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Trauma- and violence-informed care for the 2SLGBTQIA+ population: A concept analysis

Nurs Outlook. 2026 Apr 23;74(3):102786. doi: 10.1016/j.outlook.2026.102786. Online ahead of print.

ABSTRACT

BACKGROUND: Two-spirit, lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other sexual and gender-diverse (2SLGBTQIA+) people experience disproportionately higher exposure to personal and structural violence and related health inequities, including increased mental health burden, substance use, and barriers to accessing affirming healthcare. These inequities may be compounded for 2SLGBTQIA+ people with a history of trauma through stigmatizing or retraumatizing healthcare encounters.

PURPOSE: This concept analysis aims to clarify the concept of trauma- and violence-informed care (TVIC) in nursing as it applies to 2SLGBTQIA+ people. Clarification of the concept stands to improve and support more consistent and accessible nursing practice norms in all care settings.

METHODS: The Walker and Avant (2019) method was used for this concept analysis.

DISCUSSION: The attributes of the concept of TVIC for 2SLGBTQIA+ people described in this analysis can be used to implement universal policies across nursing practice areas. Ongoing knowledge attainment, a commitment to growth and development through learning, and an openness to the evolving concept of TVIC should be strived for.

CONCLUSION: Recognition and acknowledgment, safety, affirmation, and empowerment are the attributes that define the concept of TVIC in nursing for 2SLGBTQIA+ people.

PMID:42033981 | DOI:10.1016/j.outlook.2026.102786

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