创伤与围产期：护士和助产士创伤敏感互动理论与实践述评。
Trauma and the perinatal period: A review of the theory and practice of trauma-sensitive interactions for nurses and midwives.
机构信息
University of Sydney, Sydney, New South Wales, Australia.
Perinatal Mental Health, Sydney Local Health District, Sydney, New South Wales, Australia.
出版信息
Nurs Open. 2023 Dec;10(12):7585-7595. doi: 10.1002/nop2.2017. Epub 2023 Sep 29.
AIM
With high rates of trauma in the population, known links between trauma and perinatal distress, and the intimate and close nature of the nursing and midwifery roles, ensuring awareness and understandings of trauma is crucial for guiding practice. This paper aims to explore the relationship of trauma to the perinatal period, based on theory and practice, to consider on how nurses and midwives can deliver trauma-sensitive interactions.
DESIGN AND METHODS
This discursive discussion draws on relevant research from the fields of trauma therapy, attachment theory and nursing and midwifery practice to consider elements of trauma-sensitive practice in the perinatal period.
RESULTS
Nurses and midwives can foster safety for people who have experienced trauma through noticing and responding to triggers, supporting awareness of attachment and its relationships to trauma, undertaking psychosocial screening with care, supporting linearity and cohesion in narratives and developing collaborative care plans that maximise safety and agency. For nurses and midwives, understandings of the relationship between trauma, pregnancy, birth, early parenting and distress is crucial for effective care delivery. Delivering perinatal nursing or midwifery care of any kind, without universal trauma precautions risks reinforcing, misinterpreting or re-enacting dynamics of trauma. To be trauma-sensitive in this period requires nurses and midwives to have awareness of the dynamics of trauma in relation to pregnancy, birth and attachment.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This paper fills a gap in the translation of theory to practice for trauma-sensitive care in the perinatal period, with a focus on the therapeutic relationship formed by nurses and midwives. The findings highlight that nurses and midwives can foster safety for people who have experienced trauma within their practice, when they hold a robust understanding of the relationship between trauma, pregnancy, birth, early parenting and distress.
PATIENT OR PUBLIC CONTRIBUTION
No patient or public contribution.
目的
鉴于人群中创伤发生率高、创伤与围产期痛苦之间存在已知关联，以及护理和助产角色的亲密性和紧密性，确保对创伤的认识和理解对于指导实践至关重要。本文旨在基于理论和实践探讨创伤与围产期的关系，思考护士和助产士如何提供对创伤敏感的互动。
设计和方法
本文的论述性讨论借鉴了创伤治疗、依恋理论以及护理和助产实践领域的相关研究，以考虑围产期对创伤敏感实践的要素。
结果
护士和助产士可以通过注意和应对触发因素、支持对依恋及其与创伤的关系的认识、谨慎进行心理社会筛查、支持叙述的线性和凝聚力以及制定最大限度地提高安全性和代理性的协作护理计划，为经历过创伤的人创造安全环境。对于护士和助产士而言，理解创伤、怀孕、分娩、早期育儿和痛苦之间的关系对于提供有效的护理至关重要。在没有普遍的创伤预防措施的情况下，提供任何类型的围产期护理或助产护理都有可能强化、误解或再现创伤的动态。在这一时期要对创伤敏感，护士和助产士需要意识到与怀孕、分娩和依恋相关的创伤动态。
对专业和/或患者护理的影响：本文填补了将理论转化为对围产期对创伤敏感护理实践的空白，重点关注护士和助产士形成的治疗关系。研究结果表明，当护士和助产士对创伤、怀孕、分娩、早期育儿和痛苦之间的关系有深入了解时，他们可以在实践中为经历过创伤的人创造安全环境。
患者或公众贡献
无患者或公众贡献。
Zotero 插件