Befus Deanna R, Kumodzi Trina, Schminkey Donna, St Ivany Amanda
Author Affiliations: Arthur Labatt Family School of Nursing, Western University.
School of Nursing, University of Virginia.
J Forensic Nurs. 2019 Oct/Dec;15(4):199-205. doi: 10.1097/JFN.0000000000000264.
Initial conceptualizations of violence and trauma in forensic nursing have remained relatively narrowly defined since the specialty's inception. The advent of trauma-informed care has been important but has limitations that obfuscate social and structural determinants of health, equity, and social justice. As forensic nursing practice becomes more complex, narrow definitions of violence and trauma limit the effectiveness of trauma-informed care in its current incarnation. In keeping with the nursing model of holistic care, we need ways to teach, practice, and conduct research that can accommodate these increasing levels of complexity, including expanding our conceptualizations of violence and trauma to advance health equity and social justice. The objective of this article is to introduce the concepts of structural violence and trauma- and violence-informed care as equity-oriented critical paradigms to embrace the increasing complexity and health inequities facing forensic nursing practice.
自法医护理专业创立以来,对暴力和创伤的初步概念化界定一直相对狭窄。创伤知情护理的出现固然重要,但也存在局限性,模糊了健康、公平和社会正义的社会及结构决定因素。随着法医护理实践变得更加复杂,对暴力和创伤的狭义定义限制了当前形式的创伤知情护理的有效性。为与整体护理的护理模式保持一致,我们需要能够适应这些日益增加的复杂性的教学、实践和研究方法,包括扩展我们对暴力和创伤的概念化理解,以促进健康公平和社会正义。本文的目的是引入结构性暴力以及创伤和暴力知情护理的概念,将其作为以公平为导向的关键范式,以应对法医护理实践面临的日益增加的复杂性和健康不平等问题。