Medical Trauma on the Inpatient Medicine Service: Perspectives of Recently Hospitalized Patients, Residents, and the Interdisciplinary Care Team - Summary - MDSpire
To examine how hospitalization contributes to or reinforces medical trauma and to explore care team perspectives on delivering trauma-informed care.
Approach:
Study Design: Conducted ten one-on-one interviews with recently hospitalized patients and two focus groups with resident physicians and interdisciplinary care team members.
Patient Recruitment: Patients were recruited from two clinical settings at a large urban academic medical center, focusing on those with high social determinants of health needs.
Data Collection: Interviews were guided by a protocol and assessed ACE exposure using the Philadelphia ACEs survey.
Key Findings:
Patients hospitalized on general internal medicine services often have complex trauma histories.
Medical trauma, distinct from other trauma types, is underexplored in adult populations.
Bias, stigma, and communication breakdowns in healthcare settings can exacerbate existing trauma.
Interpretation:
Understanding medical trauma from multiple perspectives is essential for refining trauma-informed interventions in inpatient settings.
Limitations:
Small sample size may limit generalizability.
Specific admission diagnoses were not tracked.
Conclusion:
The study highlights the need for improved trauma-informed care in inpatient settings, particularly for vulnerable populations.
by Revika Singh, Ibrahim B. Mokhtar, Yashoswini Chakraborty, Uma Thachapuzha, Muriel Jean-Jacques, Aashish K. Didwania, Christine Schaeffer, Maria E. Theodorou, Rachel O’Conor, Marlise Jeanne Pierre-Wright
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