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Measuring Trauma- (and Violence-) Informed Care: A Scoping Review
Trauma, Violence, & Abuse ( IF 5.4 ) Pub Date : 2021-07-08 , DOI: 10.1177/15248380211029399
C Nadine Wathen 1 , Brenna Schmitt 1 , Jennifer C D MacGregor 1
Affiliation  

Trauma- (and violence-) informed care (T(V)IC) has emerged as an important practice approach across a spectrum of care settings; however how to measure its implementation and impact has not been well-examined. The purpose of this scoping review is to describe the nature and extent of available measures of T(V)IC, including the cross-cutting concepts of vicarious trauma and implicit bias. Using multiple search strategies, including searches conducted by a professional librarian from database inception to Summer 2020, 1074 articles were retrieved and independently screened for eligibility by two team members. A total of 228 were reviewed in full text, yielding 13 measures that met pre-defined inclusion criteria: 1) full-text available in English; 2) describes the initial development and validation of a measure, that 3) is intended to be used to evaluate T(V)IC. A related review of vicarious trauma measures yielded two that are predominant in this literature. Among the 13 measures identified, there was significant diversity in what aspects of T(V)IC are assessed, with a clear emphasis on “knowledge” and “safety”, and less on “collaboration/choice” and “strengths-based” concepts. The items and measures are roughly split in terms of assessing individual-level knowledge, attitudes and practices, and organizational policies and protocols. Few measures examine structural factors, including racism, misogyny, poverty and other inequities, and their impact on people’s lives. We conclude that existing measures do not generally cover the full potential range of the T(V)IC, and that those seeking such a measure would need to adapt and/or combine two or more existing tools.



中文翻译:

衡量创伤-(和暴力-)知情护理:范围界定审查

创伤(和暴力)知情护理 (T(V)IC) 已成为一系列护理环境中的重要实践方法;然而,如何衡量其实施和影响还没有得到很好的研究。本范围界定审查的目的是描述 T(V)IC 可用措施的性质和范围,包括替代性创伤和隐性偏见的交叉概念。使用多种搜索策略,包括由专业图书馆员从数据库开始到 2020 年夏季进行的搜索,检索到 1074 篇文章,并由两名团队成员独立筛选是否符合条件。总共审查了 228 个全文,产生了 13 个符合预先定义的纳入标准的措施:1)提供英文全文;2) 描述措施的初始开发和验证,3) 旨在用于评估 T(V)IC。对替代性创伤措施的相关回顾得出了在该文献中占主导地位的两项措施。在确定的 13 项措施中,评估 T(V)IC 的哪些方面存在显着差异,明确强调“知识”和“安全”,较少强调“协作/选择”和“基于优势”的概念. 这些项目和措施大致分为评估个人层面的知识、态度和实践,以及组织政策和协议。很少有措施检查结构性因素,包括种族主义、厌女症、贫困和其他不平等现象,以及它们对人们生活的影响。我们得出的结论是,现有措施通常不会涵盖 T(V)IC 的全部潜在范围,

更新日期:2021-07-08
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