Exposure to trauma elevates the risk of illness in women, resulting in increased healthcare costs. The trauma-informed care approach seeks to enhance patient engagement and promote more effective recovery for those with a history of psychological trauma. This qualitative systematic review aims to synthesize evidence related to the experiences of women receiving trauma-informed care using Sandelowski and Barroso’s two-step approach for qualitative research synthesis. A comprehensive search was conducted across 10 electronic databases from their inception until September 2023, coupled with an extensive bibliography search of relevant studies and reviews. In total, eleven studies meeting the inclusion criteria were selected: qualitative peer-reviewed and non-peer-reviewed studies in English with findings on the experiences of adult heterosexual women aged 19 to 64 years old who underwent various trauma-informed psychosocial interventions. From these studies, four main themes emerged, elucidating women’s experiences as they engage with trauma-informed care: (a) Readiness to seek healing; (b) Healthcare providers: Extending the first hand; (c) An empowering paradigm shift; and (d) Better days ahead. Our major findings emphasize the importance of healthcare providers demonstrating sensitivity to trauma and culture, adopting a gender-sensitive approach, and taking a proactive stance in initiating discussions about trauma. Moreover, allocating more time for consultations, with an increased focus on building an initial rapport to ensure women’s comfort, is also vital. The review further underscores the benefits of group sessions in aiding women’s recovery from trauma. Ultimately, this review holds substantial implications for shaping future practices, emphasizing the critical necessity of personalized treatment plans.

中文翻译：

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女性接受创伤知情护理的经历：定性系统评价


遭受创伤会增加女性患病的风险，从而导致医疗费用增加。创伤知情护理方法旨在提高患者参与度，促进有心理创伤史的患者更有效地康复。本定性系统综述旨在利用桑德洛夫斯基和巴罗佐的两步法进行定性研究综合，综合与接受创伤知情护理的妇女的经历相关的证据。从 10 个电子数据库成立到 2023 年 9 月，我们对这些数据库进行了全面检索，并对相关研究和评论进行了广泛的参考书目检索。总共选择了 11 项符合纳入标准的研究：英语的定性同行评审和非同行评审研究，其研究结果涉及 19 至 64 岁的成年异性恋女性接受各种创伤相关心理社会干预的经历。从这些研究中，出现了四个主题，阐明了妇女在接受创伤知情护理时的经历： (a) 准备寻求治疗； (b) 医疗保健提供者：提供第一手资料； (c) 赋权范式转变； (d) 美好的日子即将来临。我们的主要发现强调了医疗保健提供者表现出对创伤和文化的敏感性、采取性别敏感方法以及采取积极主动的立场发起有关创伤的讨论的重要性。此外，分配更多的咨询时间，更加注重建立初步融洽关系以确保妇女的舒适也至关重要。审查进一步强调了小组会议在帮助妇女从创伤中康复方面的好处。 最终，本次审查对塑造未来的实践具有重大意义，强调了个性化治疗计划的至关重要性。