Attitudes of Nurses to Trauma-Informed Care: A Scoping Review
护士对创伤知情护理的态度：范围界定审查

Attitudes of Nurses to Trauma-Informed Care: A Scoping Review
护士对创伤知情护理的态度：范围界定审查

1. Introduction  1. 引言

1.1 Background  1.1 背景

1.2 Clinical Practice for TIC
1.2 TIC 的临床实践

1.2.1 The implementation of TIC in the medical-service receivers
1.2.1 TIC 在医疗服务接收器中的实施

1.2.2 The implementation of TIC in the medical-service providers
1.2.2 TIC 在医疗服务提供者中的实施

1.3 Attitudes related to TIC
1.3 与 TIC 相关的态度

2. METHODS  2. 方法

2.1 Identifying the research question
2.1 确定研究问题

2.2 Identifying relevant studies
2.2 确定相关研究

2.3 Study Selection  2.3 研究选择

2.4 Included studies  2.4 纳入的研究

[Insert Figure 1]  [插入图 1]

2.5 Charting the data  2.5 绘制数据图表

2.6 Collating, summarizing and reporting results
2.6 整理、总结和报告结果

3. Results  3. 结果

3.1 Geographical variation
3.1 地理差异

3.2 Quality appraisal of the studies
3.2 研究质量评价

[Insert TABLE1]  [插入表 1]

3.3 Study type and participants
3.3 研究类型和参与者

3.4 Themes  3.4 主题

3.4.1 Nurses' attitudes towards TIC in different care settings
3.4.1 不同护理环境中护士对 TIC 的态度

3.4.2 What factors affect nurses' attitudes towards TIC?
3.4.2 哪些因素会影响护士对 TIC 的态度？

3.4.2.1 Experiences  3.4.2.1 体验

3.4.2.2 TIC training/education
3.4.2.2 TIC 培训/教育

Family cooperation  家庭合作

Team cooperation  团队合作

3.4.3 Advances in research on assessment tools about attitudes towards TIC
3.4.3 对 TIC 态度评估工具的研究进展

4. Discussion  4. 讨论

Judging from the limited evidence found, however, all the studies reviewed so far-consistently support the view that time constraints are the main obstacle to the implementation of Tl
然而，从发现的有限证据来看，迄今为止审查的所有研究都一致支持这样的观点，即时间限制是实施 Tl 的主要障碍
are used to their own way and lack time to interact with patients(Stokes et al., 2017). They need to spend at least $50\mathrm{\%}$$50\mathrm{\%}$50%50 \% of their time providing direct clinical care(Stenman et al., 2019). It is difficult to establish a safe setting and good working relationships with patients. Considering the limited time spent with patients, it is necessary to prioritize nursing tasks(Alisic et al., 2014).
习惯了自己的方式，没有时间与患者互动（Stokes et al.， 2017）。他们至少 $50\mathrm{\%}$$50\mathrm{\%}$50%50 \% 需要花费时间提供直接的临床护理（Stenman et al.， 2019）。很难与患者建立安全的环境和良好的工作关系。考虑到与患者相处的时间有限，有必要优先考虑护理任务（Alisic et al.， 2014）。

Advantages and limitations
优点和局限性

5. Conclusion  5. 总结

Relevance for Clinical Practice
与临床实践的相关性

Data Availability Statement
数据可用性声明

References  引用

Figure 1. PRISMA flow diagram of completed searching
图 1.已完成搜索的 PRISMA 流程图

TABLE 1 Summary of Articles Included in Review
表 1 综述中纳入的文章摘要

• The obstacle to implementing TIC is lack of time and training.
  实施 TIC 的障碍是缺乏时间和培训。
• It is necessary to conduct TIC training for staff in
  有必要对以下员工进行 TIC 培训
  relatively low-income countries.
  相对低收入国家。
• Although staff in low-income countries encounter
  尽管低收入国家的工作人员遇到
  obstacles in providing TIC, they have a positive attitude towards TIC.
  提供 TIC 的障碍，他们对 TIC 持积极态度。
• Potential barriers to TIC implementation include time constraints and lack of training.
  实施 TIC 的潜在障碍包括时间限制和缺乏培训。
• All participants have favorable opinions and open attitudes towards TIC.
  所有参与者都对 TIC 持正面看法和开放态度。
• The current level of specialized training in pediatric emergency care should be strengthened
  应加强当前儿科急诊护理的专业培训水平
  -The medical team should gain the cooperation of the injured child and family members.
  – 医疗团队应获得受伤儿童和家人的合作。
  -The positive attitude of the staff helped to support the implementation of TIC, but encountered some obstacles to change.
  - 工作人员的积极态度有助于支持 TIC 的实施，但遇到了一些改变的障碍。
• Multidisciplinary team involvement in providing
  多学科团队参与提供
  training to staff has proven to be a successful strategy.
  事实证明，对员工进行培训是一种成功的策略。
• Time-limited and targeted employee training
  限时和有针对性的员工培训
  interventions can reduce the rate of inpatient isolation.
  干预措施可以降低住院隔离率。
• Staff attitudes are a contributing factor and barrier to effectively reducing patient deterioration and reducing unit isolation.
  工作人员的态度是有效减少患者恶化和减少病房隔离的因素和障碍。
• Health professionals have different attitudes towards
  卫生专业人员对
  female consumers and responses to sexual violence.
  女性消费者和对性暴力的反应。
  -The contempt for female consumers is held primarily by male employees and less experienced health professionals.
  - 对女性消费者的鄙视主要来自男性员工和经验不足的卫生专业人员。
• Targeted training in gender-sensitive care is necessary
  有必要对性别敏感的护理进行有针对性的培训
• After receiving trauma-informed courses, NPs will improve knowledge, attitude and practice in nursing patients with psychological trauma.
  在接受创伤知情课程后，NP 将提高护理心理创伤患者的知识、态度和实践。
• Carceral setting and safety are barriers to nursing.
  监禁环境和安全是护理的障碍。

• Nurses are the primary provider of health care in correctional institution.
  护士是惩教机构的主要医疗保健提供者。
  direction of future service development.
  未来服务发展方向。
• Mental health nurses have a positive attitude towards TIC.
  心理健康护士对 TIC 持积极态度。
  -The study suggests that for psychiatric hospitals to
  - 研究表明，对于精神病院来说
  become trauma-informed the work-related traumas of employees need to be addressed.
  了解创伤 需要解决员工与工作相关的创伤。
• Trauma informed care practice must first ensure the active participation of employees.
  创伤知情护理实践必须首先确保员工的积极参与。
  -This study successfully engage multidisciplinary
  - 本研究成功吸引多学科
  clinical staff in practice change.
  临床工作人员在实践中发生变化。
  -Participants’ positive attitudes toward TIC increased significantly before and after the training.
  - 参与者对 TIC 的积极态度在培训前后显着增加。
  -Training can achievie attitudes and confidence effectively.
  – 训练可以有效地获得态度和信心。
  -Obstacles and challenges in implementing psychiatric hospitalization.
  – 实施精神病住院治疗的障碍和挑战。
  $\bullet$$\bullet$∙\bullet MDT based on team cohesion to meet priority care of psychiatric inpatients.
  $\bullet$$\bullet$∙\bullet MDT 基于团队凝聚力，以满足精神病住院患者的优先护理。
  -There are significant differences in the knowledge and practical skills of health providers in cross-cultural nursing.
  – 跨文化护理中卫生提供者的知识和实践技能存在显着差异。
• By recognizing these complex challenges, the interviewees determined the need for a trauma- informed 1.8
  通过认识到这些复杂的挑战，受访者确定了需要创伤知情 1.8
  and coordinated team-based care model.
  以及协调的基于团队的护理模式。