Student Perspectives on Trauma-Informed Care

Abstract

Aim: This project intended to explore the perspectives of nursing students on trauma-informed care for refugees from Ukraine 2 years into the Russo-Ukrainian war. Background: Since in February 2022 approximately 6.7 million refugees from Ukraine have sought haven in host countries. War-affected refugees from Ukraine are likely to have experienced traumatic events and research supports a trauma-informed care practice. Methods: A qualitative description study with a focus on quality improvement was conducted Fall 2024. Faculty sought to improve and expand nursing knowledge through a global health international virtual exchange course between ECU and a university in Poland. This study reports on the reflective writing of four ECU nursing students who met virtually with Polish nursing student partners. Reflective writings were transcribed, coded, and systematically analyzed. Themes were inductively derived. Results: The themes identified were: Long-term effects of trauma; Benefits of trauma-informed care, and Lack of nursing competence in trauma-informed care practices. Students felt prepared in only two trauma-informed care practices: creating a safe environment and empowering via translation. The use of translators was problematic in both countries but more challenging in Poland due to population heterogeneity. Discussion: Findings suggest that physical and emotional trauma among war-affected refugees should be given equal consideration. Trauma-informed care content should be assessed and expanded in baccalaureate and graduate nursing programs to address war-affected refugees. Webinars in trauma-informed care practices could reach practicing clinicians.