Maguire Donna, Taylor James
Author Affiliations: Community Forensic Mental Health Services, NHS Ayrshire and Arran.
School of Health & Life Sciences, University of the West of Scotland.
J Forensic Nurs. 2019 Oct/Dec;15(4):242-249. doi: 10.1097/JFN.0000000000000262.
Engaging in trauma-informed approaches in nonforensic mental health settings improves therapeutic relationships, promotes healing, promotes posttraumatic growth, improves staff well-being, and fosters hope and empowerment, yet little is known of its influences in forensic settings. This literature review explores trauma-informed education and its training implications for nurses working in forensic mental health.
Using a range of electronic databases, a systematic search of literature was carried out focusing on trauma-informed practice in adult forensic mental health settings. Before searching, predefined inclusion and exclusion criteria were agreed.
After duplication removal, abstract review, and full screening, nine articles met review criteria for inclusion. A thematic analysis of the literature identified two key themes: "education for trauma-informed practice" and "applying theory into practice." Each had several subordinate themes.
Organizations and their staff must recognize that operational change and ongoing training will be required. By adopting a trauma-informed approach, forensic mental health nurses can better understand their patients' traumatic experiences, improve their therapeutic relationships, and engage patients in collaborative care. Training in trauma-informed care should start with nurses who will change their personal practice and can support and train their colleagues.
在非法医精神卫生环境中采用创伤知情方法可改善治疗关系、促进康复、促进创伤后成长、改善工作人员的幸福感，并培养希望和增强权能，但人们对其在法医环境中的影响知之甚少。这篇文献综述探讨了创伤知情教育及其对法医精神卫生领域护士的培训意义。
利用一系列电子数据库，对文献进行了系统检索，重点关注成人法医精神卫生环境中的创伤知情实践。在检索之前，商定了预先确定的纳入和排除标准。
在去除重复项、摘要审查和全面筛选后，有9篇文章符合纳入审查标准。对文献的主题分析确定了两个关键主题：“创伤知情实践教育”和“将理论应用于实践”。每个主题都有几个子主题。
组织及其工作人员必须认识到需要进行业务变革和持续培训。通过采用创伤知情方法，法医精神卫生护士可以更好地理解患者的创伤经历，改善治疗关系，并让患者参与协作护理。创伤知情护理培训应从那些将改变个人实践并能支持和培训同事的护士开始。
