Cochran Courtney B
Author Affiliations: College of Nursing & Health Sciences, Auburn University at Montgomery.
J Forensic Nurs. 2019 Oct/Dec;15(4):206-213. doi: 10.1097/JFN.0000000000000267.
The emergency department is a frequent entry point into the healthcare system for victims of violence. Currently, a knowledge deficit and clinical practice gap exists among emergency nurses regarding their consistent ability to implement a trauma-informed approach in their interactions with forensic clients. Emergency nurses at all levels of professional development, senior undergraduate nursing students, new graduate nurses, and experienced nurses should be well informed regarding the prevalence of violence, basic clinical forensic nursing practice, and the principles of trauma-informed care. A comprehensive approach is required to both identify and address the trauma associated with violence. Through reflecting on Benner's Novice to Expert framework, strategies are proposed for the implementation of a comprehensive plan. An inclusive approach to the implementation of the principles of trauma-informed care into emergency nursing may ultimately lead to a transformation in culture in which nurses ask, "What has happened to you?" instead of "What is wrong with you?"
急诊科是暴力受害者进入医疗保健系统的常见入口。目前,急诊护士在与法医客户互动时持续实施创伤知情方法的能力方面存在知识不足和临床实践差距。各级专业发展的急诊护士、本科高年级护理学生、新毕业护士和经验丰富的护士都应充分了解暴力的普遍性、基本临床法医护理实践以及创伤知情护理的原则。需要一种全面的方法来识别和处理与暴力相关的创伤。通过反思本纳的新手到专家框架,提出了实施全面计划的策略。将创伤知情护理原则纳入急诊护理的包容性方法最终可能导致文化转变,即护士会问“你发生了什么事?”而不是“你怎么了?”