Trauma-informed healthcare systems: an evaluation of trauma-informed care training for hospital-based healthcare professionals in the aftermath of the 2023 earthquakes in Türkiye

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dc.authorid0009-0009-6283-9614
dc.contributor.authorSimsek, Zeynep
dc.contributor.authorUgur, Busra
dc.date.accessioned2026-04-04T18:55:49Z
dc.date.available2026-04-04T18:55:49Z
dc.date.issued2025
dc.departmentİstanbul Bilgi Üniversitesi
dc.description.abstractDisasters are complex global problems with an increasing impact with rising prevalence of associated illness, mortality, and intensifying health inequities. In recent years, there has been an emphasis on integrating trauma-informed care approaches into health policies and protocols. The purpose of the current study was to investigate the benefits of a trauma-informed healthcare training program for hospital-based healthcare providers with a focus on knowledge acquisition, empowerment of professional practice, and personal well-being. The program was implemented in the aftermath of the 2023 earthquakes in southeastern T & uuml;rkiye. The training consisted of four modules, developed based on psychological trauma theories and behavior change theories, and was evaluated using a mixed-methods approach. Assessments were conducted at the end of the training program, at baseline, and at a 6-month follow-up. A structured questionnaire including items covering the content of the training, trainer effectiveness, and program suitability was administered at the end of the training program. At 6 months, participants completed an 18-item follow-up questionnaire which assessed their understanding of the principles of the trauma-informed care approach. The Maslach Burnout Inventory (MTI) was also administered, and themes regarding the impact of the training program were extracted through in-depth individual qualitative interviews. Data were obtained from 501 program participants. The intervention program was found to improve healthcare workers' understanding of trauma, professional practices, and interpersonal relationships, and significantly reduced symptoms of burnout. These results demonstrate the critical role of trauma-informed training programs in hospitals in disaster-affected regions, especially when assistance to survivors will be enhanced by strengthening healthcare workers' resilience and improving their perceptions of service efficacy and value. The study highlights the need for more widespread adoption of these training initiatives and emphasizes that they may play significant future roles in transforming trauma-informed healthcare systems in disaster-prone countries and regions.
dc.description.sponsorshipNCD [Health/DD, D43TW009680]; Fogarty/NIH NCD LIFESPAN Global Mental
dc.description.sponsorshipWe thank the participants, hospital administrations, and our trainers. Kerim Munir acknowledges support, in part, by the Fogarty/NIH NCD LIFESPAN Global Mental Health/DD grant no. D43TW009680.
dc.identifier.doi10.1093/heapol/czae118
dc.identifier.doi10.1093/heapol/czae118
dc.identifier.endpage243
dc.identifier.issn0268-1080
dc.identifier.issn1460-2237
dc.identifier.issue2
dc.identifier.pmid39658005
dc.identifier.scopus2-s2.0-85217447721
dc.identifier.scopusqualityQ1
dc.identifier.startpage234
dc.identifier.urihttps://doi.org/10.1093/heapol/czae118
dc.identifier.urihttps://hdl.handle.net/11411/10561
dc.identifier.volume40
dc.identifier.wosWOS:001391878300001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherOxford Univ Press
dc.relation.ispartofHealth Policy and Planning
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260402
dc.snmzKA_Scopus_20260402
dc.subjectTrauma-Informed Care
dc.subjectTraining
dc.subjectEarthquake
dc.subjectHealth Systems
dc.subjectT & Uuml;Rkiye
dc.subjectHealthcare Workers' Training Intervention
dc.subjectPostdisaster Responses
dc.subjectOccupational Health And Safety
dc.titleTrauma-informed healthcare systems: an evaluation of trauma-informed care training for hospital-based healthcare professionals in the aftermath of the 2023 earthquakes in Türkiye
dc.typeArticle

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