Trauma-informed qualitative research: Some methodological and practical considerations
Trauma-informed qualitative research: Some methodological and practical considerations
复制标题
创伤知情的定性研究：一些方法和实践考虑
DOI：
10.1111/inm.12914
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发表时间：
2021-07-26
影响因子：
5.6
通讯作者：
Isobel, Sophie
中科院分区：
文献类型：
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作者：
Isobel, Sophie
从事研究的心理健康护士可能会从事与疾病经历、护理交付和治疗相关的敏感主题的研究。由于认识到与精神卫生服务相互作用的人的生活中创伤的发生率很高，许多研究参与者很可能在他们的生活中经历过创伤，虽然这可能不是研究的重点，但需要敏感和意识。在以创伤为重点的研究和社会科学等领域，在研究设计和实践中提到“创伤知情”的方法正在出现；然而，它尚未应用于护士。创伤知情方法可以建立在现有的伦理和方法框架的基础上，告知精神卫生护士如何进行定性研究，以及他们在进行定性研究时需要考虑什么。这篇论文探讨了心理健康护士对创伤的意识和敏感性的一些影响，包括实践和方法上的考虑。建议包括对护士研究人员的培训和结构支持，合作研究设计，考虑研究发生的环境，意识到痛苦的方法，在研究政策、框架和领导中纳入创伤敏感性，同时警惕人际交往方法，建立和保护心理安全。继续对存在创伤的主题和人员进行研究，对于确保持续认识至关重要。精神卫生护士掌握的许多现有技能也可以支持以创伤知情方式进行的研究。
Mental health nurses who engage in research are likely to undertake research on sensitive topics, related to experiences of illness, care delivery and treatment. With recognition of the high prevalence of trauma in the lives of people who interact with mental health services, it is likely that many research participants will have experienced trauma in their lives and that while this may not be the focus of the research, sensitivity and awareness are required. Reference to 'trauma-informed' approaches in research design and practice is emerging in fields such as trauma-focused research and social sciences; however, it has not yet been applied to nurses. Trauma-informed approaches can build upon existing ethical and methodological frameworks to inform how mental health nurses go about qualitative research and what they need to consider when doing so. This discursive paper explores some of the implications of awareness and sensitivity to trauma for research undertaken by mental health nurses, including practical and methodological considerations. Recommendations include training and structural supports for nurse researchers, collaborative research designs, consideration of the environments where research occurs, awareness of approaches to distress and inclusion of trauma sensitivity within research policies, frameworks and leadership, alongside vigilance to interpersonal approach and the establishment and protection of psychological safety throughout. Continuing to undertake research on topics, and with people, where trauma is present, is essential to ensure ongoing awareness. Many of the existing skills held by mental health nurses can also support research to be undertaken in trauma-informed ways.