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Forensic Nursing Research Articles

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Overview
688 Articles

Published in last 50 years

Related Topics

  • Psychiatric Mental Health Nursing
  • Psychiatric Mental Health Nursing
  • Mental Health Nursing
  • Mental Health Nursing
  • Health Nursing Practice
  • Health Nursing Practice
  • Advanced Nurses
  • Advanced Nurses
  • Nurse Practitioners
  • Nurse Practitioners
  • Trauma Nurses
  • Trauma Nurses

Articles published on Forensic Nursing

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Ethical Expert Witness Testimony.

Forensic nurses are routinely called upon to provide expert consultation and witness testimony. Nearly half of the enumerated standards in the Forensic Nursing Scope and Standards of Practice reference competencies directly related or complementary to ethical testimony. Requests from the field, coupled with the increasing opportunities for forensic nurses to serve as expert witnesses, necessitate the development of clear parameters for ethical expert witness testimony.

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  • Journal of forensic nursing
  • Jan 1, 2024
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Forensic Nursing.

These nurses practice where the health and legal systems intersect.

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  • AJN, American Journal of Nursing
  • Jan 1, 2024
  • Brenda Dzierzawski
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Forensic Nursing's Contributions to Mitigating Sexual Violence on College Campuses.

Forensic Nursing's Contributions to Mitigating Sexual Violence on College Campuses.

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  • Journal of forensic nursing
  • Jan 1, 2024
  • Kimberley Meisinger + 1
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Sexual Violence and Social Media Discourse: Exploring Campus Climate Through the Lens of Twitter.

Sexual violence is prevalent on college campuses, yet formal disclosure and open dialogue are often muffled. Social media has become a powerful platform for survivors and presents an opportunity for researchers to explore social discourse surrounding sexual violence on campuses. Healthcare providers must be knowledgeable of campus climate surrounding sexual violence to provide patient-centered, trauma-informed care and mitigate the detrimental, long-term effects experienced by survivors. Twitter, a social media and networking platform, was used to explore online discourse regarding sexual violence among college students. A conventional qualitative content analysis was implemented using two coders to explore data before identifying themes. The researchers identified 175 tweets that met the inclusion criteria. Three subthemes emerged: (a) lack of support, (b) powerlessness, and (c) victim blaming and shaming, which built the foundation for the overarching theme of rape culture. Social media posts provide insight into survivor experiences and offer forensic nurses and healthcare providers the opportunity to discover information that survivors might not otherwise disclose. Forensic nurses should consider implementing innovative approaches to engage campus survivors and increase access to postassault care.

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  • Journal of forensic nursing
  • Jan 1, 2024
  • Hilary Ashton Glover + 4
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Linking Forensic Science & Nursing: Creating a Collaborative Statewide Sexual Assault Response Culture in a Rural State

Linking Forensic Science & Nursing: Creating a Collaborative Statewide Sexual Assault Response Culture in a Rural State

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  • Forensic Science International: Synergy
  • Jan 1, 2024
  • Madison Helfrich + 1
Open Access
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Assistance to victims of violence in Emergency services from the Forensic Nursing perspective

Objetivo: analisar a atuação dos enfermeiros no recolhimento, identificação e preservação de vestígios no atendimento de emergência à vítima de violência, na perspectiva desses profissionais. Método: estudo qualitativo, com abordagem descritiva exploratória. Desenvolvido por meio de entrevista semiestruturada com 21 enfermeiros de hospitais que integram o fluxo intersetorial para atendimentos às vítimas de violência de dois hospitais de referência neste atendimento, em uma capital do sul do Brasil. Foram incluídos enfermeiros membros da equipe multiprofissional que atuam na emergência nos respectivos hospitais, e o critério de exclusão foi profissionais realocados na emergência durante a pandemia. A análise de dados foi realizada conforme análise de conteúdo temático. Resultados: os dados foram discutidos em cinco categorias: 1) Qualificação Profissional; 2) Protocolo Institucional e Materiais; 3) Percepções dos profissionais; 4) Ações dos profissionais e 5) Estrutura da equipe. Conclusão: as competências dos profissionais de enfermagem no recolhimento, identificação e preservação de vestígios no atendimento de emergência à vítima de violência precisam ser melhor organizadas, estruturadas e padronizadas. É incontestável a presença de profissionais enfermeiros nos atendimentos às vítimas de violência nos serviços de emergência, mas sua importância ainda é subestimada e sua potencial contribuição para a abordagem pericial é subutilizada.

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  • Revista Latino-Americana de Enfermagem
  • Jan 1, 2024
  • Morgana Oliveira Citolin + 5
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Assistance to victims of violence in Emergency services from the Forensic Nursing perspective.

to analyze nurses' role in collecting, identifying and preserving traces in Emergency care for victims of violence, from the perspective of these professionals. a qualitative study with an exploratory and descriptive approach. It was developed through semi-structured interviews with 21 nurses from hospitals that are part of the intersectoral flow to assist victims of violence from two reference hospitals in this type of care, in a capital city from southern Brazil. Nurses that are members of the multiprofessional team working in the Emergency areas at the respective hospitals were included; in turn, the exclusion criteria corresponded to professionals relocated in Emergency areas during the pandemic. Data analysis was performed according to Thematic Content Analysis. the data were discussed in five categories: 1) Professional qualification; 2) Institutional protocol and materials; 3) The professionals' perceptions; 4) The professionals' actions; and 5) Team structure. Nursing professionals' skills in collecting, identifying and preserving traces in Emergency assistance provided to victims of violence need to be better organized, structured and standardized. The presence of Nursing professionals in the care of victims of violence in Emergency services is undeniable, but their importance is still underestimated and their potential contribution to the forensic approach is underused.

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  • Revista latino-americana de enfermagem
  • Jan 1, 2024
  • Morgana Oliveira Citolin + 8
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Misplaced Evidence, Missed Opportunities: Protocols for Handling Ballistic Evidence in Pediatric Patients.

Gun-related injury is now the number one cause of death in pediatric trauma patients. Many hospitals lack dedicated forensic nurses or updated protocols for handling ballistic evidence. Evidence not collected, handled improperly, or misplaced may deny a victim the basic human right to justice. This article aims to describe an initiative to highlight the importance of proper management of ballistic evidence and to educate medical providers on best practices for the documentation, handling, removal, and transfer of ballistic evidence. After discovering 24 "orphaned" bullets and bullet fragments in our hospital that had not been turned over to law enforcement, we sought to turn in evidence to the proper authorities and implement protocols to prevent this error in the future. New protocols were written by forensic staff, and education on new protocols was provided via in-person training, grand rounds, emails, and other collaborative initiatives. Evidence was matched to police reports using the patient name and date of birth on evidence labels. The median (interquartile range [IQR]) time of lost ballistic evidence was 1,397 (903, 1604) days, with the oldest bullet removed in 2015. All bullets were successfully returned to law enforcement with a median (IQR) time from bullet discovery to collection of 78 (78, 174) days. Ballistic evidence handling protocols are essential for all hospitals. Dedicated, trained forensic staff should be employed to ensure proper evidence handling.

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  • Journal of trauma nursing : the official journal of the Society of Trauma Nurses
  • Jan 1, 2024
  • Derek Marlor + 7
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Assistance to victims of violence in Emergency services from the Forensic Nursing perspective

Objetivo: analizar el papel del enfermero en la recolección, identificación y preservación de rastros en la atención de emergencia a las víctimas de violencia, desde la perspectiva de estos profesionales. Método: estudio cualitativo, con enfoque descriptivo exploratorio. Desarrollado a través de entrevistas semiestructuradas a 21 enfermeros de hospitales que forman parte del flujo intersectorial de atención a víctimas de violencia en dos hospitales de referencia de este servicio, en una capital del sur de Brasil. Se incluyeron enfermeros que forman parte del equipo multidisciplinario que trabaja en el servicio de urgencias de sus respectivos hospitales, y el criterio de exclusión fue profesionales reasignados al servicio de urgencias durante la pandemia. El análisis de los datos se realizó según análisis de contenido temático. Resultados: de los datos surgieron cinco categorías: 1) Calificación Profesional; 2) Protocolo Institucional y Materiales; 3) Percepción de los profesionales; 4) Acciones de los profesionales y 5) Estructura del equipo. Conclusión: es necesario organizar, estructurar y estandarizar mejora las competencias de los profesionales de enfermería para recolectar, identificar y preservar rastros en la atención de emergencia a las víctimas de violencia. La presencia de los enfermeros en la atención a las víctimas de violencia en los servicios de emergencia es innegable, pero aún se subestima su importancia y se subutiliza su contribución potencial en el abordaje pericial.

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  • Revista Latino-Americana de Enfermagem
  • Jan 1, 2024
  • Morgana Oliveira Citolin + 5
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Comparing the Demographic Characteristics of Victims of Sexual Assault in Rural Versus Urban Areas.

In 2019, over 459,000 persons in the United States survived sexual assault, and 21%-26% sought medical treatment. Ideally, trained medical professionals who understand the unique physical and mental health needs of this patient population, such as forensic nurses, would provide care. Yet, the care that forensic nurses and other healthcare providers can offer to sexual violence/abuse survivors is hindered by the lack of understanding of the demographics of those who seek care. With the delineation of highly affected demographic groups, barriers to care can be addressed. This study compared rates, demographic characteristics, acuity, and codes for sexual violence/abuse encounters experienced by those patients residing in rural versus urban counties of Kentucky (KY). This included encounters before and after SARS-CoV-2. Deidentified claims data were extracted for patient encounters billed with the International Classification of Diseases, 10th Revision, Clinical Modification for sexual violence/abuse seen at a university healthcare center serving the Northeastern, Southeastern, and Central regions of KY from October 2015 to February 2021. Analysis comprised descriptive statistics, independent samples t tests, and chi-square tests of association. Significant demographic differences were identified between the two groups. The mean age of those residing in rural areas was significantly younger than those living in urban areas. Similarly, the percentage of male survivors was significantly higher in the rural population. The racial composition also differed, with higher percentages of survivors being Black and Hispanic in the urban population, relative to rural dwellers. Findings suggest that rural youth (especially boys aged 10 years and younger) and urban minorities are at a higher risk for sexual violence/abuse in KY when compared with their counterparts (i.e., urban youth and rural minorities).

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  • Journal of forensic nursing
  • Dec 27, 2023
  • Elizabeth Salt + 6
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Recognition of Trauma Informed Care Responses in Forensic Nurses

Trauma is universal, affecting health and behavioral choices. Trauma Informed Care (TIC) principles guide healthcare providers to avoid re-traumatization. States now mandate Trauma Informed Care (TIC) education. When implemented consistently, TIC benefits all. Adequate information integrating TIC principles in forensic nurse education exists. However, the application of TIC principles in forensic nurse practices remains elusive to measurement. The study's purpose is to explore forensic nurse knowledge before and following basic TIC interventional education, and recognition of TIC responses necessary to promote changes in behavior. The design is pre-, educational intervention, post-, and post-post survey that measures change in TIC intervention recognition. The analysis is a descriptive, correlational study to discover learning trends in practicing forensic nurses, determining the validity and reliability of the survey questions using an item response theory (IRT) model. Nineteen forensic nurses participated in the pre-test, intervention, post-, and/or post-post-test. The results revealed that nurses with >3 years’ and <10 years’ experience in nursing and forensic nursing are more likely to recognize TIC learning in a variety of situations. The authors summarize that moral conflict may influence choice in answers, reflecting a lack of recognition of TIC.

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  • Journal of the Academy of Forensic Nursing
  • Dec 20, 2023
  • Patricia M Speck + 3
Open Access
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The Bibliometric Analysis of Forensic Nursing and Midwifery

As the first responders to forensic cases, nurses and midwifes have vital roles in conducting initial interview, physical examination, collecting and recording evidence and maintaining chain of custody. This study aims to map out the evolution of the fields of forensic nursing and forensic midwifery by focusing on the trend topics, the most active journals, top cited authors and publications, author productivity, productive organizations, journals, and countries of collaboration through bibliometric approach. To achieve this aim, we reviewed article title, abstract and keyword categories of Scopus Database using the phrase, «forensic» and «nursing» or «midwifery» and found a total of 2243 publications for the years between 1972 and 2022. As the midwifery publications in the literature are indexed within the «nursing» field, we restricted the research to «nursing» field and found 1385 publications. After removing duplications, we analyzed 1332 research and conducted visualization through ‘VosViewer’ and ‘R biblioshiny’ programmes. Best to our knowledge, this is the first bibliometric analysis which contributes to the related literature and to forensic scientists.

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  • Nursing and Health Sciences Journal (NHSJ)
  • Dec 1, 2023
  • Dilek Ocalan + 3
Open Access
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Modifying the clinical reasoning cycle to enhance forensic mental health nursing utility.

Forensic mental health nursing is a specialty area of practice requiring specific knowledge and skills to work collaboratively with consumers. The Clinical Reasoning Cycle has been recognised as a potential framework to support nursing practice; however, it has been identified that adaptations are required to enhance utility in a forensic mental health services. The aim of this study was to explore and finalise a version of the cycle for forensic mental health nursing practice. Focus groups and interviews were used to explore adaptations with staff from a state-wide forensic service and forensic mental health nursing academics. Data were thematically analysed. Four main themes were interpreted: (1) allegiance to the Nursing Process, (2) moving the cycle from page to practice, (3) working as a team, or not, and (4) implementation will be a marathon and not a sprint. While nursing academics were more in favour of updating the Nursing Process to ensure contemporary practice is captured, staff from the service were supportive of the adapted cycle but emphasised the need to ensure collaboration with the consumer and their supporters. The adapted cycle was seen to articulate the contribution of forensic mental health nursing care, and support for a nursing-specific cycle was embraced by other disciplines, despite some hesitation from nurses. Prior to implementation there is a need to ensure the merits of the cycle are clearly articulated, along with a range of resources and specific contextual information to ensure the cycle can be successfully applied to enhance nursing practice and consumer care.

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  • International journal of mental health nursing
  • Nov 27, 2023
  • Tessa Maguire + 4
Open Access
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Measuring Sexual and Gender-Based Violence at the University of Cape Coast: Developing and Deploying a Campus Climate Survey.

Sexual and gender-based violence (SGBV) is a global public health crisis, impacting university youth around the world. The purpose of this study was twofold: (a) determine the best methodology for conducting a campus climate survey at the University of Cape Coast (UCC) in Ghana and (b) gather data on SGBV knowledge, attitudes, and behaviors from a representative sample of students. This descriptive study included three phases: (a) develop a campus climate survey unique to UCC, (b) develop a sampling methodology, and (c) deploy the first ever campus climate survey at UCC. A 71-item survey was developed and then administered via a student portal to 2,000 students. Of those students, 1,381 (69.1%) responded. Although most students (63.2%) know the university has a sexual harassment policy, fewer have seen it (25.9%) or read it (22.3%). Students held generally positive views of how the university would respond to reports of sexual harassment, although 50.2% of participants believed the reporter would be labeled a troublemaker. More participants reported seeking and giving verbal than nonverbal consent, and more men than women reported both seeking and giving verbal consent. More men than women reported they "always" sought verbal consent (61.2% vs. 47.7%, p = 0.001). Most students ( n = 316, 56.5%) sought verbal consent all of the time, and an additional 99 (17.7%) sought it most of the time. Accurate data about students' knowledge, attitudes, and experiences with SGBV policy, prevention, and response are needed globally to better inform locally appropriate practices. Forensic nursing is currently localized in high-income countries. University students' knowledge, attitudes, and experiences with SGBV can support the expansion of forensic nursing research and practice to low- and middle-income countries.

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  • Journal of forensic nursing
  • Nov 17, 2023
  • Sarah D Compton + 4
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Gonorrheal and chlamydia yield for genital and extragenital testing in children evaluated for sexual abuse

ObjectiveTexas Forensic Nurse Examiners (TXFNE) performs routine testing of genital and non-genital sites for Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG), and further testing for other sexually transmitted pathogens. The current Centers for Disease Control and Prevention (CDC) guidelines recommend that testing be based primarily on patient history of type of sexual contact, patient age, community prevalence of sexually transmitted infections (STIs), perpetrator risk factors for STIs, and patient symptoms (Centers for Disease Control and Prevention, 2021). In this study, we were interested in determining whether our practice of testing all sites in all prepubertal patients presenting for sexual abuse for CT and NG resulted in identification of infections that would have been missed if testing had been limited to disclosed sites of sexual contact. MethodsWe conducted a retrospective chart review of all children younger than 14 years who presented to a clinical or hospital site for evaluation by TXFNE in Harris County or surrounding counties during the period January 2020–December 2021. ResultsOf the 675 patients tested, 61 patients (9 %) had genital injuries and 45 patients (7 %) had either reported symptoms or examination findings consistent with possible STI infection. There were 11 patients who had positive gonorrhea and/or chlamydia results. Of the 11 patients with a positive result, 10 patients' reported history of type of contact did not fully match sites that tested positive. Diagnosis of STI infection would have been missed for 5 patients if testing had been limited to the disclosed sites of sexual contact. ConclusionPositive results for CT and NG at undisclosed body sites in children presenting with concern for sexual abuse most likely represent infection from sexual contact. Limiting STI testing based on disclosed contact may lead to missed NG and CT infections in prepubertal patients with concern for sexual abuse. This can lead to delayed treatment of the infection and a missed opportunity to ensure the safety of the child.

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  • Child Abuse & Neglect
  • Nov 9, 2023
  • Arezo Nasrazadani + 5
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Developing entrustable professional activities to enhance application of an aggression prevention protocol

AimThe research aim of this study was to seek feedback from prevention of aggression training experts about the suitability of Entrustable Professional Activities (EPAs) as an assessment tool for an Aggression Prevention Protocol. The protocol was designed to structure intervention to prevent aggression and reduce the use of restrictive practices following risk assessment using a validated instrument (the Dynamic Appraisal of Situational Aggression). BackgroundPreventing aggression and limiting the use of restrictive practices are key priorities for inpatient mental health services. Assessing clinical activities using a competence framework has limitations, particularly when determining complex interventions. EPAs could provide a suitable method for assessing complex clinical activities like de-escalation and limit setting, which comprise some of the interventions in the Aggression Prevention Protocol. EPAs are new to forensic mental health nursing; therefore, feedback was sought regarding the utility of EPAs to assess aggression prevention interventions. MethodsData were collected via focus groups including 11 aggression prevention experts from Australia and New Zealand. A thematic analysis, comparative analysis and a Strength, Weakness, Opportunity and Threats analysis was conducted. ResultsThree themes were interpreted from the data: 1) Frameworks such as the APP are needed to work towards elimination of restrictive practices; 2) APP-EPAs afford an opportunity to set the standard for practice; and 3) ‘who watches the watchers’, were identified by the experts as well as areas to enhance EPAs prior to introduction into practice. ConclusionsEPAs address a practice-gap and offer a framework to assist movement towards elimination of restrictive practices, while prompting best-practice, self-reflection and practice improvement guidance.

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  • Nurse Education in Practice
  • Nov 1, 2023
  • Tessa Maguire + 4
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Mindfulness-Based Self-Care for Forensic Nurses: A Professional Lifestyle Approach.

Forensic nurses providing care to patients who are victims or offenders of abuse, trauma, or violence often face enormous challenges in their daily practice, leading to emotional stress, vicarious traumatization, and burnout, and potentially reducing the quality of patient care. Embracing mindfulness as an ongoing method of self-care can have an array of benefits for forensic nurses to prevent burnout and improve their well-being and quality of patient care. Existing literature supports the benefits of mindfulness-based interventions, as self-care practices, in improving many positive health outcomes among nurses working in a variety of healthcare settings. Mindfulness qualities, such as open awareness, attention to detail, nonjudgment, emotional regulation, compassion, and empathy, can contribute to forensic nurses' well-being and the quality of patient care. Mindfulness is a way of living; thus, formal and informal mindful self-care tools integrated into daily nursing practice can result in better outcomes and work satisfaction among nurses. This article discusses the potential benefits of mindfulness and practical ways to integrate mindfulness tools into forensic nursing practice. Incorporating mindful self-care practices should be a goal for consideration for the contemporary forensic nursing profession at large. Further intervention research is recommended to identify the mechanism of how mindfulness can benefit forensic nurses practicing in highly challenging work environments.

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  • Journal of forensic nursing
  • Oct 28, 2023
  • Muna Bhattarai + 2
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The Importance of Multidisciplinary Trauma-Informed Training in Addressing Campus-Based Sexual Violence.

This study investigates the impact of a professional development training series among a multidisciplinary team (MDT) during establishment of a trauma-informed sexual assault response and prevention program at a midsized university in the southeastern United States. MDT members included forensic nurses, advocates, counselors, law enforcement officers, and relevant faculty and staff. After completion of a baseline survey assessing attitudes toward trauma-informed care and perceptions of the team climate within the MDT, team members engaged in a trauma-informed care (TIC) professional development training series consisting of (a) 4-hour-long didactic lectures with incorporated group discussion and (2) one 2-hour in-situ simulation-based training exercise. MDT members subsequently completed 3-month and long-term follow-up surveys to assess the immediate and enduring impacts of the training series.The TIC training series significantly increased MDT members' perceptions of participative safety, task orientation, and support for innovation within the group at the 3-month assessment. No long-term differences were found, likely because of a small sample size and low statistical power.Intensive TIC MDT professional development at the beginning of a campus-wide sexual assault prevention and response initiative enhances psychological safety within the group, evidenced by increased perceptions of participative safety and support for innovation, and builds team cohesiveness around a shared set of tasks. Within the present MDT, the professional development training series also appeared to facilitate adoption of a shared set of values for accomplishing the team's goal of preventing and responding to sexual assault on campus. Recommendations for MDTs with similar goals are discussed.

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  • Journal of forensic nursing
  • Oct 20, 2023
  • Candice N Selwyn + 3
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A trauma-informed mentoring framework for forensic nurses: An overview of STEERR - structure, process, and evaluation.

A trauma-informed mentoring framework for forensic nurses: An overview of STEERR - structure, process, and evaluation.

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  • Journal of forensic nursing
  • Oct 1, 2023
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Exposure to patient aggression and health outcomes for forensic mental health nurses: A cross-sectional survey.

The aims of the study were to determine the types and prevalence of forensic mental health nurse exposure to patient aggression and explore the impact of these exposures on their physical and mental health and work absences. Cross-sectional survey conducted January to April 2020. All 205 nurses working in an Australian high-security inpatient forensic mental health hospital were invited to participate. An online survey included the Perception of Prevalence of Aggression Scale to measure respondent exposure to types of patient aggression, and the SF-36v2 to measure mental and physical health. Absence from work and other work and individual characteristics were also explored. Sixty-eight respondents completed the survey. Verbal abuse was the most experienced aggression type, followed by physical violence and observing violence, patient self-harming behaviours and sexual violence. Nurses who worked in acute units experienced significantly more exposure to overall aggression than nurses in non-acute units. Higher level of aggression was associated with number of days sick leave taken and days off due to aggression or violence. Higher level of aggression was associated with poorer mental health, and patient self-harming behaviour was associated with poorer physical health. Nurses in acute units experience higher levels of inpatient aggression and are therefore at increased risk of being impacted by the exposure. Findings indicate a psychological impact of exposure to frequent aggression and potential for an accumulative effect of exposure to traumatic events on nurse well-being. Nurses who are victim of, or witness, physical violence are most likely to take time off work. This study provides further evidence that forensic mental health nurses are frequently exposed to various forms of patient aggression. For some nurses, this exposure to patient aggression negatively impacted their mental and physical health. Employing organizations should therefore prioritize provision of formal support for nurses. No patient or public contribution.

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  • Journal of advanced nursing
  • Sep 28, 2023
  • Claire Newman + 2
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