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Contemplating Global Citizenship During the War in Ukraine. 乌克兰战争期间对全球公民的思考。
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-04-01 DOI: 10.1097/JFN.0000000000000398
C. Peternelj-Taylor
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引用次数: 1
Development and Implementation of a Coordinated Community Response to Address Elder Abuse and Neglect 制定和实施协调一致的社区应对措施,以解决虐待和忽视老年人的问题
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-03-14 DOI: 10.1097/JFN.0000000000000378
C. Pickering, C. Maxwell, Ron Tatro, Karla Fales, Bonnie Hogoboom
ABSTRACT Background Elder abuse, neglect, and financial exploitation impacts over five million community-dwelling older adults in the United States. Although services are available to help these victims, they are often fragmented within communities with service providers having limited means to provide preventative services. The coordinated community response (CCR) is a type of coalition intended to overcome siloed services through a single-point-of-entry system and more team-based approaches to prevention. This article describes the development, implementation, and evaluation of the interagency functioning of a local CCR. Methods The main goal of the CCR has been to better serve victims of elder abuse, neglect, and financial exploitation. However, through the coalition's evolution, the mission of how to do this shifted from a victim service model to a prevention approach. Unique features of this CCR include a uniform consent form to allow sharing of protected client data among all service providers and a technology-supported infrastructure for service record documentation and referrals. Evaluation Using available data from administrative records, the number of unique interagency referrals for services to older adults at risk increased 450% from 2016 to 2018. The strength and type of connections between agencies changed over time. Among all eligible clients offered services, most (77%) agreed to provide uniform consent to allow data sharing among other local partner agencies. Discussion The evaluation showed that the coalition met most of its planned measurable outputs in the original logic model guiding the CCR programmatic development. The evaluation findings and lessons learned inform updated guidelines for self-assessment of CCRs.
背景:老年人虐待、忽视和经济剥削影响着美国500多万社区老年人。虽然可以提供服务来帮助这些受害者,但这些服务在社区内往往是分散的,服务提供者提供预防性服务的手段有限。协调社区反应(CCR)是一种联盟,旨在通过单点进入系统和更多以团队为基础的预防方法来克服孤立的服务。本文描述了本地CCR的机构间功能的开发、实现和评估。方法CCR的主要目标是更好地为老年人虐待、忽视和经济剥削的受害者提供服务。然而,随着联盟的发展,如何做到这一点的使命从受害者服务模式转变为预防方法。该CCR的独特功能包括统一的同意书,允许在所有服务提供商之间共享受保护的客户数据,以及用于服务记录文档和转介的技术支持基础设施。利用行政记录中的现有数据,2016年至2018年,向有风险的老年人提供服务的独特机构间转诊数量增加了450%。机构之间联系的强度和类型随着时间的推移而变化。在所有提供服务的合格客户中,大多数(77%)同意提供统一的同意,允许其他当地合作机构之间共享数据。评估表明,该联盟在指导CCR规划发展的原始逻辑模型中满足了大部分计划的可测量输出。评价结果和吸取的经验教训为ccr自我评估的最新指南提供了依据。
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引用次数: 2
Confusing Terms 混淆术语
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-03-14 DOI: 10.1097/JFN.0000000000000382
Hannah E. Fraley, Gayatri Subedi
ABSTRACT Human trafficking is a growing population health problem. More than half of all persons experiencing trafficking are youth, with many in the United States unrecognized despite experiencing exploitation. Available peer-reviewed articles report a myriad of descriptions of trafficking, yet the concept and operational definition of youth trafficking, specifically, is lacking and unclear. Youth trafficking is described differently across multidisciplinary researchers and clinicians working with trafficked youth. Furthermore, labor trafficking of youth is largely excluded from the conversation surrounding trafficking. This article presents a concept analysis of naming trafficking of persons under the age of 18 years to clarify the concept specific to youth experiencing all forms of trafficking and approaches professionals can take with this specific subpopulation of trafficked persons and survivors.
人口贩卖是一个日益严重的人口健康问题。在所有遭受贩运的人中,有一半以上是年轻人,在美国,许多人尽管遭受了剥削,但却没有得到承认。现有的同行评议文章报道了无数关于人口贩卖的描述,但具体来说,青少年人口贩卖的概念和操作定义缺乏且不明确。从事被贩运青年工作的多学科研究人员和临床医生对贩运青年的描述各不相同。此外,青少年劳动贩卖在很大程度上被排除在贩卖话题之外。本文对18岁以下人口贩运的命名进行了概念分析,以澄清经历各种形式贩运的青年特有的概念,以及专业人员可以对这一特定的被贩运者和幸存者亚群采取的方法。
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引用次数: 0
Indiana Sexual Assault Nurse Examiner Training Initiative: Positive Impacts for Medical Forensic Care 印第安纳州性侵犯护士审查员培训倡议:对医学法医护理的积极影响
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-03-08 DOI: 10.1097/JFN.0000000000000383
A. Morris, Sarah Goletz, Jane Friona
ABSTRACT Background Indiana ranks among the highest in the nation for child abuse and neglect reports. Already facing a persistent shortage of sexual assault nurse examiners (SANEs) to serve patients across the life span, residents with medical forensic needs were often being referred to other hospitals across the state for care or simply were not receiving medical forensic examinations because of lack of access to trained examiners. The Indiana SANE Training Project was established to evaluate the forensic nursing workforce throughout Indiana and work to expand access to qualified SANEs through training and collaboration with stakeholders, with a focus on rural and underserved areas of the state. Methods The Project gathered information from nurses who participated in activities during the first Project year. This information was evaluated for service gaps and ongoing training needs. The project coordinator then convened a workgroup of stakeholders and subject matter experts to evaluate and respond to the most immediate need—limited access to pediatric medical forensic providers. Results From September 2018 to December 2019, nurses were trained by the Project (n = 160). Of those, 86% indicated that their hospital did not provide medical forensic examinations to pediatric patients. The Pediatric SANE Intensive was launched in October 2020 and trained pediatric SANEs (n = 28). Upon completion, participants reported 47% increase in confidence and 56% increase in competence related to caring for pediatric patients. Discussion Statewide collaboration is a critical component of establishing a consistent approach to care, strengthening multidisciplinary partnerships, increasing access to medical forensic services across the life span and in rural and underserved areas, and promoting the Indiana Guidelines for Medical Forensic Examination of Pediatric Sexual Abuse Patients.
摘要背景:印第安纳州是全美虐待和忽视儿童报告最多的州之一。性侵犯护理检查人员(SANEs)在整个生命周期内一直面临短缺,有医疗法医需求的居民经常被转介到全州其他医院接受治疗,或者因为缺乏训练有素的检查人员而根本没有接受医疗法医检查。建立印第安纳州法医护理培训项目是为了评估整个印第安纳州的法医护理人员,并通过与利益相关者的培训和合作,努力扩大获得合格法医护理人员的机会,重点关注该州的农村和服务不足地区。方法收集项目第一年参加活动的护士的资料。评估了这些信息的服务差距和正在进行的培训需求。项目协调员随后召集了一个由利益攸关方和主题专家组成的工作组,以评估和应对最紧迫的需求——儿童医疗法医提供者获得机会有限。结果2018年9月至2019年12月,该项目共培训护士160名。其中,86%的医院表示,他们的医院不向儿科患者提供法医检查。儿科SANE强化课程于2020年10月启动,培训儿科SANE (n = 28)。在完成后,参与者报告47%的信心增加,56%的能力提高与照顾儿科患者有关。全州范围的协作是建立一致的护理方法、加强多学科伙伴关系、增加整个生命周期以及农村和服务不足地区获得法医医疗服务的机会、推广《印第安纳州儿童性虐待患者法医医疗检查指南》的关键组成部分。
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引用次数: 1
Using Telehealth Technology to Serve Patients Reporting Sexual Assault 利用远程医疗技术为报告性侵犯的患者提供服务
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-03-08 DOI: 10.1097/JFN.0000000000000379
Jessica Shaw, Hannah Feeney, J. Meunier-Sham, R. Petricone, Rachel M. Preiss
ABSTRACT Many communities across the country are developing, implementing, or already operating programs that provide patients with access to sexual assault nurse examiner (SANE) expertise and care through telehealth technology (e.g., teleSANE or teleSAFE). The speed at which teleSANE programs are proliferating is outpacing the available research and evaluation to inform key decisions on program development and implementation. During the height of the COVID-19 pandemic, the Massachusetts Department of Public Health SANE Program and its National TeleNursing Center decided to rapidly and temporarily convert a set of hospitals from providing in-person SANE care to remote teleSANE care. Several specific changes were made to this program's established teleSANE model for the rapid, temporary conversion. This article reports on findings from an evaluation of the temporary TeleSANE model that provide insight into key decisions that must be made in the development and implementation of teleSANE program features. Communities considering developing or already operating a teleSANE program should be intentional in making program goals, purposes, and values explicit as well as develop their program accordingly.
摘要:全国各地的许多社区都在制定、实施或已经在实施一些项目,通过远程医疗技术(例如,远程SANE或远程SAFE)为患者提供性侵护士检查员(SANE)的专业知识和护理。远程SANE项目激增的速度超过了现有的研究和评估,为项目开发和实施的关键决策提供信息。在新冠肺炎疫情最严重的时候,马萨诸塞州公共卫生部SANE计划及其国家远程护理中心决定迅速暂时将一组医院从提供住院SANE护理转变为远程SANE护理。为了快速、临时的转换,对该项目已建立的teleSANE模型进行了一些具体的更改。本文报告了对临时TeleSANE模型的评估结果,该模型深入了解了在开发和实施TeleSANE程序功能时必须做出的关键决策。考虑开发或已经运营远程SANE项目的社区应有意明确项目目标、目的和价值观,并相应地开发其项目。
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引用次数: 1
Complex Suicide: A Case Series. 复杂自杀:案例系列。
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-03-08 DOI: 10.1097/JFN.0000000000000380
Nagendra Singh Sonwani, N. Ateriya, Satish Kumar Verma, Narinder Kumar Aggarwal
ABSTRACTSuicide is a common manner of death typically carried out via a specific mechanism. When a suicidal act is committed using more than one method, it is called a complex suicide. A complex suicide can be divided into planned and unplanned. We present three cases of complex suicide in which multiple methods were used and a previous history of self-harm was present. This case series highlights the significance of a detailed medicolegal death investigation, including interviews with relatives and other witnesses, and a thorough forensic autopsy/toxicological analysis to ascertain the cause and manner of death.
摘要自杀是一种常见的死亡方式,通常通过特定的机制进行。当使用多种方法实施自杀行为时,称为复杂自杀。复杂的自杀可以分为有计划的和无计划的。我们报告了三例复杂自杀病例,其中使用了多种方法,并且有自残史。本系列案件强调了详细的法医死亡调查的重要性,包括与亲属和其他证人的面谈,以及彻底的法医尸检/毒理学分析,以确定死亡原因和方式。
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引用次数: 0
A Major Investment in the United States Sexual Assault Nurse Examiner Workforce. 对美国性侵犯护士检查人员队伍的重大投资。
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-01-01 DOI: 10.1097/JFN.0000000000000375
Alison M Colbert, L Kathleen Sekula
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引用次数: 1
Promoting Professional Quality of Life and Resiliency in Sexual Assault Nurse Examiners. 促进性侵犯护士审查员的专业生活质量和弹性。
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-01-01 DOI: 10.1097/JFN.0000000000000350
Lindsay Bouchard, Deborah Williams, Lisa Kiser, Erica Freese, Douglas Taren

Background: Sexual assault nurse examiners (SANEs) have received specialized education and clinical training in providing forensic care for sexual assault and abuse victims. SANEs provide compassionate and competent care that promotes emotional recovery for their patients; however, caring for this population puts SANEs at risk for secondary traumatic stress, professional burnout, and compassion fatigue. The research regarding SANEs indicates that there may be multiple personal and organizational factors that affect their development of negative outcomes related to professional quality of life.

Purpose: This study explored challenges SANEs experience in their work and what resources are utilized to promote their resiliency and professional quality of life.

Methods: SANEs were recruited to complete an anonymous online survey through the International Association of Forensic Nurses community; 69 SANEs completed the survey. Eight of the SANEs also participated in follow-up focus groups.

Results: The participants reported many gratifying aspects of their work. They also described challenges related to personal, professional, organizational, and community factors. Many of the reported negative effects align with secondary traumatic stress and professional burnout. The SANEs identified multiple ways to support their resiliency in the context of this difficult work.

Implications: The nature of this work puts SANEs at risk for developing adverse symptoms related to professional quality of life. SANEs need better support and resources to cope with the demands of their work. Findings of this study will be used to design SANE Well, a support application to promote SANE wellness and resiliency.

背景:性侵犯护士审查员(SANEs)在为性侵犯和性虐待受害者提供法医护理方面接受了专门的教育和临床培训。SANEs提供富有同情心和称职的护理,促进患者的情绪恢复;然而,照顾这些人会使他们面临继发性创伤压力、职业倦怠和同情疲劳的风险。研究表明,可能存在多种个人因素和组织因素影响他们产生与职业生活质量相关的负面结果。目的:本研究探讨了SANEs在工作中遇到的挑战,以及利用哪些资源来提高他们的弹性和职业生活质量。方法:通过国际法医护士协会社区招募护士完成一项匿名在线调查;69家SANEs完成了调查。8个国家安全机构还参加了后续焦点小组。结果:参与者报告了他们工作中许多令人满意的方面。他们还描述了与个人、专业、组织和社区因素相关的挑战。许多报道的负面影响都与继发性创伤压力和职业倦怠有关。sane确定了多种方法来支持其在这项艰巨工作背景下的弹性。含义:这项工作的性质使SANEs有发展与职业生活质量相关的不良症状的风险。SANEs需要更好的支持和资源来应付其工作需求。本研究的结果将用于设计SANE Well,一个支持应用程序,以促进SANE健康和弹性。
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引用次数: 3
Building a Capacity of Sexual Assault Nurse Examiners in an Underserved U.S.-Mexico Border Region. 在服务不足的美墨边境地区建立性侵犯护士审查员的能力。
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-01-01 DOI: 10.1097/JFN.0000000000000371
Marivic B Torregosa, Nandita Chaudhuri, Maria Del Rosario Benavides, Anthony Jackson

Abstract: Sexual assault nurse examiners (SANEs) conduct medical forensic examinations for persons who have been sexually assaulted. Positive psychological effects, high prosecution rates, and increased victim self-efficacy to seek resources for recovery were reported among sexual assault victims who received forensic care from SANEs. However, such endeavors may be very challenging to achieve because of the severe shortage of certified SANEs. This article will describe how one institution located in a medically underserved U.S.-Mexico border town built a SANE program to increase the capacity of SANEs in the region through 3-year grant funding. The lessons learned, challenges faced during implementation, and sustainability plans including integrating SANEs into the local medicolegal system to seek justice for sexual assault victims are critically addressed in this article.

摘要/ Abstract摘要:性侵护士检验员(SANEs)对性侵受害者进行医学法医检查。据报道,在接受SANEs法医护理的性侵犯受害者中,有积极的心理影响,起诉率高,受害者寻求康复资源的自我效能感增强。然而,由于认证的SANEs严重短缺,实现这些努力可能非常具有挑战性。本文将介绍一个位于医疗服务不足的美墨边境城镇的机构如何建立一个SANE项目,通过3年的赠款资金来提高该地区SANE的能力。本文重点讨论了经验教训、实施过程中面临的挑战和可持续发展计划,包括将SANEs纳入当地医疗法律体系,为性侵犯受害者寻求正义。
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引用次数: 2
Challenges and Collaborations: A Case Study for Successful Sexual Assault Nurse Examiner Education in Rural Communities During the COVID-19 Pandemic. 挑战与合作:COVID-19大流行期间农村社区成功性侵犯护士考官教育的案例研究
IF 1 4区 医学 Q2 Social Sciences Pub Date : 2022-01-01 DOI: 10.1097/JFN.0000000000000364
Tami Thomas, Juan Carlos Nobrega, Sherry Britton-Susino

Abstract: Challenges can often only be overcome with collaboration. In this case report of a Health Resources and Services Administration-funded program for Advancing Nurse Education - Sexual Assault Nurse Examiner, we describe the unique challenges and collaborations that have taken place in rural communities as we continued to train nurses during the COVID-19 pandemic. Geography and lack of availability of sexual assault nurse examiner (SANE) trainees brought many challenges as we prepared them to successfully pass the SANE certification examination and recruit new cohorts to expand SANE education.During the implementation of this program, we found that our process model, community collaboration, and commitment to these rural counties were the keys to our success before and during the COVID-19 pandemic.SANE trainee process and outcome measures were collected through quantitative and qualitative data collection. These data from the first cohort, along with the strategies implemented as all partners navigated the challenges of COVID-19, helped to strengthen our collaboration and expand the program. Details of these strategies and outcomes to date will be discussed.

摘要:挑战往往只能通过合作来克服。在这份由卫生资源和服务管理局资助的推进护士教育项目——性侵犯护士审查员的案例报告中,我们描述了在2019冠状病毒病大流行期间我们继续培训护士时,在农村社区发生的独特挑战和合作。地理位置和缺乏可用性侵犯护士审查员(SANE)学员给我们带来了许多挑战,因为我们准备他们成功通过SANE认证考试并招募新的队列来扩大SANE教育。在实施这一项目的过程中,我们发现我们的流程模式、社区合作以及对这些农村县的承诺是我们在2019冠状病毒病大流行之前和期间取得成功的关键。通过定量和定性数据收集,收集了SANE受训过程和结果测量。来自第一批项目的这些数据,以及所有合作伙伴在应对COVID-19挑战时实施的战略,有助于加强我们的合作并扩大该计划。将讨论这些战略的细节和迄今为止的成果。
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引用次数: 1
期刊
Journal of Forensic Nursing
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