Muskett Coral
Department of Health and Human Services, State-Wide and Mental Health Services, Hobart, Tasmania, Australia.
Int J Ment Health Nurs. 2014 Feb;23(1):51-9. doi: 10.1111/inm.12012. Epub 2013 Jan 30.
Trauma-informed care is an emerging value that is seen as fundamental to effective and contemporary mental health nursing practice. Trauma-informed care, like recovery, leaves mental health nurses struggling to translate these values into day-to-day nursing practice. Many are confused about what individual actions they can take to support these values. To date, the most clearly articulated policy to emerge from the trauma-informed care movement in Australia has been the agreement to reduce, and wherever possible, eliminate the use of seclusion and restraint. Confronted with the constant churn of admissions and readmissions of clients with challenging behaviours, and seemingly intractable mental illness, the elimination of seclusion and restraint is seen to be utopian by many mental health nurses in inpatient settings. Is trauma-informed care solely about eliminating seclusion and restraint, or are there other tangible practices nurses could utilize to effect better health outcomes for mental health clients, especially those with significant abuse histories? This article summarizes the findings from the literature from 2000-2011 in identifying those practices and clinical activities that have been implemented to effect trauma-informed care in inpatient mental health settings.
创伤知情护理是一种新兴的价值观，被视为有效且现代的精神卫生护理实践的基础。与康复理念一样，创伤知情护理让精神卫生护士难以将这些价值观转化为日常护理实践。许多人不清楚自己可以采取哪些个人行动来支持这些价值观。迄今为止，澳大利亚创伤知情护理运动中最明确阐述的政策是达成协议，减少并尽可能消除隔离和约束措施的使用。面对有挑战性行为的患者不断入院和再次入院的情况，以及看似难以治愈的精神疾病，许多住院环境中的精神卫生护士认为消除隔离和约束措施是不切实际的。创伤知情护理仅仅是关于消除隔离和约束吗？还是有其他切实可行的做法，护士可以用来为精神卫生患者，尤其是那些有重大虐待史的患者带来更好的健康结果呢？本文总结了2000年至2011年文献中的研究结果，以确定那些在住院精神卫生环境中为实现创伤知情护理而实施的做法和临床活动。
