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Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic
Patients present to primary care clinics with a variety of experiences, including exposure to adverse childhood experiences (ACEs) and other social determinants of health. The pervasive impact of early adversity on later healthcare outcomes has resulted in the development of trauma-informed care pri...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139306/ https://www.ncbi.nlm.nih.gov/pubmed/35626792 http://dx.doi.org/10.3390/children9050616 |
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author | Matthew, Andrea Moffitt, Cynthia Huth-Bocks, Alissa Ronis, Sarah Gabriel, Mary Burkhart, Kimberly |
author_facet | Matthew, Andrea Moffitt, Cynthia Huth-Bocks, Alissa Ronis, Sarah Gabriel, Mary Burkhart, Kimberly |
author_sort | Matthew, Andrea |
collection | PubMed |
description | Patients present to primary care clinics with a variety of experiences, including exposure to adverse childhood experiences (ACEs) and other social determinants of health. The pervasive impact of early adversity on later healthcare outcomes has resulted in the development of trauma-informed care principles that can be applied to healthcare settings. The primary aim of this study is to improve understanding of patient and staff experiences within a trauma-informed urban healthcare setting to guide considerations and recommendations when implementing such a model. A phenomenologic approach was taken using an interpretivist paradigm to collect qualitative data by conducting patient and staff focus groups. The following themes were identified: the communal experience of significant trauma, lack of continuity of care and time for each appointment, the importance of a sense of community and standardization and normalization of asking about trauma, development of social support networks, and creating a safe and non-judgmental healthcare space. Based on findings, considerations for implementing a trauma-informed healthcare model are provided. |
format | Online Article Text |
id | pubmed-9139306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91393062022-05-28 Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic Matthew, Andrea Moffitt, Cynthia Huth-Bocks, Alissa Ronis, Sarah Gabriel, Mary Burkhart, Kimberly Children (Basel) Article Patients present to primary care clinics with a variety of experiences, including exposure to adverse childhood experiences (ACEs) and other social determinants of health. The pervasive impact of early adversity on later healthcare outcomes has resulted in the development of trauma-informed care principles that can be applied to healthcare settings. The primary aim of this study is to improve understanding of patient and staff experiences within a trauma-informed urban healthcare setting to guide considerations and recommendations when implementing such a model. A phenomenologic approach was taken using an interpretivist paradigm to collect qualitative data by conducting patient and staff focus groups. The following themes were identified: the communal experience of significant trauma, lack of continuity of care and time for each appointment, the importance of a sense of community and standardization and normalization of asking about trauma, development of social support networks, and creating a safe and non-judgmental healthcare space. Based on findings, considerations for implementing a trauma-informed healthcare model are provided. MDPI 2022-04-26 /pmc/articles/PMC9139306/ /pubmed/35626792 http://dx.doi.org/10.3390/children9050616 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Matthew, Andrea Moffitt, Cynthia Huth-Bocks, Alissa Ronis, Sarah Gabriel, Mary Burkhart, Kimberly Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic |
title | Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic |
title_full | Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic |
title_fullStr | Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic |
title_full_unstemmed | Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic |
title_short | Establishing Trauma-Informed Primary Care: Qualitative Guidance from Patients and Staff in an Urban Healthcare Clinic |
title_sort | establishing trauma-informed primary care: qualitative guidance from patients and staff in an urban healthcare clinic |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139306/ https://www.ncbi.nlm.nih.gov/pubmed/35626792 http://dx.doi.org/10.3390/children9050616 |
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