Abstract

Introduction: Trauma-informed care (TIC) refers to the widespread impact of trauma on patients, focusing on safety, trust, empowerment, and collaboration. Oncology patients are particularly vulnerable to trauma due to the emotional and physical distress associated with cancer diagnoses and treatments. This literature review examined the role of TIC in oncology, emphasizing its effects on patient outcomes, healthcare provider practices, and challenges in implementation.

Methods: A systematic review was conducted using PRISMA guidelines. Studies published from 2018 to 2024 were selected from PubMed, CINAHL, and PsycINFO. Keywords included "trauma-informed care," "oncology," "patient outcomes," and "interdisciplinary collaboration". A total of 10 studies were included, analyzing TIC interventions, patient care outcomes, and barriers to implementation.

Results: Evidence supported the positive impact of TIC on patient outcomes, including reduced anxiety, depression, and distress. Davidson et al. (2023) demonstrated that TIC approaches in oncology settings reduced anxiety and improved patient-provider relationships. Andrejko and Katrichis (2022) found psychosocial barriers to care and stressed the importance of trauma-informed practices. Dhawan and LeBlanc (2022) showed that TIC facilitated shared decision-making, particularly for racial minorities with hematologic malignancies. Key barriers identified were insufficient staff training, institutional resistance, and limited resources.

Discussion: TIC enhances emotional well-being and patient engagement, contributing to improved care experiences in oncology. Implementing TIC faces challenges, such as the lack of training, time constraints, and institutional barriers. Centers for Disease Control and Prevention (2018) outlined strategies to aid in overcoming obstacles. Fleishman et al. (2019) emphasized the role of nurses in leading TIC integration, fostering improved communication and patient care.

Conclusion: Trauma-informed care significantly benefits oncology patients by addressing psychological trauma and improving treatment protocol implementation. This study highlights the importance of TIC training for healthcare providers and institutional support for its implementation. Future research should focus on overcoming implementation barriers and evaluating the long-term effects of TIC in oncology.

Notes

Reference list included in attached slide deck.

Description

Trauma-informed care (TIC) in oncology addresses the emotional and psychological impacts of cancer treatment on patients. This review explores the benefits of TIC, including improved patient outcomes, reduced distress, and better communication. Key challenges include insufficient staff training and limited resources. The findings suggest that implementing TIC enhances patient care and emphasizes the need for ongoing provider education and institutional support for effective integration.

Author Details

Susan K. Lee, PhD, MSN, RN, CNE, CPXP, FAAN, ANEF, FHX and Kevin R. Clark, EdD, R.T.(R)(QM)(ARRT), FAEIRS, FASRT

Sigma Membership

Phi Gamma (Virtual)

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Systematic Review

Research Approach

Other

Keywords:

Academic-clinical Partnership, Interprofessional, Interdisciplinary, Primary Care, Clinical Practice, Promoting Clinical Outcomes, Trauma-informed Care, Oncology

Conference Name

48th Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Date of Issue

2025-11-26

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Trauma-Informed Care in Oncology

Indianapolis, Indiana, USA

Introduction: Trauma-informed care (TIC) refers to the widespread impact of trauma on patients, focusing on safety, trust, empowerment, and collaboration. Oncology patients are particularly vulnerable to trauma due to the emotional and physical distress associated with cancer diagnoses and treatments. This literature review examined the role of TIC in oncology, emphasizing its effects on patient outcomes, healthcare provider practices, and challenges in implementation.

Methods: A systematic review was conducted using PRISMA guidelines. Studies published from 2018 to 2024 were selected from PubMed, CINAHL, and PsycINFO. Keywords included "trauma-informed care," "oncology," "patient outcomes," and "interdisciplinary collaboration". A total of 10 studies were included, analyzing TIC interventions, patient care outcomes, and barriers to implementation.

Results: Evidence supported the positive impact of TIC on patient outcomes, including reduced anxiety, depression, and distress. Davidson et al. (2023) demonstrated that TIC approaches in oncology settings reduced anxiety and improved patient-provider relationships. Andrejko and Katrichis (2022) found psychosocial barriers to care and stressed the importance of trauma-informed practices. Dhawan and LeBlanc (2022) showed that TIC facilitated shared decision-making, particularly for racial minorities with hematologic malignancies. Key barriers identified were insufficient staff training, institutional resistance, and limited resources.

Discussion: TIC enhances emotional well-being and patient engagement, contributing to improved care experiences in oncology. Implementing TIC faces challenges, such as the lack of training, time constraints, and institutional barriers. Centers for Disease Control and Prevention (2018) outlined strategies to aid in overcoming obstacles. Fleishman et al. (2019) emphasized the role of nurses in leading TIC integration, fostering improved communication and patient care.

Conclusion: Trauma-informed care significantly benefits oncology patients by addressing psychological trauma and improving treatment protocol implementation. This study highlights the importance of TIC training for healthcare providers and institutional support for its implementation. Future research should focus on overcoming implementation barriers and evaluating the long-term effects of TIC in oncology.