Disability and rehabilitation · 2025
Exploring trauma-informed principles for empowering physical and psychological recovery in a multidisciplinary inpatient rehabilitation unit: a qualitative study.
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Bicchi Nadia, Churilov Irina, Lethborg Carrie, Silberberg Carol, Zordan Rachel, Harvey Jessica, Forster John, Brock Kim, Heywood Sophie
Аннотация
PURPOSE: To describe the experiences of people admitted to inpatient rehabilitation related to the trauma-informed principles of safety, trustworthiness, choice, collaboration and empowerment, and to define the barriers and enablers to trauma-informed care from the perspective of clinicians.
METHODS: This qualitative study included semi-structured interviews with 14 people admitted to a sub-acute rehabilitation unit. Interviews were transcribed, coded and reflexive thematic analysis used to generate themes. Three focus groups with multidisciplinary health professionals (n = 14) were conducted, with barriers and enablers to trauma-informed care identified.
RESULTS: Themes generated on trauma-informed principles included: human connection touches the heart; clear communication of expectations, and hope, facilitates safety and trust; pushing back to be heard; using the link between the mind and body to advantage; loss of independence and control; and wanting room to breathe. Nursing and allied health clinicians identified enablers to providing trauma-informed care: holistic, empathic and team approaches, and supporting clinician psychological safety. Barriers identified included: limited time and resources, increasing complexity, prioritisation of physical safety, organisational processes, and limitations of the environment.
CONCLUSION: Building relationships with empathy, clear communication, and holistic approaches, facilitate interpersonal safety, trust and empowerment. System constraints, processes and resources are barriers to implementing trauma-informed care.
METHODS: This qualitative study included semi-structured interviews with 14 people admitted to a sub-acute rehabilitation unit. Interviews were transcribed, coded and reflexive thematic analysis used to generate themes. Three focus groups with multidisciplinary health professionals (n = 14) were conducted, with barriers and enablers to trauma-informed care identified.
RESULTS: Themes generated on trauma-informed principles included: human connection touches the heart; clear communication of expectations, and hope, facilitates safety and trust; pushing back to be heard; using the link between the mind and body to advantage; loss of independence and control; and wanting room to breathe. Nursing and allied health clinicians identified enablers to providing trauma-informed care: holistic, empathic and team approaches, and supporting clinician psychological safety. Barriers identified included: limited time and resources, increasing complexity, prioritisation of physical safety, organisational processes, and limitations of the environment.
CONCLUSION: Building relationships with empathy, clear communication, and holistic approaches, facilitate interpersonal safety, trust and empowerment. System constraints, processes and resources are barriers to implementing trauma-informed care.