Reference no: EM133819128
PRACTICE QUESTIONS AND SEARCH STRATEGIES
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Traumatic experiences leave long-lasting negative effects on traumatized individuals, families and society as whole. Trama-informed care (TIC) is a therapeutic framework that can help mitigate the negative consequences of prolonged trauma on a person's current and future health (Bargeman, et al., 2021). Moreover, adults and pediatric patients continue to experience post traumatic symptoms which begs the question if Trama-informed care is inadequately used in psychiatric and behavioral care settings for adults and pediatrics with traumatic experiences.
Proposed Practice Question:
In adults and children with history of trauma and receiving care in psychiatric care settings, is implementation of Trauma-informed care (TIC) compared with standard psychiatric practices reduce post-traumatic stress symptoms w
one year?
PICOT Format:
P (Population):
Adults and children with current or previous experience of trauma and receiving psychiatric care for trauma related disorders, for example, PTSD, acute stress disorders and adjustment disorders.
I (Intervention):
Implementation of Trauma-informed care (TIC) in psychiatric and behavioral health hospitals.
C (Comparison):
Standard psychiatric patient care practices without Trama-informed care integration.
O (Outcome):
Improved patient outcomes through reduction of trauma related symptoms, readmissions rate and improved treatment adherence.
T (Time):
Measured within twelve months of Trauma-informed care implementation.
Proposed Search Strategies:
My search strategies were customized to fit my proposed practice question using Boolean operators, truncations and filters. The databases searched through Walden Library included CINAHL, PubMed, Cochrane and PsycINFO and focused on psychiatric patients, methodologies, definitions of Trama-informed care and the types of interventions and measures used. The keywords used for my search included mental health, trauma, trauma-informed care, implementation, inadequate use, adults and children and psychiatric healthcare settings.
Both quantitative and qualitive studies that reported on the implementation of trauma-informed care, the six core strategies of trauma-informed care, quality improvement initiatives related to trauma-informed care, trauma-informed care in psychiatric settings and adults and pediatric populations with trauma disorders were included. Additionally, literature written in English language, peer-reviewed publications within five were included.
Etiological studies, studies describing trauma-specific long -term interventions, theses with articles published, non-English studies, studies older that last five years and studies done in non-psychiatric settings were excluded.
Research and Non-research Evidence
The primary purpose of research is to generate knowledge, and its evidence is based on information acquired through observation or experimentation and not bare speculation. I concentrated on research evidence articles which included randomized controlled trials (RCTs) with proper randomization and well-designed cohort or case-control studies.
Non-research focuses on theories, opinions, methods and their implications for research and aims at preventing or controlling health problems to improve health. Non-research studies included observational studies, surveys and questionnaires, case studies, and longitudinal studies.
The proposed practice question, PICOT question and format, search strategies, inclusion and exclusion criteria are helpful approaches for summarizing research questions that investigates the effects of using trauma-informed care or lack of- in psychiatric settings for traumatized patients can impact outcomes. To develop a strong research question with a mapped-out PICOT format, an understanding of both the clinical area of investigation and the current and existing literature are required.