Exploring How Sexual Assault Nurse Examiners Practise Trauma-Informed Care
Exploring How Sexual Assault Nurse Examiners Practise Trauma-Informed Care
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DOI：
10.1097/jfn.0000000000000338
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发表时间：
2021-10-01
影响因子：
1
通讯作者：
Tranmer, Joan
中科院分区：
文献类型：
--
作者：
Poldon, Suzanne;Duhn, Lenora;Tranmer, Joan
背景性暴力是一个描述非自愿同意的性行为的术语。受雇为性侵犯护士检查员的注册护士提供护理，以解决性暴力受害者/幸存者的医疗和法律需求。创伤知情护理(TIC)是护理经历过创伤的个人时推荐的一种方法。本研究的目的是了解SANE如何将了解创伤情况的方法纳入成人和青春期后青少年性暴力受害者/幸存者的护理中。方法有目的地招募8名SANE参加在线半结构访谈。访谈数据采用定性解释性描述进行分析。结果分析得出六个主题：(A)了解患者经历的重要性；(B)个性化连接：发展安全的护患关系；(C)选择：我们如何做事的框架；(D)重建支持康复和创伤后成长的力量和技能；(E)极好的实践方式：创伤知情实践的促进者和好处；以及(F)创伤知情实践的挑战。结论这些发现表明TIC的认知价值，以及需要加强对提供TIC的提供者的支持。有必要进行更多的研究，以加强关于SANE计划和整个医疗保健环境中创伤知情实践的证据。
Background Sexual violence is a term describing sexual acts where consent is not freely given. Registered nurses employed as sexual assault nurse examiners (SANEs) provide care to address the medical and legal needs of victims/survivors of sexual violence. Trauma-informed care (TIC) is an approach recommended when caring for individuals who have experienced trauma. Purpose The study purpose was to understand how SANEs incorporate trauma-informed approaches in the care of adult and postpubescent adolescent victims/survivors of sexual violence. Methods Eight SANEs were purposively recruited to participate in online semistructured interviews. Interview data were analyzed using qualitative interpretive description. Results Six themes emerged from the analysis: (a) the importance of understanding the patient's experience; (b) personalized connection: developing a safe nurse-patient relationship; (c) choice: the framework of how we do things; (d) rebuilding strengths and skills to support healing and posttraumatic growth; (e) a wonderful way to practise: facilitators and benefits of trauma-informed practice; and (f) challenges to trauma-informed practice. Conclusions These findings indicate the perceived value of TIC and the need for enhanced support of providers who deliver TIC. More research is warranted to strengthen the evidence about trauma-informed practice in SANE programs and across healthcare settings.