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Development, implementation, and evaluation of a trauma-informed simulation-based training program for graduate

Rachel Zordan1, Carolyn Lethborg2, John Forster3

  • 1St Vincent's Hospital, Melbourne, Education and Learning, Victoria Parade, Fitzroy, Victoria 3065, Australia; University of Melbourne, Medicine, Dentistry and Health Sciences, Australia.

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Summary

Simulation-based training significantly improved trauma-informed care (TIC) knowledge and behaviors in graduate nurses. This feasible training enhances patient care and staff experience.

Keywords:
Diverse groupsFeasibility trialGraduate nursesNurse educationSimulationTrauma-informed care

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Area of Science:

  • Nursing Education
  • Healthcare Simulation
  • Trauma-Informed Care

Background:

  • Hospital staff frequently encounter patients with trauma histories.
  • Trauma-informed care (TIC) training is crucial for improving patient and staff experiences.
  • Simulation-based training effectively reduces staff anxiety and addresses bias in healthcare settings.

Purpose of the Study:

  • To implement and evaluate simulation-based trauma-informed care (TIC) training for graduate nurses.

Main Methods:

  • A three-phase process was used: intervention creation, feasibility determination, and training evaluation.
  • The training involved a one-day face-to-face session with education and immersive patient simulations.
  • A pre/post-test within-groups design assessed safety, acceptability, and effectiveness in 23 graduate nurses.

Main Results:

  • Trauma Informed-Simulation Based Training (TI-SBT) significantly improved TIC knowledge (p ≤ 0.001) and behaviors (p = 0.013).
  • Participant satisfaction with the training was high.
  • Qualitative data revealed participants applied TIC principles in their practice.

Conclusions:

  • The developed TI-SBT is a feasible, safe, acceptable, and effective method for introducing TIC to graduate nurses.
  • Findings support further evaluation through a randomized controlled trial.
  • TI-SBT has the potential to improve both patient care and hospital staff experiences.