The Knowledge, Attitude, and Practice of Nurses Regarding Trauma-Informed Care for Traumatic Injured Patients: A...

Traumatic injured patients frequently present with both acute physical injuries and the exacerbation of preexisting trauma events, substantially compromising their mental health and quality of life. Trauma-informed care is a supportive intervention approach that requires understanding of trauma experiences encountered by patients. Nurses must follow the principles of trauma-informed care during interactions with patients to improve clinical outcomes. However, the current status of knowledge, attitude, and practice regarding trauma-informed care among nurses in trauma centers has not been fully investigated.

To investigate the current status of knowledge, attitude, and practice regarding trauma-informed care among nurses caring for traumatic injured patients in trauma center-certified hospitals and to identify potential influencing factors.

Cross-sectional survey.

Nurses from 11 trauma center-certified hospitals in Sichuan Province, China.

The assessment was conducted using standardized instruments, including a demographic survey, a trauma-informed care knowledge, attitude, and practice (TIC-KAP) questionnaire, Interpersonal Reactivity Index-Chinese version (IRI-C), and Organizational Climate Scale for Nursing (OCSN). Univariate analysis and subsequent multiple linear regression analysis were used to explore associations between TIC-KAP and other factors.

A total of 304 individuals participated in the survey, with 267 valid responses. Multiple linear regression analysis identified several significant predictors of TIC-KAP scores: work in emergency department, prior knowledge of trauma-informed care, psychological trauma nursing training experience, dedicated psychological nursing positions, IRI-C scores, and OCSN scores.

Although the participating nurses demonstrated favorable scores in trauma-informed care attitude and practice, significant gaps persist in knowledge domains, with emergency nurses exhibiting particularly notable deficiencies. The implementation of trauma-informed care could be promoted through several strategic interventions: engagement in trauma-informed care or psychological nursing training programs, establishment of dedicated psychological nursing positions, and improvement of both empathy level among nurses and organizational climate.