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