Invitations to think and feel in forensic nursing; the role of clinical supervision and reflective practice

Nicola O'Sullivan
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Abstract

Providing nursing care to people who have experienced child sexual abuse, assault and rape is a highly specialised and psychologically demanding task.  Necessarily much focus is on the technical aspects of the task of providing care to patients.  The specialist administrative and nursing team in the Sexual Assault and Treatment Units (SATUs) in Ireland provide complex treatment to a particularly vulnerable group of people from various backgrounds in Irish Society. The service is open to all genders and gender identities, aged 14 and over. The care is free and it is a recognised safe place to go to if you have been raped or sexually assaulted. In the Department of Health’s Policy Review of the SATUs in Ireland they recognised the challenging nature of the work and recommended the provision of high quality emotional supports for all staff (core and on-call). This paper considers the provision of reflective practice to members of the SATU team, with a particular emphasis on their emotional and psychological experience at work. The introduction of reflective practice into a nursing setting will be discussed including opportunities and challenges that emerged, and how the service gained momentum over a year. The paper will reflect on one case example in the form of a supervisee/supervisor relationship in an effort to deepen and broaden our understanding of the need for professional spaces in which to consider ones experience at work. 
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邀请法医护理人员思考和感受;临床监督和反思性实践的作用
为遭受过儿童性虐待、性侵犯和强奸的人提供护理服务是一项高度专业化、心理要求极高的任务。 为患者提供护理服务的工作重点必然主要集中在技术方面。 爱尔兰性侵犯和治疗单位(SATUs)的专业行政和护理团队为爱尔兰社会中来自不同背景的特别弱势群体提供复杂的治疗。这项服务面向 14 岁及以上的所有性别和性别认同者。治疗是免费的,如果你遭到强奸或性侵犯,这里是公认的安全场所。在卫生部对爱尔兰 SATU 的政策审查中,他们认识到这项工作的挑战性,并建议为所有员工(核心员工和待命员工)提供高质量的情感支持。本文探讨了为 SATU 团队成员提供反思性实践的问题,特别强调了他们在工作中的情感和心理体验。本文将讨论在护理环境中引入反思性实践的过程,包括出现的机遇和挑战,以及该服务如何在一年的时间里获得发展势头。本文将以被督导者/督导者关系的形式对一个案例进行反思,以加深和拓宽我们对专业空间的需求的理解,在专业空间中思考自己的工作经验。
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