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探索创伤和创伤知情关怀知识基础的研究:以从事成年智障人士社区住宿服务的员工为例

Exploring the knowledge base of trauma and trauma informed care of staff working in community residential accommodation for adults with an intellectual disability.

机构信息

Institute of Nursing and Health Science, Ulster University, Newtownabbey, UK.

Psychological Therapies Department, South Eastern Health and Social Care Trust, Dundonald, UK.

出版信息

J Appl Res Intellect Disabil. 2022 Sep;35(5):1162-1173. doi: 10.1111/jar.13002. Epub 2022 Apr 26.

Abstract

BACKGROUND

Taking a trauma informed care approach has demonstrated positive outcomes for services for people in the general population. Given the increased vulnerability to psychological trauma for adults with an intellectual disability, this study explores what residential staff know about trauma and trauma informed care.

METHODS

Thirty-two staffs representing three staff groups: direct care staff; managers; and specialist practitioners, were interviewed using semi-structured interviews, which were analysed following a structured framework.

FINDINGS

Each staff group held different perspectives in their knowledge of trauma and trauma informed care. Limitations were noted in staffs' knowledge of trauma, implementation of evidence-based supports, and access to specialist services for adults with an intellectual disability. All participants highlighted their training needs regarding trauma.

CONCLUSION

Increased training on recognising and responding to trauma is needed among community staff supporting those with a trauma history if organisations are to move towards trauma informed care.

摘要

背景

采取创伤知情护理方法已为普通人群的服务带来积极成果。鉴于智障成年人更容易受到心理创伤的影响,本研究探讨了居住在机构中的工作人员对创伤和创伤知情护理的了解程度。

方法

使用半结构化访谈采访了 32 名代表三个员工群体的员工:直接护理人员;管理人员;和专业从业者,使用结构化框架对访谈进行了分析。

结果

每个员工群体在其对创伤和创伤知情护理的知识方面持有不同的观点。工作人员在创伤知识、实施循证支持以及为智障成年人获得专业服务方面的知识有限。所有参与者都强调了他们在创伤方面的培训需求。

结论

如果组织要向创伤知情护理转变,那么需要增加对支持有创伤史的社区工作人员识别和应对创伤的培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5688/9545611/97bb61433e65/JAR-35-1162-g001.jpg

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