litzelman DK, Hafler JP, Plews-Ogan M, et al. How physicians draw satisfaction and overcome barriers in their practices: “It sustains me.”. Patient Educ Couns. 2017;100(12):2320–30.

    Article  Google Scholar 

  49. Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. Acad Med. 2010;85(6):1073–81.

    Article  Google Scholar 

  50. Kearsley JH, Youngson R. “Tu Souffres, Cela Suffit”: the compassionate Hospital. J Palliat Med. 2012;15(4):457–62.

    Article  Google Scholar 

  51. Rider EA, Gilligan MC, Osterberg LG, Litzelman DK, Plews-Ogan M, Weil AB, et al. Healthcare at the crossroads: the need to shape an organizational culture of humanistic teaching and practice. J Gen Intern Med. 2018;33(7):1092–9.

    Article  Google Scholar 

  52. Ginwright S. The future of healing: shifting from trauma informed care to healing centered engagement Shawn Ginwright Ph.D. [Internet]. Accessed 6 July 2016. Available from: https://medium.com/@ginwright/the-future-of-healing-shifting-from-trauma-informed-care-to-healing-centered-engagement-634f557ce69c.

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Barnhill, J., Fisher, J.W., Kimel-Scott, K., Weil, A. (2019). Trauma-Informed Care: Helping the Healthcare Team Thrive. In: Gerber, M. (eds) Trauma-Informed Healthcare Approaches. Springer, Cham. https://doi.org/10.1007/978-3-030-04342-1_11

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  • DOI: https://doi.org/10.1007/978-3-030-04342-1_11

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