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Pediatric Medical Traumatic Stress
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  • Trauma-informed pediatric care

    What is Pediatric Medical Traumatic Stress?

    • The basics
    • Prevalence & course
    • Traumatic stress symptoms
    • Risk factors
    • Understanding the family's experience
    • Key research findings

    How to Provide Trauma-Informed Care

    • The basics
    • D-E-F framework
    • Levels of risk and trauma-informed care
    • Timeline for trauma-informed care
    • Referral to mental health care
    • Addressing health disparities
    • Developmental considerations
    • Cultural considerations

    Self Care & Secondary Trauma

    • The basics
    • Self care tips
    • Organizational support
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  • Find Tools and Resources

    Patient Education

    Patient Education

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    Screening & Assessment

    Screening & Assessment

    • The basics
    • Find screening & assessment tools
    • Screening after pediatric injury
    • Psychosocial Assessment Tool (PAT)
    • Acute Stress Checklist (ASC-Kids)
    • Family Illness Beliefs Inventory (FIBI)
    • Immediate Stress Reaction Checklist (ISRC)

    Intervention

    Intervention

    • The basics
    • Surviving Cancer Competently (SCCIP)
    • Cellie Coping Kit

    Trauma-Informed Care

    Trauma-Informed Care

    • The basics
    • TIC Provider Survey
    • Observation Checklist - Pediatric Resuscitation

    COVID-19

    COVID-19

    • COVID-19
    • Resources for healthcare staff
    • COVID-19 Exposure and Family Impact Scales (CEFIS)
    • Helping my child cope

    Resources

    Resources

    • More resources
    • More resources
  • For Patients and Families
    • Coping with injury or illness
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    • Need more help?
    • Family voices

COVID-19 Resources for Healthcare Staff

These resources provide concrete, usable tools for healthcare staff to support coping in the face of challenging, stressful situations in delivering healthcare.

Responding to the Coronavirus / COVID-19 Pandemic: Toolkit for Emotional Coping for Healthcare Staff (TECHS)

 

Toolkit Emotional Coping Healthcare Staff - COVID-19 - PDF.pdf (1.17 MB)

This slideset can be used by individual staff or healthcare teams to learn coping and resilience building skills. For PowerPoint slides, please contact cpts@chop.edu.

TECHS flyer – use this 1-page quick intro to share TECHS with your colleagues and staff

FREE WEBINAR: Toolkit for Emotional Coping for Healthcare Staff - Putting it into practice

Frontline healthcare staff are facing unprecedented stressors as the COVID-19 pandemic continues to impact all of our lives. The Toolkit for Emotional Coping for Healthcare Staff (TECHS) is a set of concrete tools healthcare staff can use during these challenging times. This webinar also provides guidance and practical tips for supporting colleagues, as well as a stand-alone presentation of the toolkit that can be viewed by groups or individuals as a basis for working through the tools on their own. Watch this recorded webinar any time.

Leaders: Learn how to facilitate TECHS with colleagues / groups of healthcare staff
Small groups / Individuals: Use as a guide to using the TECHS tools at your own pace - stop and start to fit the time you have available

TECHS in additional languages

• Spanish version of TECHS from the Asociación Chilena del Estrés Traumático (ACET): 

Herramientas de afrontamiento emocional para el personal de salud (1.25 MB)

For PowerPoint slides, please contact cpts@chop.edu.

• TECHS Webinar en español

• Japanese version of TECHS from the Japanese Society for Traumatic Stress Studies (JSTSS)

a logo depicting the title TECHS: Toolkit for Emotional Coping for Healthcare Staff

Secondary Traumatic Stress for Healthcare Professionals

This slideset can be used by individual staff or healthcare teams to learn about secondary traumatic stress and how individuals and institutions can help address it. For PowerPoint slides, please contact cpts@email.chop.edu.

  • Learn more about secondary traumatic stress

Impact on healthcare staff –  stress and well-being

Secondary traumatic stress is a set of responses to being exposed to trauma experienced by others, especially in one’s work / professional role.  Reactions can be akin to symptoms of posttraumatic stress – including:

  • Intrusive or recurrent disturbing thoughts
  • Avoiding reminders of difficult experiences
  • Overly aware of any signs of danger

Other signs and symptoms can include:

  • Sleep problems
  • Feeling down or depressed
  • Feeling apathetic or emotionally detached
  • Irritability or anger
  • Trouble concentrating

All healthcare staff are at risk for secondary traumatic stress, even in “normal” times, because of their repeated exposure to potentially traumatic experiences of their patients.  The COVID-19 pandemic has many characteristics that increase the risk of secondary traumatic stress for frontline healthcare staff - witnessing suffering and death among patients and other staff, and uncertainty about the future, with an ever-changing situation. 

In a pandemic, there are additional stressors for healthcare staff who:

  • may also be caregivers for own children, partner, older family members
  • are at risk of becoming ill themselves and being in the patient role
  • may face ethical dilemmas around providing care to critically ill patients when resources are limited

In healthcare and hospital settings, all essential frontline staff can be exposed to these stressors – clinical staff as well as security, front desk, environmental services and food service staff, and others.

Promoting coping, resilience, and well-being

First, institutional responses are important.  Emerging evidence from pandemics suggests that healthcare staff experience lower stress, depression, and anxiety when they are satisfied with the care provided by their hospital / department and are satisfied with the protective measures available to them for avoiding infection. 

Individuals and healthcare teams can also play a role in their own wellbeing.  All the usual advice about self-care applies: rest, exercise, time to “turn off” mentally outside of work.  In addition, specific tools can help to learn quick, practical coping strategies – see Toolkit for Emotional Coping for Healthcare Staff (TECHS). 

Additional Resources for Healthcare Staff

Tips and information on healthcare staff coping and wellbeing at work / related to COVID-19

  • Taking Care of Yourself – Checklist for health and mental health professionals - from the National Child Traumatic Stress Network
  • Addressing physician stress - from the AMA
  • Managing healthcare workers’ stress associated with COVID-19 - from the National Center for PTSD
  • Resources on staff wellbeing - from the Intensive Care Society (UK)
  • Health Care Provider Well-Being During Covid-19 – from the University of Colorado
  • Emergency Responders: Tips for taking care of yourself (not COVID specific) - from the CDC
  • Emotional coping strategies for COVID-19 - from the Oncology Nursing Society
  • Caring for Yourself in the Face of Difficult Work – Pocket Card for COVID-19
  • Useful tips on emotional health during the COVID-19 pandemic - from the Nantucket Cottage Hospital

 Considering and coping with ethical challenges

  • Guidance for Professionals During Disasters, Pandemics, and Other Extreme Emergencies - from the American Nurses Association
  • Ethics in Practice - from the Canadian Nurses Association 
  • COVID-19 Ethics Resource Center – AMA Journal of Ethics
  • Addressing Ethical Issues in Pandemic Influenza Planning - from the WHO
  • Ethical Framework for Health Care Institutions Responding to the Coronavirus Pandemic - from the Hastings Center 

General stress and coping tools 

  • Professional Quality of Life Measure (ProQOL)  https://proqol.org/ProQol_Test.html
    • Measure of both negative and positive effects on professionals from helping others who experience suffering and trauma.  Available in 27 languages, or download the “Provider Resilience” app 
    • The ProQoL is included in this set of quick, evidence-based tools to gauge your stress as well as your compassion satisfaction.  Give yourself a regular “checkup” – the app will help you track your responses over time.
  • Headspace for Healthcare Professionals
    • Tools for calming and coping.  Headspace is offering free accounts for healthcare professionals during the pandemic
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