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J Paediatr Child Health. 2017 Sep;53(9):862-869. doi: 10.1111/jpc.13644. Epub 2017 Aug 6.

Perspectives of hospital emergency department staff on trauma-informed care for injured children: An Australian and New Zealand analysis.

Hoysted C1, Babl FE2,3,4,5, Kassam-Adams N6,7, Landolt MA8,9, Jobson L1, Curtis S10,11, Kharbanda AB12,13, Lyttle MD14,15,16, Parri N17,18, Stanley R19,20, Alisic E3,8,21.

Author information

1
School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
2
Emergency Department, Royal Children's Hospital, Melbourne, Victoria, Australia.
3
Emergency Research, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
4
Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
5
Paediatric Research in Emergency Departments International Collaborative (PREDICT) and the Pediatric Emergency Research Networks (PERN).
6
Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
7
University of Pennsylvania, Philadelphia, Pennsylvania, United States.
8
Department of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Zurich, Switzerland.
9
Division of Child and Adolescent Health Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland.
10
Department of Pediatrics and Emergency Medicine, Women and Children's Health Research Institute, University of Alberta, Edmonton, Alberta, Canada.
11
Pediatric Emergency Research Canada (PERC).
12
Department of Pediatric Emergency Medicine, Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota, United States.
13
Pediatric Emergency Medicine Collaborative Research Committee of the American Academy of Pediatrics (PEMCRC).
14
Emergency Department, Bristol Royal Hospital for Children, Bristol, United Kingdom.
15
Paediatric Emergency Research in the United Kingdom and Ireland (PERUKI).
16
Faculty of Health and Applied Science, University of the West of England, Bristol, United Kingdom.
17
Department of Emergency Medicine and Trauma Center, Meyer University Children's Hospital, Florence, Italy.
18
Research in European Pediatric Emergency Medicine (REPEM).
19
Department of Emergency Medicine, University of Michigan, Ann Arbor, Michigan, United States.
20
Pediatric Emergency Care Applied Research Network (PECARN).
21
Monash University Accident Research Centre, Monash University, Melbourne, Victoria, Australia.

Abstract

AIM:

To examine Australian and New Zealand emergency department (ED) staff's training, knowledge and confidence regarding trauma-informed care for children after trauma, and barriers to implementation.

METHODS:

ED staff's perspectives on trauma-informed care were assessed using a web-based self-report questionnaire. Participants included 468 ED staff (375 nursing and 111 medical staff) from hospitals in Australia and New Zealand. Data analyses included descriptive statistics, χ2 tests and multiple regressions.

RESULTS:

Over 90% of respondents had not received training in trauma-informed care and almost all respondents (94%) wanted training in this area. While knowledge was associated with a respondent's previous training and profession, confidence was associated with the respondent's previous training, experience level and workplace. Dominant barriers to the implementation of trauma-informed care were lack of time and lack of training.

CONCLUSIONS:

There is a need and desire for training and education of Australian and New Zealand ED staff in trauma-informed care. This study demonstrates that experience alone is not sufficient for the development of knowledge of paediatric traumatic stress reactions and trauma-informed care practices. Existing education materials could be adapted for use in the ED and to accommodate the training preferences of Australian and New Zealand ED staff.

KEYWORDS:

child; emergency service, hospital; mental health; paediatrics; stress disorders, post-traumatic

PMID:
28782226
DOI:
10.1111/jpc.13644
[Indexed for MEDLINE]
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