Background: Trauma has significant effects on individuals' health. Nurses are well-positioned to deliver trauma-informed care; however, there is a lack of trauma nursing education. The development of trauma education in nursing is just beginning; therefore, it is unclear what details should be integrated into nursing courses. Method: CINAHL, PsycINFO, MEDLINE, PubMed, and Google Scholar databases were searched to identify theoretical and empirical literature regarding trauma-information educational practices in health sciences. Results: Given that different disciplines have their specific training goals and requirements, trauma-related course goals, content, format, and structure are distinct and unique across disciplines. Educators in health sciences developed guidelines for trauma curricula and strategies for maintaining classroom safety. Conclusion: Trauma curricula in other health science disciplines provide a framework for creating trauma curricula in nursing programs. More groundwork is needed to integrate trauma into nursing education. [ J Nurs Educ . 2019;58(2):93–101.]
Purpose To describe adolescents as a vulnerable population with unique healthcare needs, especially in relation to their sexual risk‐taking behaviors; and to explicate the necessity of nurse practitioners (NPs) advocating for youth‐friendly services and policies to meet adolescents’ sexual and reproductive healthcare needs. Data sources CINAHL, Medline, PsychInfo, and PsychArticle databases were searched to identify theoretical and empirical literature regarding adolescence, vulnerability, sexual health outcomes, barriers to accessing reproductive health services, what it means to be youth friendly, and health advocacy to meet the health needs of adolescents. Conclusions Adolescents’ health needs may not be fully met in traditional healthcare settings. Lack of access to youth‐friendly sexual and reproductive health services increases adolescents' risks for poor health outcomes including sexually transmitted disease and unplanned pregnancy. Clinic, state, and national policies can create barriers for adolescents in obtaining sexual health services. Implications for practice NPs are philosophically and educationally prepared to be leaders in improving adolescent health outcomes. NPs can directly provide youth‐friendly care as well as advocate for youth‐friendly practices within their health system. In addition, NPs are well positioned to be leaders in advocating for state and national policies that improve adolescents’ access to appropriate sexual and reproductive health care.
Adverse childhood experiences and trauma significantly impact physical and mental health. Increased maternal perinatal depression/anxiety, preterm labor, and low birth weight, as well as infant morbidity and mortality, are some examples of the impact of trauma on perinatal health. Trauma-informed care begins with knowledge about trauma, the ability to recognize signs of a trauma response, responding to patients effectively, and resisting retraumatization. As holistic providers, perinatal nurses can create safe care environments, establish collaborative patient relationships based on trust, demonstrate compassion, offer patients options when possible to support patient autonomy, and provide resources for trauma survivors. This can prevent or reduce the negative impact of trauma and improve the health and well-being of infants, mothers, and future generations. This clinical article outlines key strategies for implementation of patient-centered trauma-informed perinatal nursing care.
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