Yantong Zhu, Gengli Zhang, Shuwei Zhan, Dandan Jiao, Tokie Anme
Do multigenerational homes moderate the intergenerational transmission of maternal adverse childhood experiences?
European journal of psychotraumatology
covid19 impacted mental health healthcare workers endured pressures provided care prolonged crisis aimed explore whether traumainformed care tic approach reflected qualitative perspectives healthcare leaders experience covid19 20202021 semistructured interviews healthcare leaders four institutions conducted data analysis consisted four stages informed interpretative phenomenological analysis 1 deductive coding using tic assumptions 2 inductive thematic analysis coded excerpts 3 keywordincontext coding full transcripts 6 tic principles integration prior inductive themes 4 interpretation themes 6 tic principles safety trustworthiness transparency peer support collaboration mutuality empowerment voice choice awareness cultural historical gender issues actions leaders n 28 reported successful supportive responses covid19 pandemic else missed opportunities reflected core principles traumainformed care promote safety leaders reported affirmative efforts protect staff providing appropriate physical protection enhanced psychological safety providing channels communication emotional wellbeing promote trustworthiness transparency leaders listened staff shared current covid19 information increased frequency meetings disseminate accurate information promote mutual support strategies included wellness checkins sharing uplifting stories affirming common goals articulating fears leading example examples empowerment included making time adjusting modalities flexible communication naming challenges outside hospital functioning channel complaints reported missed opportunities included needing dedicated time space healthcare employees process emotions failures leadership managing anxiety needing better support middle managers awareness tic principle cultural historical gender issues largely absent results informed nascent traumainformed healthcare leadership tihl framework propose traumainformed healthcare leadership framework useful schema action analysis approach yields recommendations healthcare leaders including creating designated spaces emotional processing establishing consistent checkins reference personal professional wellbeing