Forensic Mental Health Nurses' Perceptions and Experiences of Trauma-Informed Care in a High-Secure Hospital.

Casey Roberts, Michael Luder, Crystal McMullen, Rosalind Cole, Paul Dignam, Nicole Ward, Michael Ireland
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Abstract

Background: Implementation of trauma-informed care (TIC) into forensic clinical practice may contribute to positive outcomes for both patients and staff.

Aim: The current study aimed to describe forensic mental health nurses' perceptions and experiences of using TIC within a high-secure forensic hospital.

Method: Twenty-seven forensic mental health nurses were interviewed regarding their experiences of using TIC within a high-secure hospital.

Results: 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.

Implications for clinical forensic nursing practice: 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.

Conclusion: Training in TIC may contribute to enhanced patient outcomes and promote nurse well-being and should be supported organizationally with sufficient resources.

法医心理健康护士对高度戒备医院创伤知情护理的看法和体验。
背景:在法医临床实践中实施创伤知情护理(TIC)可能会为患者和工作人员带来积极的结果。目的:本研究旨在描述法医精神健康护士对在高度安全的法医医院中使用创伤知情护理的看法和经验:对 27 名法医精神健康护士进行了访谈,了解他们在高度戒备医院中使用 TIC 的经验:结果:参与者认识到了解其护理的病人过去的创伤经历的重要性,但也描述了实施创伤信息交流中心的一些障碍。他们认为,缺乏组织支持、患者心理病理学对护士福祉的负面影响以及环境因素都会对成功实施创伤信息交流中心产生负面影响。参与者还讨论了在应用 TIC 方面普遍缺乏知识和信心的问题,但表示非常希望通过培训来改善服务的提供:TIC在日常临床实践中的应用似乎并不理想。为了支持护士和患者的福祉,并培养一支高技能的创伤知情工作人员队伍,在这一领域开展进一步培训至关重要:TIC 培训可有助于提高患者的治疗效果,促进护士的身心健康,组织机构应为其提供充足的资源支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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