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The Six Guiding Principles of Trauma-Informed Care

2024· book-chapter· en· W4396615308 on OpenAlex
Kathleen Stephany

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueBENTHAM SCIENCE PUBLISHERS eBooks · 2024
Typebook-chapter
Languageen
FieldMedicine
TopicTrauma and Emergency Care Studies
Canadian institutionsDouglas College
Fundersnot available
KeywordsTrauma careMedicinePsychologyMedical emergency

Abstract

fetched live from OpenAlex

A principle-based approach to trauma-informed care is effective in promoting healing and chapter two explores the crucial aspects of each of The Six Guiding Principles of Trauma Informed Care as recommended by the Substance Abuse and Mental Health Services Administration (SAMHSA). They consist of safety; trustworthiness and transparency; peer support; collaboration and mutuality; empowerment, voice, and choice; and cultural, historical, and gender issues. The discussion begins by describing the physical, social, and psychological aspects of safety. They include the location of the health facility, the atmosphere of the healthcare clinic, staff attitudes, ensuring that health professionals are kept emotionally safe, and avoiding re-traumatization. It is pointed out that people who have been intentionally harmed by others do not easily trust. Therefore, trust must be earned through compassionate connection, and by protecting a person’s privacy. Transparency is highly recommended and occurs when a person is fully informed about all aspects of the plan of care. Peer support is the help received from others who have lived through similar experiences and facilitates healing. Collaboration and mutuality are suggested to create a shared environment where there is an assumption that everyone, including the client/patient, will be involved in decision-making. Empowerment, voice, and choice when consistently applied foster an environment that utilizes a person’s strengths to help them overcome adversity, gives them an opportunity to be listened to, and to make their own choices. The power of empathy and other-focused listening, and the importance of addressing cultural, historical, and gender issues are emphasized. Poor health outcomes experienced by people of the LGBTQ2S community are highly correlated with stigma. Nurses are identified as harbouring prejudicial attitudes toward members of this population, and educational efforts are strongly suggested to change these behaviours. Cultural humility is recommended as an effective way to counteract racism and power difficulties through empowerment, excellence in care, and an atmosphere of mutual respect. Self-awareness and self-reflection are recommended to incorporate cultural humility into practice. Two Narrative Case Studies are reviewed. The first one emphasizes the importance of safely conducting a client assessment, and the second one explores how peer support helps a bereaved child. Participation in these four learning activities is advised, strategies that enhance the environmental safety of a healthcare facility; when breaching confidentiality is necessary; situations that promote or impede trust; and actively communicating other-focused listening. The Chapter ends with a self-care strategy that encourages nurses to participate in mindfulness techniques to enhance the overall well-being.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.957
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.000
Science and technology studies0.0010.002
Scholarly communication0.0000.000
Open science0.0010.001
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.067
GPT teacher head0.300
Teacher spread0.233 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it