Trauma-Informed Care Instruments for Nursing in Natural Disaster-Prone Areas: A Systematic Review
DOI:
https://doi.org/10.31674/mjn.2026.v17i04.019Abstract
Background: Nurses play a crucial role not only in clinical management but also in preventing psychological trauma, especially in disaster-prone settings. Trauma-Informed Care (TIC) is a key strategy, and its implementation requires the use of valid and reliable instruments. This systematic review aims to identify TIC assessment tools and analyze their application across different disaster phases. Methods: A systematic review was conducted following the PRISMA guidelines. Literature searches were performed in five databases (PubMed, ScienceDirect, Emerald, ProQuest, and Sage Journals) using keywords, covering publications from 2015 to 2024. Results: Nine TIC instruments were identified and grouped into three categories: (1) Individual attitudes and competencies The Attitudes Related to Trauma Informed Care (ARTIC), Knowledge, Attitudes, and Practices related to Trauma-Informed care (KAP-TIC), Nurses’ Intention to Care for Patients with Infectious Disease Scale (NICPS), Measuring TIC-Nurses). (2) Organizational readiness and culture (TICO Meter, Organizational Trauma Resilience Assessment (OTRA)), and (3) Specific clinical practices (TIC-PAT, Trauma-Informed Practice (TIP) Scale). Instruments such as ARTIC and the Trauma-Informed Care Provider Assessment Tool (TIC-PAT) are suitable for the initial phase of a disaster, allowing for the rapid assessment of healthcare workers. Meanwhile, TICO Meter and OTRA are effective for evaluating organizational readiness and resilience during response and rehabilitation. The TIP Scale is particularly relevant in the recovery phase to empower survivors. Conclusion: Nine TIC instruments can be integrated into different phases of disaster management: ARTIC and TIC-PAT for early assessment, TICO Meter and OTRA for organizational readiness during response and rehabilitation, and the TIP Scale for recovery. Training and systematic use of these tools enable nurses to deliver compassionate, safe, and resilient care in disaster-prone settings.
Keywords:
Disaster-Prone Areas;, Nursing Assessment;, Trauma-Informed Care InstrumentDownloads
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