Examining Theoretical Nursing Models for Trauma-Informed Emergency Care

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Zailaey Ashwaq Naser M, Juhainah Ali M Alolaiwi, Ayishi Fadiyah Ali, Wafa Yatim Jilbakh Alruwaili, Salwa Abdullah Hawsah, Sraa Mohammed Alradady, Al Homedi Khalid Alshammari, Hailah Rashed Saud Aldosari, Muna Mubarak Saoud Aldhafeeri, Yasmeen Mubarak Saud Aldhafeeri, Amani Mubarak Soud Aldhafeeri, Marzook Naga Masoed Alotaibi, Abdulhakim Awadh Alreshidi, Sheikha Ahmed Lbrahim Al Dirham, Abdullah Awadh Alreshidi, Hadi Ibrahim Mefarh Atafi

Abstract

Background:Trauma-Informed Care (TIC) has emerged as a critical framework for addressing the needs of individuals exposed to trauma, particularly in high-stress environments like emergency departments. Despite growing recognition of TIC’s benefits, its integration into emergency nursing remains inconsistent, largely due to a lack of theoretical grounding. Theoretical nursing models offer structured, evidence-based approaches to care that can enhance TIC implementation by aligning practice with foundational principles such as safety, trust, empowerment, and collaboration.


Aim:This paper aims to explore and analyze theoretical nursing models for their applicability in trauma-informed emergency care. By examining established frameworks, the study seeks to propose a structured approach to integrating TIC into emergency nursing practice.


Methods:A comprehensive literature review was conducted using databases such as PubMed and CINAHL to identify theoretical nursing models relevant to TIC. Thematic analysis was employed to evaluate each model’s alignment with TIC principles. Case studies were used to illustrate practical applications in emergency care settings.


Results:Key theoretical models identified include Watson’s Theory of Human Caring, Peplau’s Interpersonal Relations Theory, and Roy’s Adaptation Model. These models provide a robust foundation for trauma-informed practice, emphasizing patient-centered care, therapeutic relationships, and adaptive interventions. Evidence from case studies demonstrates improved patient outcomes, including reduced distress and enhanced satisfaction, alongside increased nurse resilience and reduced burnout.


Conclusion:Integrating theoretical nursing models into TIC provides a structured framework to guide emergency nursing practice, fostering holistic, patient-centered care. Further research is necessary to validate these findings and develop comprehensive guidelines for TIC implementation.


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