Resilience and Engagement in Crisis: Fostering Trauma-Informed Care and Patient Partnerships Into the Future.

B C Pomeroy
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Abstract

The COVID-19 pandemic has significantly disrupted patient engagement and exposed long-standing inequities within Canada's healthcare system. As a patient partner and caregiver, the author reflects on the exacerbated challenges during the pandemic, particularly for hardly reached communities and those managing chronic conditions. The crisis highlighted the absence of opportunities for patient partnership, with healthcare organizations halting engagement activities despite an increased need for communication and community involvement. The pandemic underlined the necessity of trauma-informed care and engagement-capable environments (ECE). To address these challenges, the author advocates for integrating trauma-informed practices with ECEs, thereby promoting a healthcare model that is both structurally supportive and responsive to individual trauma and resilience. By focusing on compassion, recognizing trauma and fostering engagement, such an approach could enhance patient outcomes and create a more adaptive, inclusive healthcare environment.

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危机中的复原力与参与:在未来促进创伤知情护理和患者伙伴关系。
COVID-19 大流行严重扰乱了患者的参与,并暴露了加拿大医疗保健系统中长期存在的不公平现象。作为一名患者伙伴和护理者,作者反思了大流行期间加剧的挑战,尤其是对那些难以触及的社区和慢性病患者而言。这场危机凸显了患者伙伴关系机会的缺失,尽管对沟通和社区参与的需求增加,但医疗机构却停止了参与活动。大流行病凸显了创伤知情护理和具有参与能力的环境(ECE)的必要性。为了应对这些挑战,作者主张将创伤知情实践与幼儿教育相结合,从而推广一种既能在结构上提供支持,又能对个人创伤和恢复能力做出反应的医疗保健模式。通过关注同情心、认识创伤和促进参与,这种方法可以提高患者的治疗效果,并创造一个更具适应性和包容性的医疗环境。
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Beyond the Crisis: Transforming Health Systems Through Community Engagement. Creating a Sustaining Culture for Patient Engagement. First Peoples Wellness Circle and the Indigenous Mental Wellness and Trauma-Informed Specialist Workforce During COVID-19. Meaningful Engagement or Co-Production, or Both? Nurturing Engagement-Capable Environments.
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