An exploration of frontline health professional's current understanding of non-fatal strangulation.

IF 3.8 3区 医学 Q1 NURSING
Journal of Advanced Nursing Pub Date : 2024-12-01 Epub Date: 2024-07-07 DOI:10.1111/jan.16311
A E Donaldson, A Ravono, E Hurren, C Harvey, A Baldwin, B Solomon
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引用次数: 0

Abstract

Aim: To explore frontline health professionals' current understanding of non-fatal strangulation and their need for and support for a comprehensive education and screening package to support health delivery.

Design: A descriptive mixed-method approach was chosen to analyse responses to an anonymous, online survey consisting of ten Likert scale, open-ended and five demographic questions. 103 frontline health professionals (nurses, doctors, paramedics, midwives) participated in this study.

Methods: Content analysis of the Likert scale and open-ended questions describing the subjective experiences and perceptions of the participants was undertaken along with percentage and frequency counts of the rated Likert responses.

Results: The findings identified that 51.1% of health professionals do not ask about strangulation routinely and that 59% of health professionals reported receiving no formal education or professional development on NFS to enhance their knowledge or inform clinical practice. No health professionals identified mild traumatic brain injury as a consequence or sign of strangulation, nor did they identify an understanding that 50% of people may have no visible injuries after being strangled. Health professionals also do not routinely document the different agencies referred to or involved in supporting the person who experienced NFS.

Conclusion: Findings suggest that frontline health professionals lack the confidence, skills and education needed to meet medical obligations to their patients and to fulfil their duty to 'do no harm'. Frontline health professionals would welcome a comprehensive education and screening package to guide recognition and response to non-fatal strangulation in their clinical settings. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: The purpose of the study was to understand and explore health professionals' knowledge about non-fatal strangulation so that improved education around better screening, and management of trauma-focused care to people who have been subjected to non-fatal strangulation could occur.

No patient or public contribution: This review contains no patient or public contribution since it examines health professionals' knowledge of identifying non-fatal strangulation and the screening and assessment tools used in clinical practice.

探讨一线医疗专业人员目前对非致命性勒杀的理解。
目的:探讨一线医疗专业人员目前对非致命性勒杀的理解,以及他们对支持医疗服务的综合教育和筛查套餐的需求和支持:设计:我们选择了一种描述性混合方法来分析匿名在线调查的反馈,该调查由 10 个李克特量表、开放式问题和 5 个人口统计学问题组成。103 名一线医疗专业人员(护士、医生、护理人员、助产士)参与了此次研究:方法:对描述参与者主观体验和看法的李克特量表和开放式问题进行了内容分析,并对李克特回答的百分比和频率进行了统计:研究结果表明,51.1% 的医疗专业人员不会例行询问有关勒杀的问题,59% 的医疗专业人员表示没有接受过有关非致命性外伤的正规教育或专业培训,以增强他们的知识或指导临床实践。没有医护人员将轻度脑外伤认定为勒死的后果或征兆,他们也没有认识到 50% 的人在被勒死后可能没有明显的外伤。医疗专业人员也没有例行记录转介给不同机构或参与支持 NFS 患者的不同机构:研究结果表明,一线医疗专业人员缺乏必要的信心、技能和教育,无法履行对患者的医疗义务和 "不造成伤害 "的职责。一线医疗专业人员希望有一套全面的教育和筛查方案,指导他们在临床环境中识别和应对非致命性勒杀。该研究将对哪些方面产生影响?该研究的目的是了解和探讨医疗专业人员对非致命性扼颈的认识,从而改进教育,更好地筛查和管理遭受非致命性扼颈的患者,并为其提供以创伤为重点的护理:本综述不包含患者或公众贡献,因为它研究的是医疗专业人员识别非致命性扼颈的知识以及临床实践中使用的筛查和评估工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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