Stacy A Drake, Elda Ramirez, Michael K Lemke, Hannah C Jarvis
{"title":"The Need for Forensic Advanced Practice Registered Nurses in Medicolegal Death Investigation.","authors":"Stacy A Drake, Elda Ramirez, Michael K Lemke, Hannah C Jarvis","doi":"10.1097/JFN.0000000000000407","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000407","url":null,"abstract":"▪ M edicolegaldeath investigation ismandatedacross theUnited States and serves the public interest by investigating and establishing cause and manner of death of those dying under sudden, unexpected, or suspicious circumstances. Medicolegal autopsies, completed by forensic pathologists (FPs), are a key component of many death investigations. However, there are not enough FPs in the United States to complete this work. It is estimated the United States currently has fewer than 500 FPs, whereas an estimated 1,280 are needed to fulfill the U.S. needs (Collins, 2015). At the current rate of recruitment, this gap may not close until 2046 (Collins, 2015; Weedn & Menendez, 2020). Past efforts to reduce the FP shortage through recruitment of medical students have not been successful; therefore, alternative strategies are warranted. One potential strategy is to draw from other medical fields. It is our contention that the integration of forensic nurse practitioners (NPs) in medicolegal death investigations may offer a novel, viable, and sustainable solution to the current FP workforce shortage.","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":" ","pages":"254-256"},"PeriodicalIF":1.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40345050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multidisciplinary Approach to Emergent Sexual Abuse in a Pediatric Emergency Department: A Simulated Child Advocacy Center Model of Care.","authors":"Gail Hornor, Avery M Anderson, Stacy Baumeyer, Alicia Daniels, Katharine Doughty, Jessica Hollar, Celeste Prince, Micah Skeens, Kerri Wilkinson","doi":"10.1097/JFN.0000000000000365","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000365","url":null,"abstract":"<p><strong>Introduction: </strong>The purpose of this study was to compare child sexual abuse interview disclosures and judicial outcomes for cases of child and adolescent sexual abuse/assault seen in a pediatric emergency department (PED) before and after the implementation of a simulated child advocacy center (CAC) multidisciplinary model of care.</p><p><strong>Method: </strong>A retrospective chart and legal records review was conducted from both the PED model of care group and the simulated CAC multidisciplinary model of care for judicial outcomes, child sexual abuse interview disclosures, and sexual abuse case characteristics.</p><p><strong>Results: </strong>The simulated CAC multidisciplinary model of care did not result in increased indictments, pleas, trials, or disclosure of sexual abuse in the sexual abuse interview when compared with the PED model of care. The simulated CAC multidisciplinary model of care did result in a significantly higher rate of sexual abuse interview completion.</p><p><strong>Discussion: </strong>Demographic risk factors for sexual abuse victimization as well as perpetration have been identified in the literature and were supported by this study. Law enforcement and child protective services were more frequently present in the PED under the simulated CAC multidisciplinary model allowing for improved protection of children.</p>","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":"18 3","pages":"164-173"},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39831961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Violence Is a Public Health and Healthcare Issue.","authors":"","doi":"10.1097/JFN.0000000000000403","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000403","url":null,"abstract":"<p><strong>Abstract: </strong>Violence is a global issue that destroys the quality of life in communities and societies. Violence includes intentional and unintentional injury found in individuals who seek health care after acts of family violence, intimate partner violence, child abuse, elder abuse, sexual assault, trafficking, youth-on-youth violence, gang warfare, terror, war, disaster, and violence in schools, workplaces and prisons. The nature of violence is evolving. Death as a result of crime victimization now exceeds that of armed conflict. It is the position of the International Association of Forensic Nurses that forensic nurses are uniquely positioned to improve health outcomes that result from violence, including early identification of patients at risk of victimization or perpetration.</p>","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":" ","pages":"E26-E27"},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40626881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Confusing Terms: A Concept Analysis of Naming Youth Trafficking.","authors":"","doi":"10.1097/JFN.0000000000000406","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000406","url":null,"abstract":"","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":" ","pages":"E28"},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40415796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Treat, Patricia Vanhook, Lenee' Hendrix, Kelsey Wallace, Judy G McCook
{"title":"Responding to the Challenges and Barriers Unique to Rural Appalachian Sexual Assault Nurse Examiner Programs.","authors":"Sarah Treat, Patricia Vanhook, Lenee' Hendrix, Kelsey Wallace, Judy G McCook","doi":"10.1097/JFN.0000000000000388","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000388","url":null,"abstract":"<p><strong>Abstract: </strong>The purpose of this article is to explore the opportunities and barriers challenging sexual assault nurse examiners (SANEs) operating in rural and underserved areas. These challenges include the absence of established SANE programs, patient isolation and poverty, inadequate community support, and ensuring program sustainability. While not specific to rural communities, these challenges and barriers are further exacerbated by long-held beliefs and misconceptions that exist in small, close-knit communities. To mitigate these challenges, SANE programs in rural communities are asked to respond with creative and unique solutions. Through strong community partnerships and carefully coordinated efforts, SANE programs can thrive in even the most isolated and economically depressed rural communities.</p>","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":" ","pages":"139-145"},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/00/48/jfn-18-139.PMC9415211.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40415795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leslie Miles, Julie L Valentine, Linda Mabey, Nancy R Downing
{"title":"Mental Illness as a Vulnerability for Sexual Assault: A Retrospective Study of 7,455 Sexual Assault Forensic Medical Examinations.","authors":"Leslie Miles, Julie L Valentine, Linda Mabey, Nancy R Downing","doi":"10.1097/JFN.0000000000000361","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000361","url":null,"abstract":"<p><strong>Background: </strong>Persons with severe mental illness (MI) are at a high risk of becoming victims of sexual assault (SA). Vulnerability for SA with any type of MI is unknown. This study aimed to identify the prevalence of preexisting MI and other significant factors in patients reporting preexisting MI at the time of their SA medical forensic examinations (SAMFEs).</p><p><strong>Method: </strong>A retrospective SAMFE chart review of patients ( N = 7,455) from 2010 to 2020 was conducted. Sexual assault nurse examiners completed SAMFEs. Inclusion criteria included (a) aged 14 years and older, (b) completed SAMFE with SA kit evidence collection, and (c) reported to law enforcement (restricted cases not included). Descriptive statistics and chi-square analyses were completed.</p><p><strong>Findings: </strong>It was found that 46.7% of study participants reported preexisting MI and/or current use of psychotropic medications, more than double the MI prevalence rates in the general population. MI in patients seen for SAMFE was associated with prior history of SA, medical health problems, and physical or mental impairment. In addition, patients with MI reported more violent SAs with increased anogenital and nonanogenital injuries.</p><p><strong>Discussion: </strong>The high prevalence rate of any MI in patients seen for SAMFE indicates MI in varying severity is a significant vulnerability for SA. The association of preexisting MI with a history of SA, health problems, and physical or mental impairment expands understanding of associated MI factors. These findings support the development of interventions by healthcare providers and stakeholders to address SA vulnerabilities in individuals with MI.</p>","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":"18 3","pages":"131-138"},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2c/ae/jfn-18-131.PMC9415228.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39831962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Celebrating the 30th Anniversary of the International Association of Forensic Nurses.","authors":"Alison Colbert, Cindy Peternelj-Taylor","doi":"10.1097/JFN.0000000000000408","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000408","url":null,"abstract":"","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":" ","pages":"129-130"},"PeriodicalIF":1.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40603061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An Injustice to the Justice-Involved","authors":"Monica Nguyen, J. Mead, Amanda R St Ivany","doi":"10.1097/JFN.0000000000000400","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000400","url":null,"abstract":"ABSTRACT Traumatic brain injury (TBI) is one of the leading causes of death and long-term disability among young adults worldwide and in the United States. TBIs are often associated with a high prevalence of morbidity, mortality, and other behavioral and cognitive problems. Several studies have shown that women living with TBIs have significantly higher odds of committing criminal acts, yet the impact of TBI on incarcerated women remains an underresearched area. By contrast, the effect of TBI on men is more prevalent in current literature, particularly relating to sports-related injuries. Given that an estimate of 80% of incarcerated women are mothers, we conducted a literature review in two phases focused on TBI in incarcerated mothers. The initial search of TBI in incarcerated mothers returned no results, so we proceeded in two phases. Phase 1 searched maternal outcomes of TBI, using the terms “maternal health” and “traumatic brain injury,” whereas Phase 2 searched “traumatic brain injury” and “incarcerated women.” Because so little information is available regarding TBI in incarcerated mothers, we used what we could find in these two phases to highlight the scarcity of knowledge about this population. This brief report addresses the knowledge gap that exists for incarcerated mothers living with TBI to encourage regular TBI screening to raise awareness and advocate for accommodated care. Correctional forensic nurses are perfectly placed to do TBI screening and to provide continuous rehabilitation after release to prevent reoffending.","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":"18 1","pages":"E18 - E25"},"PeriodicalIF":1.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48792239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Meredith J Scannell, R. Rodgers, B. Molnar, B. Guthrie
{"title":"Factors Impacting HIV Postexposure Prophylaxis Among Sexually Assaulted Patients Presenting to Two Urban Emergency Departments","authors":"Meredith J Scannell, R. Rodgers, B. Molnar, B. Guthrie","doi":"10.1097/JFN.0000000000000399","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000399","url":null,"abstract":"ABSTRACT Introduction Sexually assaulted patients who seek care in emergency departments are often recommended for nonoccupational HIV postexposure prophylaxis treatment. HIV postexposure prophylaxis is an effective method in preventing HIV transmission if the treatment is administered promptly and if a full 28-day course is completed. However, research has shown that only a fraction of patients who start the treatment will complete a 28-day course. Research is needed to explore factors that may be associated with compliance to postexposure prophylaxis so that interventions can be designed to address the factors that put patients at risk for noncompletion. Methods A retrospective chart review was conducted examining 246 medical records of sexually assaulted female patients who presented to one of two urban hospitals. A number of patient and event-related factors were examined to determine whether they were associated with HIV postexposure prophylaxis adherence among patients presenting at an emergency room after a sexual assault. Results Results revealed that five factors showed significant associations with sexually assaulted female patients completing HIV postexposure prophylaxis treatment. These factors include educational level, employment, health insurance, vaginal injuries, and tongue–mouth assaults. Implications for Practice The results of this study represent a starting point from which to inform the development of targeted interventions such that those most at risk for nonadherence can receive additional support or services to improve HIV postexposure prophylaxis adherence.","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":"18 1","pages":"204 - 213"},"PeriodicalIF":1.0,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46392528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Interprofessional Collaboration to Optimize Trauma-Informed Care in Pediatric Forensics","authors":"Kristen A Morris, S. Glover, Samantha Neff","doi":"10.1097/JFN.0000000000000395","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000395","url":null,"abstract":"ABSTRACT There are many challenges in providing trauma-informed healthcare to pediatric victims of sexual abuse and their families. We address this through collaborative interprofessional efforts within our hospital facility, located in a Midwestern adult Level 1 and pediatric trauma center. Our sexual assault nurse examiner team is composed of eight nurses and provides 24/7 coverage. The child abuse team located in our hospital includes one board-certified child abuse pediatrician, one certified pediatric nurse practitioner, and a licensed clinical social worker. The application of trauma-informed care using case scenarios involving both teams is described in this article.","PeriodicalId":51324,"journal":{"name":"Journal of Forensic Nursing","volume":"18 1","pages":"247 - 253"},"PeriodicalIF":1.0,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41980554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}