Nurses should seek out and use continuing education to learn how to deal sexual abuse trauma effectively as well as use self-reflection to identify self-biases, feelings and values to overcome the challenges (Levers, 2012). It is important for nurses to develop self-care system that acknowledges the impacts that comes from working with trauma survivors and develop a coping strategics (Haiyasoso & Moyer. 2014; Levers. 2012).
Nurses should have a knowledge that it is not uncommon that sexualobuse histories in schizophrenia clients are significant, theretl, funhcr consideration in care is necessary in order to facilitate recovery. Determining an appropriate time to talk about a possible trauma history with the psychotic client is suggested by a study. o CEI Time, private space. and an established therapeutic alliance were essential in ltgsessing and addressing CSA histories (Chemomas & Mordoch, 2013). A study suggested despite the limitatins of setting and time constraints. nurses should use their intuition to offer TIC. A, result, despite their brevity, conveys to survivors that nurses are caring about this issue and that there is kelp to prevent further psychological problems such as post trauma reactions (Chemomas & Mordoch, 2013).
First. provide routine screening for CAS. There is growing awareness and accumulation of evidence exist that show that routine screening of CSA assists in identifying the problem initiating help to address underlying trauma issues. If implemented in a sensitive and informed manner, has the potential to lett° improved health outcomes (Chemomas & Mop:loch. 2013). A study suggested that indirect screening methods that would allow the patient a choice of answering, believing that direct questioning could be intrusive (Chemomas & Mordoch.2013).The importance of the routine screening noted by a study.
will be supportive such as a professional who specializes in treatitu6SA survivors (Tenor & Murphy, 2015). Another study focused on women survivors found women interpret talking about abuse as a healing experience, despite being initially distressing, because they feel empowered by an increased sense of self-worth (Snyder.2016). Therefore, the routine screening is necessary. oreover, organisation should focus on the education of CSA to mental health nurses. Education about the connection between childhood traumas, serious menial health problems, symptoms, and addictions, education about how to be with and talk with survivors about the sensitive CSA topic is required (Chemomas & Mordoch, 2013).
Foundational implication O A collaboration is needed between interdisciplinary professional stall' and agency administration to consider the body of research on assessing and addressing CSA histories and explore how to implement trauma-informed care practices beyond what has been done. For example, trauma services provider can display posters and pamphlets about trauma to inform the public of the awareness of the services providers (Chemomas & Mordoch. 2013).
The future research could focus on examine the differences among professionals' preparation in counselling the CSA survivors. It would be beneficial to evaluate if increased preparation affects professionals' wellness (Flaiyastm & Moyer, 2014). If yes, the evidence could encourage the further education and on job training for the future professionals (Haiyasoso & Moyer. 2014). There is lack of existing research examining coping strategies eller people who experience physical and sexual abuse (Bows, 2018). id study noted that the use of alcohol among older survivors as coping mamas exacerbates existing physical and/or mental health problems (Bows. 2018). Therefore, there is a need for further research to examines the coping strategies of older survivors. In addition, there is also lack of interaw collaboration between services providers. It is important for the services providers work together to raise.
In regard to child survivors. counselling is beneficial for children and their caregivers because support from caregivers are a critical part in the recovery journey (Haiyasoso & Moyer, 2014). However, challenges arc exacerbated when there is lack of validation and support from the family unit. Overwhelmed and emotional parents could contribute to the child s feelings and they may experience feelings of shame (McPherson et al., 2012). If the perpetrator of abuse is a family member this becomes increasingly challenging fur professionals to handle (Wymer et al.. 2020). Challenges also found with the child clients who might not have the capacity to comprehend the trauma and the treatment process (Kennedy et al., 2021).
Trauma-Informed Care (TIC) is an approach whereby all aspects of services am organised around the recognition and acknowledgement of trauma and its prevalence, alongside awareness and sensitivity to its dynamic dental Health Coordinating Council & Council. 2013). The current health care providersdoes not reflect this reality and is inadequate to cope with it (Stavropoulos. 2019). Therefore. trauma-informed care training should be viewed as essential to supporting and empowering nurses to recognise people who may he impacted by trauma and respond accordingly (Fiolet et al., 2021). CO There are tight principles in TIC which are: Promoting safety.
Describe the Role-modelling interpersonal relationships that heal. Understanding culture. Advocating for consumer control. Choice and autonomy, Understanding trauma and its impact, Sharing power, Inspiring hope and supporting recovery, Integrating care and Sharing power and governance (Cleary & Hungcrford. 2015). These cid( principles are consisted to person-centre care. nurses arc recommended to integrate it not only into their everyday work but also into services.
