Evidence map›Paper›PMID 38450840›Full record

ArticleJournal of advanced nursing2025

Youth, caregiver and healthcare professional perspectives on planning the implementation of a trauma-informed care programme: A qualitative study.

Yehudis Stokes, Paula Cloutier, Dhiraj Aggarwal, Jean Daniel Jacob, Erin Hambrick, Andrea C Tricco, Michelle K Ward, Allison Kennedy, Stephanie Greenham, Marjorie Robb and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 23% of its field
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

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Teaching Medical Students and Residents to Practice Trauma-Informed Care in Inpatient Psychiatric Settings.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Review
  3. Article
  4. Article
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

15 authors at 5 institutions in 2 countries.

Yehudis StokesUniversity of Ottawa, Ottawa, Ontario, Canada.ORCID https://orcid.org/0000-0002-9305-7211
Paula CloutierCHEO Research Institute, Ottawa, Ontario, Canada.
Dhiraj AggarwalUniversity of Ottawa, Ottawa, Ontario, Canada.
Jean Daniel JacobUniversity of Ottawa, Ottawa, Ontario, Canada.
Erin HambrickUniversity of Missouri-Kansas City, Kansas City, Missouri, USA.
Andrea C TriccoLi Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Michelle K WardUniversity of Ottawa, Ottawa, Ontario, Canada.
Allison KennedyChildren's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada.
Stephanie GreenhamUniversity of Ottawa, Ottawa, Ontario, Canada.ORCID https://orcid.org/0000-0002-5014-3689
Marjorie RobbUniversity of Ottawa, Ottawa, Ontario, Canada.
Roxanna SheppardChildren's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada.
David MurphyChildren's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada.
Jennifer BoggettChildren's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada.
Ian D GrahamUniversity of Ottawa, Ottawa, Ontario, Canada.
Krystina B LewisUniversity of Ottawa, Ottawa, Ontario, Canada.
University of Ottawa · CAChildren's Hospital of Eastern Ontario · CAAgricultural Research Institute of Ontario · CASt. Michael's Hospital · CAUniversity of Missouri–Kansas City · US

Funding

CHEO Psychiatry Associates Research Fund
6 · The paper itself

Abstract

aimsTo explore youth, caregiver and staff perspectives on their vision of trauma-informed care, and to identify and understand potential considerations for the implementation of a trauma-informed care programme in an inpatient mental health unit within a paediatric hospital. DESIGN AND

methodsWe applied the Interpretive Description approach, guided by complexity theory and the Implementation Roadmap, and used Applied Thematic Analysis methods.

findingsTwenty-five individuals participated in individual or group interviews between March and June 2022, including 21 healthcare professionals, 3 youth and 1 caregiver. We identified two overarching themes. The first theme, 'Understanding and addressing the underlying reasons for distress', related to participants' understanding and vision of TIC in the current setting comprising: (a) 'Participants' understanding of TIC'; (b) 'Trauma screening and trauma processing within TIC'; (c) 'Taking "a more individualized approach"'; (d) 'Unit programming'; and (e) "Connecting to the community". The second theme, 'Factors that support or limit successful TIC implementation' comprises: (a) 'The need for a broad "cultural shift"'; (b) 'The physical environment on the unit'; and (c) 'Factors that may limit successful implementation'.

conclusionWe identified five key domains to consider within trauma-informed care implementation: (a) the centrality of engagement with youth, caregivers and staff in trauma-informed care delivery and implementation, (b) trauma-informed care core programme components, (c) factors that may support or limit success in implementing trauma-informed care within the mental health unit and (d) hospital-wide and (e) the importance of intersectoral collaboration (partnering with external organizations and sectors). IMPACT: When implementing TIC, there is an ongoing need to increase clarity regarding TIC interventions and implementation initiatives. Youth, caregiver and healthcare professional participants shared considerations important for planning the delivery and implementation of trauma-informed care in their setting. We identified five key domains to consider within trauma-informed care implementation: (a) the centrality of relational engagement, (b) trauma-informed care programme components, (c) factors that may support or limit successful implementation of trauma-informed care within the mental health unit and (d) hospital-wide and (e) the importance of intersectoral collaboration. Organizations wishing to implement trauma-informed care should consider ongoing engagement with all relevant knowledge user groups throughout the process. REPORTING

methodStandards for Reporting Qualitative Research (SRQR). PATIENT OR PUBLIC CONTRIBUTION: The local hospital research institute's Patient and Family Advisory Committee reviewed the draft study methods and provided feedback.

Indexed as

Attitude of Health PersonnelCaregiversHealth PersonnelAdolescentAdultChildFemaleHumansMaleMiddle AgedQualitative ResearchYoung Adultchild nursingfocus groupsmental healthpatient perspectivespsychiatric nursingqualitative approachesquality of careresearch implementation

Identifiers

PMID38450840
PMCPMC12460940
OpenAlexW4392551898

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.