Rural primary care workforce views on trauma-informed care for parents experiencing complex trauma: a descriptive study.
| dc.contributor.author | Reid C. | |
| dc.contributor.author | Bennetts S.K. | |
| dc.contributor.author | Nicholson J.M. | |
| dc.contributor.author | Amir L.H. | |
| dc.contributor.author | Chamberlain C. | |
| dc.date.accessioned | 2024-11-19T05:30:27Z | |
| dc.date.available | 2024-11-19T05:30:27Z | |
| dc.date.copyright | 2023 | |
| dc.date.issued | 2023-02-28 | en |
| dc.description.abstract | Background: An important service system for rural parents experiencing complex trauma is primary health care. AIM: To investigate workforce knowledge, attitudes and practices, and barriers and enablers to trauma-informed care in rural primary health care. MATERIAL & METHODS: This study used a descriptive, cross-sectional design. It involved an on-line survey conducted in 2021 in rural Victoria, Australia. Participants were the primary health care workforce. The main outcome measures were study-developed and included, a 21-item Knowledge, Attitudes and Practices tool, a 16-item Barriers and Enablers to Trauma-Informed Care Implementation tool, and three open-ended questions. Results: The 63 respondents were from community health (n = 40, 63%) and child and family services (n = 23, 37%). Many (n = 43, 78%) reported undertaking trauma-informed care training at some point in their career; with 32% (n = 20) during higher education. Respondents self-rated their knowledge, attitudes and practices positively. Perceived enablers were mainly positioned within the service (e.g. workforce motivation and organisational supports) and perceived barriers were largely external structural factors (e.g. availability of universal referral pathways, therapeutic-specific services). Open-ended comments were grouped into four themes: (1) Recognition and understanding; (2) Access factors; (3) Multidisciplinary and collaborative approaches; and (4) Strengths-based and outcome-focused approaches. DISCUSSION & Conclusions: Primary health care is an important driver of population health and well-being and critical in rural contexts. Our findings suggest this sector needs a rural trauma-informed care implementation strategy to address structural barriers. This also requires policy and system development. Long-term investment in the rural workforce and primary care service settings is essential to integrate trauma-informed care.Copyright © 2022 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd. | |
| dc.description.grant | Organisation: La Trobe University | |
| dc.identifier.citation | The Australian Journal of Rural Health. Vol.31(1), 2023, pp. 98-113. | |
| dc.identifier.doi | https://dx.doi.org/10.1111/ajr.12922 | |
| dc.identifier.institution | (Reid, Bennetts, Nicholson, Amir, Chamberlain) Judith Lumley Centre, School of Nursing and Midwifery, La Trobe University, Bundoora, VIC, Australia | |
| dc.identifier.institution | (Bennetts) Intergenerational Health Group, Murdoch Children's Research Institute, Parkville, VIC, Australia | |
| dc.identifier.institution | (Chamberlain) Murdoch University, NGANGK YIRA: Murdoch University Research Centre for Aboriginal Health and Social Equity, Perth, WA, Australia | |
| dc.identifier.institution | (Chamberlain) Centre for Health Equity, University of Melbourne, Melbourne, VIC, Australia | |
| dc.identifier.institution | (Chamberlain) MelbourneVICAustralia | |
| dc.identifier.pubmedid | 36083418 [https://www.ncbi.nlm.nih.gov/pubmed/?term=36083418] | |
| dc.identifier.uri | https://lowitja.intersearch.com.au/handle/1/758 | |
| dc.relation.ispartof | The Australian Journal of Rural Health | |
| dc.subject.keywords | Healthcare workforce | |
| dc.subject.keywords | Mental health | |
| dc.title | Rural primary care workforce views on trauma-informed care for parents experiencing complex trauma: a descriptive study. | |
| dc.type | Article |