为每个人提供创伤知情护理：一项关于城市初级保健环境中患者和提供者观点的研究
Trauma-informed care for everyone: A study on patient and provider perspectives in an urban primary care setting.
摘要(中文译文)
创伤知情照护（trauma-informed care）的重要性日益受到认可，其对于建立信任关系和营造安全环境至关重要，从而减轻患者和初级卫生保健提供者在寻求卫生服务过程中可能遭受的伤害或影响。尽管创伤知情照护已有成熟的模式和原则，但在实践中，关于在跨学科初级保健环境中实施创伤知情照护的研究仍然有限。本研究在加拿大大多伦多地区一个多站点的跨学科初级卫生保健团队中开展。在解释性定性研究和以患者为导向的方法论指导下，我们于2023年1月至2024年3月期间对10名患者和13名初级保健提供者进行了半结构化访谈。患者和初级卫生保健提供者将创伤知情照护概念化为一种整体性、以患者为中心的方法，是提供优质初级卫生保健的基础。所有参与者均认为，确保初级卫生保健普遍实现创伤知情对于更好地理解患者的健康、就医行为和卫生系统体验至关重要。初级保健提供者因其与患者之间持续的关系和信任，处于将创伤知情照护融入临床实践的独特位置。创伤特异性支持的可用性和可及性以及潜在的背景因素，也从根本上塑造了患者和提供者获取或提供照护的生活体验。向更加整体性和以人为本的方法进行范式转变，是将创伤意识和预防措施融入初级保健和卫生系统的根本所在。克服限制创伤知情照护和创伤特异性资源可用性与可及性的障碍，对于促进健康、心理健康和健康公平至关重要。
Abstract
The importance of trauma-informed care is increasingly acknowledged as essential to generating a trusted relationship and safe environment in which to mitigate harms or effects of seeking health services by both patient and primary health care providers. Despite established models and principles of trauma-informed care, in practice there is limited research on the implementation of trauma-informed care within interdisciplinary primary care settings. This research was conducted at a multi-site interdisciplinary primary health care team in Toronto, Canada. Guided by an interpretative qualitative and patient-oriented methodological approach, we conducted semi-structured interviews with 10 patients and 13 primary care providers from January 2023 to March 2024. Patients and primary health care providers conceptualized trauma-informed care as a holistic, patient-centred approach that is foundational to delivering quality, primary health care. Ensuring that primary health care is universally trauma-informed was perceived by all participants as essential to better understanding patients' health, care-seeking, and health system experiences. Primary care providers are uniquely positioned to integrate trauma-informed care into clinical practices given sustained relationships and trust with patients. The availability and accessibility of trauma-specific supports and underlying contextual factors also inherently shaped the lived experiences of obtaining or delivering care among patients and providers. A paradigmatic shift towards a more holistic and person-centred approach is fundamental to integrating trauma awareness and precautions in primary care and the health system. Overcoming obstacles that circumscribe the availability and accessibility of trauma-informed care and trauma-specific resources is paramount to promoting health, mental health, and health equity.
如何引用
AMA
Jannah M Wigle, Clara Juando-Prats, Andree Schuler, Katie Sussman, Alyssa Swartz, Chantal Sorhaindo, et al. Trauma-informed care for everyone: A study on patient and provider perspectives in an urban primary care setting.. PloS one. 2026; doi:10.1371/journal.pone.0349308.
APA
Jannah M Wigle, Clara Juando-Prats, Andree Schuler, Katie Sussman, Alyssa Swartz, Chantal Sorhaindo, et al (2026). Trauma-informed care for everyone: A study on patient and provider perspectives in an urban primary care setting.. PloS one. https://doi.org/10.1371/journal.pone.0349308
GB/T 7714
Jannah M Wigle, Clara Juando-Prats, Andree Schuler, Katie Sussman, Alyssa Swartz, Chantal Sorhaindo, et al. Trauma-informed care for everyone: A study on patient and provider perspectives in an urban primary care setting.[J]. PloS one, 2026 doi:10.1371/journal.pone.0349308.
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