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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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CE: Trauma-Informed Care in Nursing Practice.

Elizabeth B Dowdell¹, Patricia M Speck

¹Elizabeth B. Dowdell is a professor and coordinator of undergraduate research at Villanova University, Villanova, PA. Patricia M. Speck is a professor and coordinator of advanced forensic nursing at the University of Alabama at Birmingham School of Nursing. Contact author: Elizabeth B. Dowdell, elizabeth.dowdell@villanova.edu . This article was inspired in part by a policy dialogue presented at the 2018 American Academy of Nursing Transforming Health, Driving Policy Conference, entitled "Population Trauma: A Systems Approach to Trauma-Informed Care." The authors acknowledge Annie Lewis-O'Connor, PhD, MPH, RN, NP-BC, FAAN for her assistance in providing some of the clinical details in the case study. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise. A podcast with the authors is available at www.ajnonline.com .

The American Journal of Nursing

|March 29, 2022

Summary

Childhood trauma significantly impacts adult health, leading to chronic conditions and healthcare avoidance. Trauma-informed care (TIC) is essential for ethical nursing, promoting patient safety and inclusive healthcare environments.

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Area of Science:

Public Health
Psychology
Nursing Ethics

Background:

Childhood trauma and stress have cumulative adverse effects on adult physical and mental health.
Traumatic stress can lead to conditions like heart disease, cancer, and liver disease, increasing mortality.
Healthcare systems may marginalize patients, creating barriers to care for those with trauma histories.

Purpose of the Study:

To highlight the underutilization of trauma-informed care (TIC) in healthcare settings.
To emphasize the ethical imperative for nurses to provide non-judgmental care to all patients, including those with complex trauma.
To demonstrate the application of TIC principles in nursing practice.

Main Methods:

Review of literature on childhood trauma, stress, and health outcomes.
Discussion of trauma-informed care (TIC) principles and their alignment with nursing ethics and human rights.
Presentation of a deidentified case study illustrating TIC application in nursing.

Main Results:

Childhood trauma has long-term, cumulative negative health consequences.
TIC fosters safety, inclusivity, and respect within healthcare systems and patient relationships.
Applying TIC principles addresses implicit and explicit bias, improving patient-provider interactions.

Conclusions:

Trauma-informed care (TIC) is crucial for ethical and effective nursing practice.
Implementing TIC principles enhances patient safety and reduces healthcare disparities.
Nurses must adopt TIC to provide equitable care to individuals affected by trauma.