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创伤知情护理与实践:住院精神科病房的实践改进策略

Trauma-Informed Care and Practice: Practice Improvement Strategies in an Inpatient Mental Health Ward.

作者信息

Beckett Paul, Holmes Douglas, Phipps Monique, Patton Declan, Molloy Luke

出版信息

J Psychosoc Nurs Ment Health Serv. 2017 Oct 1;55(10):34-38. doi: 10.3928/02793695-20170818-03. Epub 2017 Aug 24.

Abstract

A growing body of evidence highlights that trauma is the single most significant predictor that an individual will need support from mental health services. Yet despite this association, mental health services have been slow to provide approaches to care and treatment that deal directly with trauma. Embedding the principles of trauma-informed care and practice (TICP) in acute inpatient ward practice can lead to practice improvement and cultural change over a number of areas. The current service evaluation highlights how these principles can inform practice and the positive affect this has on areas such as seclusion and restraint, therapeutic engagement, and ward routines. TICP complements recovery-focused models of care and promotes collaborative and empowering relationships in the inpatient setting. Embedding this approach in inpatient mental health units can lead to changes in professional practice and service provision that benefit service users. [Journal of Psychosocial Nursing and Mental Health Services, 55(10), 34-38.].

摘要

越来越多的证据表明,创伤是个人需要心理健康服务支持的最显著预测因素。然而,尽管存在这种关联,心理健康服务在提供直接处理创伤的护理和治疗方法方面却进展缓慢。将创伤知情护理与实践(TICP)原则融入急性住院病房实践,可以在多个领域带来实践改进和文化变革。当前的服务评估突出了这些原则如何为实践提供指导,以及这对隔离与约束、治疗参与和病房日常等领域产生的积极影响。TICP补充了以康复为重点的护理模式,并促进了住院环境中协作性和赋权性的关系。将这种方法融入住院心理健康单元可以导致专业实践和服务提供方面的变化,从而使服务使用者受益。[《心理社会护理与心理健康服务杂志》,55(10),34 - 38。]

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