Nicole Boucher, PhD, CPNP-PC, University of Michigan, Ann Arbor, MI, USA.
Cynthia S. Darling-Fisher, PhD, FNP-BC, FAANP, University of Michigan, Ann Arbor, MI, USA.
J Am Psychiatr Nurses Assoc. 2022 Jul-Aug;28(4):319-325. doi: 10.1177/1078390320953896. Epub 2020 Sep 10.
Agencies and clinical practices are beginning to provide trauma-informed care (TIC) to their clients. However, there are no measures to assess clients' perceptions of and satisfaction with the TIC care they have received. A 20-item questionnaire, the TIC Grade, was developed, based on the National Center for Trauma-Informed Care principles of TIC, to assess the patient or client perception of the TIC provided in settings that serve adolescents and emerging adults.
The goal of this project was to evaluate the psychometric properties of the TIC Grade instrument and to make recommendations for use of the full measure and its short form-an overall letter grade.
The TIC Grade questionnaire was administered to youth over the age of 18 years from four community partners providing care to vulnerable young adults. Potential participants were offered questionnaires at the end of their visit. Those interested in participating left their completed anonymous questionnaire in a locked box to maintain confidentiality. Questionnaires were collected from 100 respondents; 95 were complete enough to include in analyses for psychometric evaluation.
The findings of this project support the reliability and usability of the 20-item TIC Grade measure to assess youth's perceptions of the quality of TIC they received.
This TIC-specific, behaviorally worded client report measure can assist service delivery organizations to assess their success at implementing TIC and to identify areas where further staff training and support are needed.
各机构和临床实践开始为其客户提供创伤知情护理(TIC)。然而,目前尚无措施来评估客户对所接受的 TIC 护理的看法和满意度。本研究基于国家创伤知情护理中心的 TIC 原则,开发了一个 20 项的问卷,即 TIC 等级,用于评估在为青少年和刚成年的人群服务的环境中,患者或客户对 TIC 的看法。
本项目的目标是评估 TIC 等级工具的心理测量学特性,并就使用完整量表及其简短形式(整体字母等级)提出建议。
TIC 等级问卷分发给来自四个社区合作伙伴的年龄在 18 岁以上的青年,这些社区合作伙伴为弱势年轻成年人提供护理。在访问结束时向潜在参与者提供问卷。有兴趣参与的人将填写完的匿名问卷留在上锁的盒子中以确保保密性。共收集了 100 份问卷,其中 95 份问卷足够完整,可以进行心理测量评估分析。
本项目的结果支持 20 项 TIC 等级测量工具的可靠性和可用性,用于评估年轻人对他们所接受的 TIC 质量的看法。
这种特定于 TIC 的、以行为为导向的客户报告测量工具可以帮助服务提供组织评估他们在实施 TIC 方面的成功程度,并确定需要进一步培训和支持的领域。