{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T07:41:44Z","timestamp":1792654904972,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:00:00Z","timestamp":1792627200000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Nurses and midwives deliver 24\/7 care for complex biopsychosocial needs across the lifespan. The global shortage of nurses and midwives is a challenge for healthcare organisations, placing additional stress and symptoms of trauma on those who remain. Trauma\u2010informed care is an organisational framework that embeds trauma awareness into healthcare policies and practices to prevent re\u2010traumatisation and promote the well\u2010being of patients and providers. Grounded in six core principles, it addresses the multifaceted effects of trauma in healthcare. Clinical supervision supports practitioner development and wellbeing and may benefit nurses and midwives who face vicarious trauma. Although trauma\u2010informed clinical supervision is established in allied health professions, research in nursing and midwifery is limited. As nurses and midwives also encounter traumatic experiences, further research into trauma\u2010informed clinical supervision is needed. This review investigated trauma\u2010informed clinical supervision in nursing and midwifery, asking the question: \u2018Can the six principles of trauma\u2010informed care be integrated into clinical supervision for nurses and midwives?\u2019 An integrative review was employed, identifying seven published articles for inclusion which were then analysed using directed qualitative content analysis. Descriptive knowledge and understanding of the six principles of trauma\u2010informed care (safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment, voice and choice, and cultural, historical and gender issues) emerged from the data corpus. Although the extent and consistency of these understandings call for further investigation, the results may inform the development of a trauma\u2010informed clinical supervision model for nurses and midwives. Further research may help clarify trauma\u2010informed supervision and inform pedagogical strategies.<\/jats:p>","DOI":"10.1111\/inm.70381","type":"journal-article","created":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T07:25:28Z","timestamp":1792653928000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trauma\u2010Informed Clinical Supervision for Nurses and Midwives: An Integrative Review of the Literature"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6186-4246","authenticated-orcid":false,"given":"Debra","family":"Klages","sequence":"first","affiliation":[{"name":"University of New England  Armidale New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4860-9336","authenticated-orcid":false,"given":"Eric","family":"Lim","sequence":"additional","affiliation":[{"name":"University of Newcastle  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2280-3368","authenticated-orcid":false,"given":"Martina","family":"Costello","sequence":"additional","affiliation":[{"name":"Murdoch University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3892-0112","authenticated-orcid":false,"given":"Debra","family":"Carnes","sequence":"additional","affiliation":[{"name":"National Coalition of Independent Scholars  Glastonbury Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6435-6668","authenticated-orcid":false,"given":"Katrina","family":"Angus","sequence":"additional","affiliation":[{"name":"Queensland Health  Rockhampton Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9686-5003","authenticated-orcid":false,"given":"Kim","family":"Usher","sequence":"additional","affiliation":[{"name":"University of New England  Armidale New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,22]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.2028"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2022.31.20.1058"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12090908"},{"key":"e_1_2_13_5_1","volume-title":"Trauma Counseling: Theories and Interventions for Managing Trauma, Stress, Crisis, and Disaster","author":"Bledsoe D. 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University of Exeter."},{"issue":"1","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3912\/OJIN.Vol28No01Man01","article-title":"Using a Trauma\u2010Informed Approach to Address Burnout in Nursing: What an Organization Can Accomplish","volume":"28","author":"Dawson\u2010Rose C.","year":"2023","journal-title":"OJIN, Online Journal of Issues in Nursing"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.7748\/nop.2024.e1456"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2023.2280198"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2024.2310663"},{"key":"e_1_2_13_17_1","unstructured":"Hayter V. K.Scafide C.Cleaveland andN.Kassam\u2010Adams.2025.\u201cFactors Associated With Nurses' Perceptions and Practices of Trauma Informed Care.\u201d Unpublished Doctoral Dissertation. George Mason University."},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.13038"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.34190\/ejbrm.20.3.2920"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12953"},{"issue":"3","key":"e_1_2_13_22_1","first-page":"47","article-title":"Restorative Resilience Clinical Supervision: A Retention Strategy for Graduate Nurses?","volume":"28","author":"Klages D.","year":"2024","journal-title":"Australian Nursing and Midwifery Journal"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/07325223.2025.2531092"},{"key":"e_1_2_13_24_1","unstructured":"Long T.2024.\u201cStrengthening Connections: Trauma\u2010Informed Care Education for Midwives.\u201d Unpublished Master's Thesis. Southern Cross University.https:\/\/doi.org\/10.25918\/thesis.425."},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/08404704231204874"},{"issue":"3","key":"e_1_2_13_26_1","first-page":"1","article-title":"System\u2010Level Changes Are Essential to Improve Psychological Wellbeing","volume":"122","author":"Maben J.","year":"2026","journal-title":"Nursing Times"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15283"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.13408"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15725"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643\u2010021\u201001626\u20104"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnsa.2022.100083"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/01609513.2019.1638654"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010052929"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2020.11.004"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/0312407X.2025.2462304"},{"key":"e_1_2_13_36_1","unstructured":"Stamm B.2009.\u201cProfessional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (PRoQOL).\u201dhttps:\/\/proqol.org\/proqol\u2010measure."},{"key":"e_1_2_13_37_1","unstructured":"Substance Abuse and Mental Health Services Administration.2014.\u201cSAMHSA's Concept of Trauma and Guidance for a Trauma\u2010Informed Approach.\u201d HHS Publication No. (SMA) 14\u20104884. 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