Evidence map›Paper›PMID 41388937›Full record

ArticleResearch in nursing & health2026

"Holding Space in Chaos": Nurses' Experiences Delivering Trauma-Informed Care in Emergency Departments.

Abdulrhman Khaled Al Abdulqader, Sayed Ibrahim Ali, Samah Anwar Shalaby, Mostafa Shaban

Abstract read
In one paragraph

Article in Research in nursing & health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Abdulrhman Khaled Al AbdulqaderDepartment of Internal Medicine, College of Medicine, King Faisal University, Al-Ahsa, Saudi Arabia.
Sayed Ibrahim AliDepartment of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia.
Samah Anwar ShalabyCritical Care and Emergency Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Mostafa ShabanCommunity Nursing Department, College of Nursing, Jouf University, Sakaka, Saudi Arabia.ORCID https://orcid.org/0000-0001-7822-1653

Funding

This work was supported by the Deanship of Scientific Research, Vice Presidency For Graduate Studies and Scientific Research, King Faisal University, Saudi Arabia (Grant KFU254375).
6 · The paper itself

Abstract

Emergency departments (EDs) frequently serve individuals who have experienced acute or cumulative trauma. While trauma-informed care (TIC) offers a framework to support healing and psychological safety, little is known about how nurses implement these principles in high-acuity emergency settings. This study explored how emergency nurses understand, deliver, and emotionally navigate trauma-informed care in the context of a tertiary hospital in Saudi Arabia. A qualitative phenomenological design was employed. Seventeen registered nurses from the emergency department of King Faisal university Hospital participated in in-depth, semi-structured interviews. Data were analyzed thematically using Braun and Clarke's six-phase framework and managed with NVivo 14 software. Four interrelated themes were identified: (1) Holding Emotional Space in Clinical Chaos-nurses created micro-moments of psychological safety amid trauma and time pressure; (2) Systemic Misalignment with Trauma-Informed Values-organizational structures constrained relational care; (3) Protective Empathy and Adaptive Strategies-nurses developed emotional boundaries and grounding rituals to sustain compassion; and (4) The Accumulated Emotional Toll-ongoing exposure to trauma resulted in moral injury and emotional exhaustion, countered by reflection and peer support. Trauma-informed care in emergency settings is relational, emotionally taxing, and often constrained by systemic factors. Institutions must invest in trauma-informed systems, staff supports, and educational infrastructure to sustain ethical, emotionally attuned care in acute environments. Patients were not directly involved in this study, which focused on healthcare provider perspectives. Findings may inform institutional strategies to enhance patient-centered, trauma-informed practice.

Indexed as

Attitude of Health PersonnelEmergency NursingEmergency Service, HospitalNursing Staff, HospitalAdultEmpathyFemaleHumansMaleMiddle AgedPsychological SafetyQualitative ResearchSaudi Arabiacompassion fatigueemergency nursingemotional labormoral injurynursing ethicsqualitative researchtrauma‐informed care

Identifiers

PMID41388937
PMCPMC13369833

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.