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学校工作人员继发性创伤应激与创伤知情护理利用情况调查

An Investigation of Secondary Traumatic Stress and Trauma-informed Care Utilization in School Personnel.

作者信息

Sprang Ginny, Garcia Antonio

机构信息

College of Medicine/Department of Psychiatry, University of Kentucky, Lexington, KY USA.

Center On Trauma and Children, 3470 Blazer Parkway Suite 100, Lexington, KY 40515 USA.

出版信息

J Child Adolesc Trauma. 2022 Jun 14;15(4):1095-1103. doi: 10.1007/s40653-022-00465-2. eCollection 2022 Dec.

Abstract

Trauma-informed practices in schools are designed to address the impacts of trauma on students and increase supports for school personnel who are delivering this care The impact of a trauma-informed school-based intervention. , , 142-147, Mendelsonet al., 2015. Research has established that professionals trained to implement the approach may have secondary traumatic stress (STS) reactions that could interfere with successful implementation (Stevens al., 2020). In this study it was hypothesized that increased use of trauma-informed care strategies would be associated with decreases in total STS scores, as well as all STS subscale scores at the end of a system's transformation initiative, controlling for sex, age, education, years worked in schools, and exposure to student trauma awareness at baseline. The Trauma Sensitive Schools Checklist (TSSC) and the Secondary Traumatic Stress Scale (STSS) were used to measure study outcomes in a sample of 205 school personnel at baseline and follow up. Statistically significant improvement in STSS scores and TSSC score were noted from Time 1 to Time 2. As hypothesized, improvements in TSSC scores were associated with decreased levels of STS over time, controlling for the covariates. However, the symptom domains of intrusion and arousal impacted this relationship in a differential manner than avoidance and alterations in cognitions and mood. This study provides evidence that increased use of trauma-informed care practices can positively impact the STS levels of school personnel, though special attention should be paid to those with high levels of intrusion or arousal.

摘要

学校中的创伤知情实践旨在应对创伤对学生的影响,并增加对提供此类护理的学校工作人员的支持。创伤知情的校本干预措施的影响。,,142 - 147,门德尔松等人,2015年。研究表明,接受过实施该方法培训的专业人员可能会出现继发性创伤应激(STS)反应,这可能会干扰成功实施(史蒂文斯等人,2020年)。在本研究中,假设在系统转型计划结束时,增加使用创伤知情护理策略将与总STS得分以及所有STS子量表得分的降低相关,同时控制性别、年龄、教育程度、在学校工作的年限以及基线时对学生创伤意识的接触情况。创伤敏感学校检查表(TSSC)和继发性创伤应激量表(STSS)用于在基线和随访时测量205名学校工作人员样本中的研究结果。从时间1到时间2,STSS得分和TSSC得分有统计学意义的改善。如假设的那样,在控制协变量的情况下,TSSC得分的改善与随着时间推移STS水平的降低相关。然而,侵入和唤醒的症状领域对这种关系的影响方式与回避以及认知和情绪的改变不同。这项研究提供了证据,表明增加使用创伤知情护理实践可以对学校工作人员的STS水平产生积极影响,尽管应特别关注那些侵入或唤醒水平较高的人员。

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Effects of trauma-informed approaches in schools: A systematic review.学校中创伤知情方法的效果:一项系统综述。
Campbell Syst Rev. 2019 Jul 17;15(1-2):e1018. doi: 10.1002/cl2.1018. eCollection 2019 Jun.
2
Diagnostic and Translational Utility of the Secondary Traumatic Stress Clinical Algorithm (STS-CA).
J Interpers Violence. 2022 Nov;37(21-22):NP19811-NP19826. doi: 10.1177/08862605211044961. Epub 2021 Sep 10.

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