medical,
Study Finds Pediatric Trauma Nurses Know About Trauma-Informed Care
A recent study from The Children's Hospital of Philadelphia
(CHOP) and Penn State Hershey Children's Hospital published in the Journal of Pediatric Nursing reveals pediatric trauma nurses are
knowledgeable about practicing trauma-informed care, but points to the need for
additional nurse training to help families cope after a child's injury. When an
injury occurs, both the child and other family members may experience traumatic
stress reactions interfering with a full
recovery. Pediatric nurses play a key role in preventing injury-related
post-traumatic stress by providing trauma-informed care, which includes
recognizing pre-existing trauma, addressing acute traumatic stress reactions
associated with the traumatic event, minimizing potentially traumatic aspects
of treatment, and identifying children who need additional monitoring or
referrals for more help.
Researchers
surveyed 232 nurses across five level I and level II pediatric trauma centers
about their knowledge, opinions, and current practices in addressing
psychological recovery in their injured patients. More than 90 percent of the
nurses surveyed recognize the importance of attending to psychosocial needs as
part of trauma nursing care, and 75 to 80 percent report that they encourage
parents to turn to family and friends for support and help parents manage a
child's pain and anxiety during procedures. However, far fewer
nurses surveyed reported directly assessing a child or parent's distress or
providing specific instruction in how to cope with difficult or painful
experiences.
"When a child is hospitalized for an injury, nurses
play a key role not only in medical care, but also in helping families cope and
fully recover emotionally," says Nancy Kassam-Adams, PhD, a psychologist,
director of the Center for Pediatric Traumatic Stress at CHOP, and a lead
author on the study. "Taken together with other recent studies that found
only one in five trauma centers routinely screen child and youth for traumatic
stress responses, these results help to identify gaps in current practice and
point to possible policy and training needs."
According to one parent's experience after her son
suffered severe injuries, the care he received at the hospital from the nursing
staff made all the difference in his healthy recovery, both medically and
emotionally. "For a long time after my son Stephen's accident, I was
committed to remaining strong for him and my family and just powering us all
through the crisis," says Kathy Conaboy, a member of the Center's Family
Advisory Committee. "What I realized over time with the help of his nurses
was that our entire family was traumatized, and we needed help that I didn't
even know that I needed to ask for. We gradually learned from his nurses how to
talk about what happened and to seek positive coping skills and supports to be
able to move forward."
The results of this survey suggest that efforts to
improve trauma-informed pediatric nursing care should highlight specific skills
related to helping patients and their parents manage emotional responses to
difficult medical experiences. As one nurse surveyed for the study noted:
"I would like to have information about what to teach parents to say and
how to talk about the event without re-traumatizing the patient."
To help nurses build on the skills they already possess
and to promote full recovery in the pediatric patients they treat, the Center
for Pediatric Traumatic Stress is now offering free continuing education
courses in trauma-informed care at HealthCareToolbox. The training is based on
the "DEF Protocol" created by the Medical Trauma Working Group of the
National Child Traumatic Stress Network, which helps healthcare providers
address distress, emotional support, and family needs in a systematic manner.
Reference
Study finds pediatric trauma nurses know about
trauma-informed care - Medical News Today. (n.d.). Retrieved from
http://www.medicalnewstoday.com/releases/287937.php
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