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A Canadian Sexual Assault Nurse Examiner's Personal Reflection and Ongoing Questioning of Vicarious Trauma. 一位加拿大性侵犯鉴定师的个人反思和对继发性创伤的持续质疑。
Pub Date : 2025-01-01 Epub Date: 2024-10-25 DOI: 10.1097/JFN.0000000000000518
Diana Rose Caporiccio, Arlene Kent-Wilkinson, Cindy Peternelj-Taylor

Objective: The objective of this article was to provide a first-person account of the vulnerable aspects of my life where I questioned if VT had influenced my thought processes and to uncover the potential health risks associated with exposure to patients' repeated stories of trauma. I questioned whether I was experiencing VT or other disorders such as burnout, posttraumatic stress disorder, or compassion fatigue. The scholarly literature was reviewed after my personal reflection to analyze my personal experiences and to gain clarity on how VT and/or other related concepts may impact the professional and personal lives of SANEs.

Methods: Methods used to produce my personal stories have been done via self-reflection and journaling. Three stories that I believe may resemble VT are shared and analyzed vis-à-vis the literature. My personal vignettes are compared with signs and symptoms of VT and illustrate how they may manifest in the daily lives of SANEs.

Implications: To date, researchers have neglected to explore concrete examples of the personal depth VT may exhibit in an individual's life. By disclosing and synthesizing my personal stories, I hope to encourage SANEs to be open about their experiences, spread awareness and prevention strategies regarding VT, and, ultimately, further enhance well-being and promote increased longevity in their careers.

目的:本文的目的是以第一人称叙述我生活中脆弱的一面,我质疑 VT 是否影响了我的思维过程,并揭示与接触病人反复讲述的创伤故事相关的潜在健康风险。我质疑自己是否正在经历 VT 或其他疾病,如职业倦怠、创伤后应激障碍或同情疲劳。在我进行个人反思后,我查阅了学术文献,以分析我的个人经历,并明确 VT 和/或其他相关概念可能会如何影响 SANE 的职业和个人生活:我通过自我反思和写日记的方式来撰写我的个人故事。我分享了三个我认为可能与 VT 相似的故事,并对照文献进行了分析。我的个人小故事与 VT 的迹象和症状进行了比较,并说明了它们在 SANE 日常生活中的表现形式:迄今为止,研究人员一直忽视对 VT 在个人生活中可能表现出的个人深度的具体实例进行探讨。我希望通过披露和总结我的个人经历,鼓励急救人员坦诚面对自己的经历,传播有关 VT 的意识和预防策略,并最终进一步提高他们的幸福感,延长他们的职业寿命。
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引用次数: 0
Reporting Intimate Partner Violence in the Healthcare Setting. 报告医疗机构中的亲密伴侣暴力行为。
Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1097/JFN.0000000000000515
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引用次数: 0
Increasing Sexual Violence Reporting and Disclosure in Higher Education Institutions: A Proposed Approach to Critically Analyze the Internal Organizational Context. 增加高等教育机构的性暴力报告和披露:对组织内部环境进行批判性分析的拟议方法。
Pub Date : 2025-01-01 Epub Date: 2024-05-29 DOI: 10.1097/JFN.0000000000000490
Karen Kennedy, KelleyAnne Malinen, Virginia Gunn

Aims: This article explores the underreporting of sexual violence (SV) in higher education, highlighting serious implications for survivors who may silently cope with its aftermath instead of accessing crucial resources.

Methods: We utilize Bolman and Deal's four-frame model for organizational change to assess how internal factors within organizations may influence reporting of SV. The four frames-symbolic, structural, human resources, and political-offer a systematic analysis of the internal organizational context in higher education institutions concerning SV reporting.

Results: Our suggested approach offers concrete dimensions and probing questions for examination. Derived from a qualitative study, our recommendations align with Bolman and Deal's four-frame model, aiding in assessing the organizational environment. This approach assists stakeholders in identifying barriers/facilitators in the internal organizational context of higher education institutions, enabling effective planning for improved SV reporting/disclosure.

Conclusions: A thorough analysis is essential for understanding factors influencing campus SV reporting. Our proposed critical analysis and recommendations serve as a starting point to identify organizational barriers/facilitators, informing the revision of SV policies and processes, including reporting.

Potential impact of improved sexual assault reporting in higher education institutions on forensic nursing and survivors/victims allies: Enhanced reporting of sexual assault in higher education benefits forensic nurses and allies, like student affairs, advocacy groups, unions, SV coordinators, health centers, equity departments, human rights officers, and administration. Improved analysis of institutional and cultural contexts allows for tailored services to better meet survivors' needs. Increased reporting should lead institutions to higher service utilization, requiring careful planning for resource allocation.

目的:本文探讨了高等教育中性暴力(SV)报告不足的问题,强调了这一问题对幸存者的严重影响,她们可能会默默地应对性暴力的后果,而不是获取关键资源:我们利用 Bolman 和 Deal 的组织变革四框架模型来评估组织内部因素如何影响 SV 报告。这四个框架--象征性框架、结构框架、人力资源框架和政治框架--对高等教育机构有关 SV 报告的内部组织环境进行了系统分析:我们建议的方法提供了具体的研究维度和探究问题。我们的建议源自一项定性研究,与 Bolman 和 Deal 的四框架模型相一致,有助于评估组织环境。这种方法有助于利益相关者识别高等教育机构内部组织环境中的障碍/促进因素,从而为改进 SV 报告/披露制定有效的计划:全面的分析对于了解影响校园 SV 报告的因素至关重要。我们提出的关键分析和建议可作为识别组织障碍/促进因素的起点,为修订包括报告在内的性侵犯政策和流程提供信息:加强高等教育机构的性侵犯报告有利于法医护士和盟友,如学生事务、权益团体、工会、SV 协调员、健康中心、公平部门、人权官员和行政部门。加强对机构和文化背景的分析,可以提供量身定制的服务,更好地满足幸存者的需求。更多的报告应促使机构提高服务利用率,这就需要对资源分配进行仔细规划。
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引用次数: 0
The Intersection of Intimate Partner Violence, Strangulation, and Brain Injury Screening: A Pilot Project. 亲密伴侣暴力、勒死和脑损伤筛查的交集:一个试点项目。
Pub Date : 2025-01-01 DOI: 10.1097/JFN.0000000000000541
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引用次数: 0
Defining Our Forensic Nursing Destiny Together. 共同确定我们的法医护理命运。
Pub Date : 2025-01-01 DOI: 10.1097/JFN.0000000000000531
Carolyn M Porta
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引用次数: 0
A Neuman Systems Model-Based Forensic Nursing Course. 基于纽曼系统模型的法医护理课程。
Pub Date : 2025-01-01 Epub Date: 2024-05-27 DOI: 10.1097/JFN.0000000000000486
Betsy M McDowell

Abstract: Because nursing theory is integral to effective nursing practice, education, and research, today's faculty are expected to weave nursing theory throughout the nursing curricula at both advanced and entry academic levels. However, incorporating nursing theory across all courses may be unfamiliar for many faculty. In this article, a senior-year elective course in forensic nursing included in a prelicensure baccalaureate curriculum with a Neuman Systems Model focus is presented. Suggested forensic nursing metaparadigm concepts, a possible schedule of topics and activities, and samples of Neuman Systems Model-based assignments are provided. This example could easily be adapted to other nursing theories and/or to other courses across the curriculum. Also emphasized is the importance of nurses providing trauma-informed care for all clients and reinforces the value of accurate evidence collection techniques and documentation. Finally, this course offers students a view of forensic nursing as a viable career choice.

摘要:由于护理理论是有效护理实践、教育和研究的组成部分,今天的教师被期望将护理理论贯穿于高级和初级学术水平的护理课程中。然而,对于许多教师来说,将护理理论纳入所有课程可能是不熟悉的。在这篇文章中,四年级选修课程的法医护理包括在执照前学士学位课程与诺伊曼系统模型的重点提出。建议的法医护理元范式概念,主题和活动的可能时间表,以及基于纽曼系统模型的作业样本提供。这个例子可以很容易地适用于其他护理理论和/或课程中的其他课程。还强调了护士为所有客户提供创伤知情护理的重要性,并强调了准确证据收集技术和文件的价值。最后,本课程为学生提供了法医护理作为一个可行的职业选择的观点。
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引用次数: 0
The Impact of Patients and Student Mental Health Nurses Sharing Time Together in Forensic Units. 病人和心理健康护士学生在法医病房共处一段时间的影响。
Pub Date : 2025-01-01 Epub Date: 2024-08-16 DOI: 10.1097/JFN.0000000000000508
Emma S Jones, Karen M Wright, Mick McKeown

Abstract: Student mental health nurses have greater patient contact than registered nurses, and this is appreciated by patients. This phenomenological study explored the impact of patients and student mental health nurses' time shared on forensic units for men carrying a personality disorder diagnosis. Phenomenology was the underpinning philosophy of this research. Patients and student mental health nurses in forensic hospitals participated in unstructured hermeneutic interviews. The time students and patients shared together was considered a gift, enabling them to feel that they were "just people" and valued, strongly impacting on their sense of person. The impact the students have on patients' quality of life is meaningful. When the students and patients connected, it had powerful implications for their sense of humanness and value, highlighting the reciprocal impact they each have on another and the importance of having student nurse clinical placements in forensic wards and facilities.Implications for Clinical Forensic Nursing Practice: This article offers a unique contribution to forensic practice by exploring the experiences of the time patients and students share together in forensic units. Students, who often have the greatest contact with patients, represent the present and future of nursing, and their time is appreciated by patients. Previous research focuses on attitudes and therapeutic relationships, rather than the impact of shared contact. In addition to this, patients in forensic services with personality disorder diagnoses can be the most stigmatized group in mental health care, and exploration of their experiences is lacking. These experiences must be shared.

摘要:与注册护士相比,心理健康专业的学生护士接触病人的机会更多,这一点得到了病人的赞赏。这项现象学研究探讨了患者和心理健康专业学生护士在法医部门共同护理被诊断为人格障碍的男性时所产生的影响。现象学是本研究的基本理念。法医医院的病人和心理健康护士学生参与了非结构化诠释学访谈。学生和病人在一起的时间被视为一种礼物,使他们感到自己 "只是普通人",并受到重视,这对他们的人格产生了强烈的影响。学生们对病人生活质量的影响意义重大。当学生和病人联系在一起时,对他们的人性和价值感产生了强大的影响,突出了他们各自对他人的互惠影响,以及在法医病房和设施中安排护士学生临床实习的重要性:这篇文章通过探讨病人和学生在法医病房共同经历的时光,为法医实践做出了独特的贡献。学生往往与病人接触最多,他们代表着护理工作的现在和未来,他们的时间受到病人的赞赏。以往的研究侧重于态度和治疗关系,而不是共同接触的影响。除此之外,法医服务中被诊断为人格障碍的病人可能是精神健康护理中最受鄙视的群体,而对他们的经历却缺乏研究。我们必须分享这些经历。
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引用次数: 0
The Intersection of Intimate Partner Violence, Strangulation, and Brain Injury Screening: A Pilot Project. 亲密伴侣暴力、勒死和脑损伤筛查的交叉点:试点项目。
Pub Date : 2025-01-01 Epub Date: 2024-08-05 DOI: 10.1097/JFN.0000000000000506
Adenike Gbadebo

Background: Survivors of intimate partner violence are at a high risk for having a brain injury because of high rates of strangulation and head and face injuries sustained from physical abuse. In addition to acute physical injuries, survivors experience various health complications.

Problem: Many survivors do not seek medical attention for their injuries, and when they do, their brain injury often goes unrecognized and untreated. Research indicates that screening for brain injury can be an effective intervention to increase the identification of brain injuries and medical referrals for diagnosis and treatment. Unfortunately, brain injury screening is not a standard of care.

Methods: Shelter-seeking clients were routinely screened for brain injury using a modified HELPS screening tool. A positive screen prompted a medical referral.

Intervention: A modified HELPS screening tool was utilized with permission for the project.

Results: Before implementation, 36 individuals entered shelter, 0 were screened for brain injury, and the medical referral rate was 19.4% ( n = 7). After implementation, 40 clients entered shelter, 36 were screened for brain injury, 77.8% ( n = 28) screened positive, and the medical referral rate was 80.6% ( n = 29).

Conclusions: Brain injury screening may be an effective evidence-based intervention for shelter-seeking survivors of intimate partner violence to increase medical referrals.

背景:亲密伴侣暴力幸存者是脑损伤的高危人群,因为身体虐待造成的勒颈、头部和脸部伤害的发生率很高。问题:许多幸存者在受伤后并没有及时就医,即使就医,他们的脑损伤也往往得不到及时发现和治疗。研究表明,脑损伤筛查是一种有效的干预措施,可以提高脑损伤的识别率和转诊率,以便进行诊断和治疗。遗憾的是,脑损伤筛查并非护理标准:方法:使用改良的 HELPS 筛查工具对寻求庇护的客户进行常规脑损伤筛查。干预措施:使用改良的 HELPS 筛查工具对寻求庇护的客户进行脑损伤常规筛查,筛查结果呈阳性的客户需要转诊:结果:在实施前,有 36 人进入庇护所,而在实施后,他们的脑损伤筛查结果均为阳性:实施前,36 人进入庇护所,0 人接受了脑损伤筛查,医疗转介率为 19.4%(n = 7)。实施后,40 名客户进入庇护所,36 人接受了脑损伤筛查,77.8%(n = 28)筛查结果呈阳性,医疗转诊率为 80.6%(n = 29):脑损伤筛查对于寻求庇护所的亲密伴侣暴力幸存者来说可能是一项有效的循证干预措施,可提高医疗转诊率。
{"title":"The Intersection of Intimate Partner Violence, Strangulation, and Brain Injury Screening: A Pilot Project.","authors":"Adenike Gbadebo","doi":"10.1097/JFN.0000000000000506","DOIUrl":"10.1097/JFN.0000000000000506","url":null,"abstract":"<p><strong>Background: </strong>Survivors of intimate partner violence are at a high risk for having a brain injury because of high rates of strangulation and head and face injuries sustained from physical abuse. In addition to acute physical injuries, survivors experience various health complications.</p><p><strong>Problem: </strong>Many survivors do not seek medical attention for their injuries, and when they do, their brain injury often goes unrecognized and untreated. Research indicates that screening for brain injury can be an effective intervention to increase the identification of brain injuries and medical referrals for diagnosis and treatment. Unfortunately, brain injury screening is not a standard of care.</p><p><strong>Methods: </strong>Shelter-seeking clients were routinely screened for brain injury using a modified HELPS screening tool. A positive screen prompted a medical referral.</p><p><strong>Intervention: </strong>A modified HELPS screening tool was utilized with permission for the project.</p><p><strong>Results: </strong>Before implementation, 36 individuals entered shelter, 0 were screened for brain injury, and the medical referral rate was 19.4% ( n = 7). After implementation, 40 clients entered shelter, 36 were screened for brain injury, 77.8% ( n = 28) screened positive, and the medical referral rate was 80.6% ( n = 29).</p><p><strong>Conclusions: </strong>Brain injury screening may be an effective evidence-based intervention for shelter-seeking survivors of intimate partner violence to increase medical referrals.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141895099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Victim Advocate Position Statement. 受害者代言人立场声明。
Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 10.1097/JFN.0000000000000494
{"title":"Victim Advocate Position Statement.","authors":"","doi":"10.1097/JFN.0000000000000494","DOIUrl":"10.1097/JFN.0000000000000494","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E58-E60"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141444007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Thank You to Our Peer Reviewers for 2024. 感谢我们2024年的同行评审。
Pub Date : 2024-10-01 DOI: 10.1097/JFN.0000000000000521
Cindy Peternelj-Taylor
{"title":"Thank You to Our Peer Reviewers for 2024.","authors":"Cindy Peternelj-Taylor","doi":"10.1097/JFN.0000000000000521","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000521","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"20 4","pages":"222-223"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of forensic nursing
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