Towards a Conceptual Model Applying Trauma Informed Care Principles and Healthcare Professional Resilience to Interfacility Transport of Acutely Ill and Preterm Neonates
Abstract
The purpose of this dissertation was to acquire a greater depth of knowledge surrounding the experiences of the interfacility transport process for acutely ill and preterm neonates based on the perspectives of healthcare professionals and parent-caregivers who are involved. In doing so, an overall goal was to develop a conceptual model that explains how healthcare professionals and parents experience the process while also offering insights into how to foster more positive experiences through clinical interventions that are aligned with Family Centred Care. This program of research is uniquely guided by the paradigms and theoretical frameworks of Trauma Informed Care (TIC), Family Centred Care (FCC) and Resilience.
This dissertation contains an introduction chapter and methodology chapter, three integrated articles, and a final discussion chapter. The project utilizes constructivist grounded theory methodology to carry out data collection and analysis. The first article is a systematic investigation into the nature and extent of empirical literature exploring healthcare professional experiences across all types of early healthcare transitions. The second article explores how a sample of six diverse professionals experience interfacility transport. The third article presents the findings of a sample of eight maternal experiences of neonatal interfacility transport during the COVID-19 pandemic. The final discussion chapter presents a conceptual model and provides insights into how trauma-informed care principles and professional resilience may be beneficial to consider in clinical practice within this unique context.