Young people in residential out-of-home care are one of the most traumatised, vulnerable, and disadvantaged groups in the Australian community. Residential care workers are trained in trauma-informed practice, to provide quality care to young people in residential care through a trauma-informed lens. However, limited research exists on perceptions of residential care workers on the implementation of trauma-informed practice in the Australian context, and whether it is sufficient to support young people in residential care. This qualitative study used interpretative phenomenological analysis to better understand worker perceptions and experiences when implementing trauma-informed practice in residential care, and explore any perceived barriers or recommendations to implementation in this context. Seven participants were recruited and interviewed. The results demonstrated that workers apply some elements of trauma-informed practice into everyday practice, such as self-awareness, providing a safe environment, and giving the young person choice and control. However, participants perceived that they lacked the training to support positive behaviour changes and engaging young people with trauma to develop adaptive skills to become more independent. It was also found that participants rarely referenced or identified their own trauma-informed actions and aligned these principles to practical aspects of their role, even when incidental trauma-informed approaches were being used. Understanding the experiences of residential care workers provides insight into the functional day-to-day delivery of trauma-informed practice, demonstrating which aspects are translatable, and which areas workers may benefit from further training to improve practical and contextualised application.

中文翻译：

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住院护理人员对实施创伤知情实践的看法

接受户外寄宿护理的年轻人是澳大利亚社区中受创伤最严重、最脆弱和最弱势的群体之一。住院护理人员接受创伤知情实践培训，通过创伤知情镜头为住院护理中的年轻人提供优质护理。然而，关于寄宿护理人员对在澳大利亚实施创伤知情实践的看法以及这是否足以支持寄宿护理中的年轻人的研究有限。这项定性研究使用解释性现象学分析来更好地了解工人在住院护理中实施创伤知情实践时的看法和经验，并探讨在此背景下实施的任何感知障碍或建议。招募并采访了七名参与者。结果表明，工作人员将创伤知情实践的一些要素应用到日常实践中，例如自我意识、提供安全的环境以及给予年轻人选择和控制权。然而，参与者认为他们缺乏支持积极行为改变的培训，也缺乏让遭受创伤的年轻人培养适应技能以变得更加独立的培训。研究还发现，即使在使用偶然的创伤知情方法时，参与者也很少提及或识别自己的创伤知情行为，并将这些原则与其角色的实际方面结合起来。了解住院护理人员的经验可以深入了解创伤知情实践的日常功能交付，展示哪些方面是可转化的，以及哪些领域的工作人员可以从进一步的培训中受益，以改善实际和情境应用。