Roberts Casey, Luder Michael, McMullen Crystal, Cole Rosalind, Dignam Paul, Ward Nicole, Ireland Michael
West Moreton Health.
Author Affiliations: School of Psychology and Wellbeing.
J Forensic Nurs. 2024 Oct 30. doi: 10.1097/JFN.0000000000000502.
Implementation of trauma-informed care (TIC) into forensic clinical practice may contribute to positive outcomes for both patients and staff.
The current study aimed to describe forensic mental health nurses' perceptions and experiences of using TIC within a high-secure forensic hospital.
Twenty-seven forensic mental health nurses were interviewed regarding their experiences of using TIC within a high-secure hospital.
Participants recognized the importance of understanding the past traumatic experiences of patients in their care but described a number of barriers to the implementation of TIC. A lack of organizational support, the negative impact of patient psychopathology on nurse well-being, and environmental factors were all perceived to negatively impact the successful delivery of TIC. Participants also discussed a widespread lack of knowledge and confidence in the application of TIC but expressed great desire for training to improve service delivery.
The application of TIC into daily clinical practice appears to be suboptimal. To support nurse and patient well-being and contribute to a highly skilled trauma-informed workforce, further training in this area is vital.
Training in TIC may contribute to enhanced patient outcomes and promote nurse well-being and should be supported organizationally with sufficient resources.
将创伤知情护理（TIC）应用于法医临床实践可能会为患者和工作人员带来积极的结果。
本研究旨在描述法医精神科护士在高度戒备的法医医院中使用TIC的认知和体验。
对27名法医精神科护士进行了访谈，了解他们在高度戒备医院中使用TIC的经历。
参与者认识到了解他们所护理患者过去创伤经历的重要性，但也描述了实施TIC的一些障碍。缺乏组织支持、患者精神病理学对护士幸福感的负面影响以及环境因素都被认为对TIC的成功实施产生了负面影响。参与者还讨论了在应用TIC方面普遍存在的知识和信心不足的问题，但表达了对培训以改善服务提供的强烈渴望。
将TIC应用于日常临床实践似乎并不理想。为了支持护士和患者的幸福感，并培养一支具备高度技能的创伤知情工作队伍，在这一领域进行进一步培训至关重要。
TIC培训可能有助于改善患者预后，促进护士幸福感，并且应该在组织上得到足够资源的支持。
