Evidence map›Paper›PMID 29521782›Full record

ArticleJournal of trauma nursing : the official journal of the Society of Trauma Nurses

Trauma Providers' Knowledge, Views, and Practice of Trauma-Informed Care.

Marta M Bruce, Nancy Kassam-Adams, Mary Rogers, Karen M Anderson, Kerstin Prignitz Sluys, Therese S Richmond

Abstract read
In one paragraph

Article in Journal of trauma nursing : the official journal of the Society of Trauma Nurses. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Trauma-Informed Care in Gastroenterology: A Survey of Provider Attitudes, Knowledge, and Skills.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marta M BrucePenn Injury Science Center, University of Pennsylvania, and Department of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia (Ms Bruce and Dr Richmond); Perelman School of Medicine, University of Pennsylvania, and Children's Hospital of Philadelphia, Philadelphia, Pennsylvania (Dr Kassam-Adams); Hospital of the University of Pennsylvania, Philadelphia (Mss Bruce, Rogers, and Anderson); Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden and Red Cross University College, Stockholm, Sweden (Dr Sluys).
Nancy Kassam-Adams
Mary Rogers
Karen M Anderson
Kerstin Prignitz Sluys
Therese S Richmond

Funding

The Penn Violence and Injury Control Research CenterR49CE002474 · CE · UNIVERSITY OF PENNSYLVANIA · PI WIEBE, DOUGLAS J · 2014 to 2018
$2.2M
ACL HHS R49CE002474NCIPC CDC HHS R49 CE002474
6 · The paper itself

Abstract

Trauma-informed interventions have been implemented in various settings, but trauma-informed care (TIC) has not been widely incorporated into the treatment of adult patients with traumatic injuries. The purpose of this study was to examine health care provider knowledge, attitudes, practices, competence, and perceived barriers to implementation of TIC. This cross-sectional study used an anonymous web-based survey to assess attitudes, knowledge, perceived competence, and practice of TIC among trauma providers from an urban academic medical center with a regional resource trauma center. Providers (nurses, physicians, therapists [physical, occupational, respiratory]) working in trauma resuscitation, trauma critical care, and trauma care units were recruited. Descriptive statistics summarized knowledge, attitudes, practice, competence, and perceived barriers to TIC and logistic regression analyses examined factors predicting the use of TIC in practice. Of 147 participants, the majority were nurses (65%), followed by therapists (18%) and physicians (17%), with a median 3 years of experience; 75% answered the knowledge items correctly and 89% held favorable opinions about TIC. Nineteen percent rated themselves as less than "somewhat competent." All participants rated the following as significant barriers to providing basic TIC: time constraints, need of training, confusing information about TIC, and worry about retraumatizing patients. Self-rated competence was the most consistent predictor of providers' reported use of specific TIC practices. Despite some variability, providers were generally knowledgeable and held favorable views toward incorporating TIC into their practice. TIC training for trauma providers is needed and should aim to build providers' perceived competence in providing TIC.

Indexed as

Attitude of Health PersonnelClinical CompetenceAdultCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansLogistic ModelsMalePatient Care TeamTrauma CentersWounds and Injuries

Identifiers

PMID29521782
PMCPMC5968451

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.