中国东部地区护理专业学生对创伤知情护理的知识、态度和实践：一项横断面研究。
Knowledge, attitude, and practice regarding trauma-informed care among nursing students in Eastern China: A cross-sectional study.
作者信息
Zhang Di, Songwathana Praneed, Vachprasit Ratjai, Holroyd Eleanor
机构信息
Research and Innovation Center for Well-being and Continuing Care, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Faculty of Nursing, Suzhou Vocational Health College, Suzhou, Jiangsu Province, China.
出版信息
Belitung Nurs J. 2025 Aug 3;11(4):443-451. doi: 10.33546/bnj.3947. eCollection 2025.
BACKGROUND
Patients with a history of traumatic life events who enter the healthcare system are especially vulnerable, often posing greater challenges to care delivery. However, little is known about the capacity of nursing staff, especially nursing students, to deliver trauma-informed care (TIC).
OBJECTIVE
This study aimed to assess the knowledge, attitude, and practice of trauma-informed care among Chinese nursing students.
METHODS
A cross-sectional study was employed to survey undergraduate nursing students from a medical college in eastern China. Data were collected using an established self-administered questionnaire on TIC knowledge, attitude, and practice (KAP) consisting of 21 items. The content validity scale-level CVI was 0.950, and the reliability with Cronbach's α coefficient was 0.963.
RESULTS
A total of 118 undergraduate nursing students, ranging from first to fourth year, participated in the survey, and ultimately, 117 students were included in the study, yielding an effective response rate of 99.15%. The average scores for KAP were 70.83±14.58, 77.78±11.11, and 66.67±16.67; however, the good levels of KAP accounted for 16.2%, 45.3% and 6.0%, respectively. Additional analysis showed a weak positive correlation between knowledge and attitude ( = 0.211, = 0.022), while there was a moderate positive correlation between knowledge and practice, attitude and practice ( = 0.309, < 0.001; = 0.310, < 0.001). Univariate analysis indicated that year of study and experience in caring for trauma patients were significantly related to practice ( = 0.039, = 0.002).
CONCLUSION
The students' KAP on trauma-informed care was not at a good level, especially regarding practice and knowledge, and required further strengthening. The findings provide baseline information for further development of a KAP-TIC comprehensive course and exploration of practice ability-centered TIC education for nursing students. Assessing the effectiveness of the newly developed TIC course and learning outcomes in clinical practice is also recommended.
背景
有创伤性生活事件史且进入医疗保健系统的患者特别脆弱，常常给护理服务带来更大挑战。然而，对于护理人员，尤其是护理专业学生提供创伤知情护理（TIC）的能力知之甚少。
目的
本研究旨在评估中国护理专业学生对创伤知情护理的知识、态度和实践情况。
方法
采用横断面研究方法，对中国东部一所医学院的本科护理专业学生进行调查。使用一份既定的关于创伤知情护理知识、态度和实践（KAP）的自填式问卷收集数据，该问卷包含21个项目。内容效度量表水平的CVI为0.950，Cronbach's α系数的信度为0.963。
结果
共有118名本科护理专业学生（从大一到大四）参与了调查，最终117名学生被纳入研究，有效应答率为99.15%。KAP的平均得分分别为70.83±14.58、77.78±11.11和66.67±16.67；然而，KAP处于良好水平的比例分别为16.2%、45.3%和6.0%。进一步分析显示，知识与态度之间呈弱正相关（r = 0.211，P = 0.022），而知识与实践、态度与实践之间呈中度正相关（r = 0.309，P < 0.001；r = 0.310，P < 0.001）。单因素分析表明，学习年份和照顾创伤患者的经验与实践显著相关（P = 0.039，P = 0.002）。
结论
学生对创伤知情护理的KAP水平不佳，尤其是在实践和知识方面，需要进一步加强。这些发现为进一步开发KAP-TIC综合课程以及探索以实践能力为中心的护理专业学生TIC教育提供了基线信息。还建议评估新开发的TIC课程的有效性以及临床实践中的学习成果。
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