Characterising trauma-informed aged care: An appreciative inquiry approach

Area of Science:

• Gerontology
• Psychology
• Healthcare Management

Background:

• Trauma-informed care (TIC) offers potential benefits for aged and dementia care quality.
• Translating TIC principles into practical aged care delivery remains a significant challenge.
• Understanding effective trauma-informed aged care practices is crucial for improving resident experiences.

Purpose of the Study:

• To characterize the practical implementation of trauma-informed aged care.
• To identify key elements contributing to effective trauma-informed aged care delivery.
• To learn from a recognized high-performing trauma-informed aged care service.

Main Methods:

• Appreciative inquiry methodology employed in a residential aged care setting.
• Data collection through observation of care, staff and resident interviews, and policy mapping.
• Triangulated data analysis using a framework analysis approach.

Main Results:

• TIC principles integrated into staff training to enhance understanding of trauma's impact and adapt care.
• Creation of a safe, choice-driven environment with consistent routines and transparent communication.
• Staff behaviors emphasized respect, trust-building, and resident autonomy through consistent offering of choices and seeking permission.

Conclusions:

• Organizational policies, dignified environments, and staff conduct are pivotal for trauma-informed practice.
• Effective trauma-informed aged care empowers residents with safety, choice, and control.
• Successful implementation fosters resident well-being and high-quality care delivery.