Purpose
This study aimed to investigate the knowledge, opinions, competence, and barriers of nurses providing trauma-informed care (TIC) to children in hospitals.
Methods
Data were collected from 198 nurses nationwide using the TIC Provider Survey developed by the Center for Pediatric Traumatic Stress in July, 2024. Descriptive statistics, t tests, and one-way ANOVA were conducted using the IBM SPSS Statistics software (ver. 23.0, IBM Corp.).
Results
Of the 13 items assessing knowledge of TIC, seven had a correct response rate of over 90%. However, the correct response rate for these three items were less than 30%. Regarding opinions on the TIC, more than 90% of participants agreed with five of the seven items. In self-rated competence in providing TIC, they were not competent in responding to a child’s (or parent’s) questions about whether the child is going to die or understanding how traumatic stress may present differently according to developmental stages. The major barriers to providing TIC were time constraints, lack of training, and organizational support. Items with relatively low performance rates were ‘teach parents what to say to their child after a difficult/sick/scary experience, and teach child or parents the specific ways to cope with unpleasant experiences’.
Conclusion
This study suggests that it can contribute to the development of specific guidelines for nurses to effectively apply TIC in pediatric and family nursing practice, emphasizing the need for educational programs to support this implementation.

Citations

• Overcoming Workplace Struggles: The Mediating Role of Trauma‐Informed Climate on Psychological Well‐Being, Emotional Resilience and Job Performance Among Critical Care Nurses
  Haitham Mokhtar Mohamed Abdallah, Mohammed ElSayed Zaky, Shaimaa Mohamed Amin, Eman Yasser Hammouda, Mohamed Hussein Ramadan Atta, Sameer A. Alkubati, Sally Mohammed Farghaly Abdelaliem, Nagwa Ibrahim Mohamed Hamad
  Nursing in Critical Care.2026;[Epub]     CrossRef
• Nurses' Knowledge, Attitudes, and Practices Regarding Trauma‐Informed Care: A Scoping Review
  Jinjin Yang, Yanbo Wang, Tingting Zhi, Fazhan Chen
  International Journal of Mental Health Nursing.2026;[Epub]     CrossRef
• The effect of trauma-informed care training on nurses’ knowledge, attitudes and practices and perceived enablers and barriers to implementation: A randomized controlled trial
  Eman Alhalal
  Nurse Education in Practice.2026; 93: 104793.     CrossRef
• The intersection of trauma-informed care and pediatric emergency nursing in Ghana: A critical interpretive synthesis
  Crispin Rakibu Mbamba, Michael Mascot Snakowuli Mankir
  International Emergency Nursing.2026; 86: 101829.     CrossRef
• The Knowledge, Attitude, and Practice of Nurses Regarding Trauma‐Informed Care for Traumatic Injured Patients: A Multicenter Cross‐Sectional Study
  Lingxiao He, Yunting Luo, Jun Chen, Renrong Gong, Dengbin Liao, Lesley Barr
  Journal of Nursing Management.2025;[Epub]     CrossRef