School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Faculty of Science Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Emerg Nurse. 2020 Mar 10;28(2):30-35. doi: 10.7748/en.2020.e1990. Epub 2020 Feb 25.
There is a high prevalence of exposure to traumatic events in childhood among people who have mental health issues. Presentation to the emergency department (ED) can be challenging for these patients because the environment and their experience of care can trigger traumatic memories. Trauma-informed care is an approach to practice that is guided by knowledge of how trauma affects people's lives and their healthcare needs. Despite the increasing prevalence of mental health care delivery in EDs, the level of translation of trauma-informed care into nursing practice in this setting is largely unknown. Therefore, the authors undertook a narrative literature review, the aim of which was to gather evidence relevant to trauma-informed care in the ED and provide guidance on this practice for emergency nurses. Several databases were searched, and the relevant articles found were thematically analysed. Three emergent themes were identified from the literature: an access point for mental health care; staff attitudes; and the ED experience. Emergency nurses need to be aware of the effects of childhood trauma on people presenting with mental health issues and plan their approach to care to avoid potentially re-traumatising patients.
在有心理健康问题的人群中，儿童时期经历创伤性事件的发生率很高。这些患者到急诊科就诊可能具有挑战性，因为就诊环境和护理体验可能会引发创伤性记忆。以创伤知情照护为指导的实践方法是基于对创伤如何影响人们的生活及其医疗保健需求的了解。尽管急诊科的心理健康护理服务越来越普及，但在这种环境下，将创伤知情照护转化为护理实践的程度在很大程度上尚不清楚。因此，作者进行了一项叙事文献综述，旨在收集与急诊科创伤知情照护相关的证据，并为急诊护士提供有关这一实践的指导。作者检索了多个数据库，并对找到的相关文章进行了主题分析。从文献中确定了三个主题：心理健康护理的切入点；工作人员的态度；以及急诊科的就诊体验。急诊护士需要意识到儿童期创伤对出现心理健康问题的患者的影响，并计划他们的护理方法，以避免使患者再次受到创伤。
