Insufficient time presents as a common barrier to implementing trauma informed care within a hospital. With all the other duties and responsibilities doctors, nurses and other healthcare providers must address to care for the physical health of the patient, little time is afforded to addressing any concerns with coping with an injury or illness. 




By using a framework such as the DEF protocol, trauma informed care can be integrated into regular daily care seamlessly,without adding (much) additional time. Incorporating trauma informed care and addressing a patient and family's adjustment to the injury or illness may be possible in greater depth during the bedside shift change.  More and more hospitals are implementing bedside shift change to increase patient safety, but by incorporating the patient and family during rounds, the opportunity exists to also their emotional recovery. Bedside shift change helps the medical staff get to know the patient and their family better, which opens the door to address concerns with emotionally recovery as well as other potential issues outside of strictly medical care:


Kate Miller, a nurse in the general surgery unit, says being at the bedside with another nurse who has taken care of the patient for an entire shift forges a more personal connection, “so you see the person and not just a piece of paper.”


Implementing trauma informed care does not need to be complicated or time-consuming. Incorporating trauma informed care into regular daily care is key. Share your thoughts on assessing traumatic stress symptoms and emotional recovery during bedside shift change on our Facebook page