Journal of forensic nursing最新文献

{"title":"Indicators for Computed Tomography Angiography Following Nonfatal Strangulation: A Scoping Review.","authors":"Nancy R Downing, Sarah Merchant, Librada Callender, Chelsea Knutson, Jodi Wieters, Taylor Gilliland, Lauren Fine, James d'Etienne","doi":"10.1097/JFN.0000000000000629","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000629","url":null,"abstract":"<p><strong>Background: </strong>Nonfatal strangulation (NFS) is common in intimate partner violence and sexual assault and may result in blunt cervical vascular injury detectable with computed tomography angiography (CTA). Clinical indicators that reliably predict vascular injury and guide imaging decisions remain unclear.</p><p><strong>Methods: </strong>A scoping review following PRISMA-ScR guidelines examined studies evaluating associations between clinical presentation and CTA-confirmed vascular injury after manual NFS. Searches of PubMed, CINAHL, Web of Science, Embase, and the Cochrane Library were conducted in November 2025. Studies were eligible if they included adolescents or adults with manual NFS and reported clinical assessment findings and CTA outcomes.</p><p><strong>Results: </strong>Seven retrospective studies met the inclusion criteria. Substantial variation in assessment methods, documentation, and imaging referral practices limited comparisons across studies. Vascular injuries were rare, and inconsistent reporting prevented identification of reliable clinical predictors.</p><p><strong>Discussion: </strong>Valid predictors of vascular injury following NFS have not been established. Standardized forensic nursing assessment and documentation are essential to developing reliable CTA prediction tools.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149287","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}

{"title":"The Forgotten Survivor: A Forensic Nursing Perspective on Secondary and Tertiary Trauma.","authors":"Jeff Matthews","doi":"10.1097/JFN.0000000000000637","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000637","url":null,"abstract":"<p><strong>Background: </strong>Partners, parents, siblings, children, and other close supports of sexual assault survivors often experience significant emotional, psychological, relational, and physiological consequences following an assault. Although forensic nurses frequently recognize distress among these affected survivor groups, they are rarely incorporated into formal assessment, education, referral, and intervention processes.</p><p><strong>Aim: </strong>To examine the secondary and tertiary effects of sexual assault within family systems and explore implications for forensic nursing practice.</p><p><strong>Methods: </strong>This conceptual article draws upon trauma-informed care, neurobiology, family systems concepts, and clinical observations from forensic nursing practice to examine the broader relational consequences of sexual assault. Existing literature related to secondary traumatic stress, relational trauma, and family systems disruption was reviewed to inform development of the Parallel Survival Framework.</p><p><strong>Results: </strong>The Parallel Survival Framework is proposed as a practice-oriented conceptual framework for recognizing affected survivor groups whose needs frequently remain unaddressed within traditional models of care. The framework highlights primary survivors, secondary survivors, tertiary survivors, and trauma-exposed professionals within the broader survivor ecosystem and provides a lens through which forensic nurses may consider the relational consequences of sexual assault.</p><p><strong>Discussion: </strong>The Parallel Survival Framework is not intended to replace existing theories of trauma, secondary traumatic stress, or relational trauma. Rather, it offers a practical lens for recognizing affected survivor groups and exploring opportunities to strengthen assessment, education, referral, and support practices. Recognizing and responding to these often-forgotten survivors may strengthen recovery, support family systems, and advance the evolution of trauma-informed forensic nursing practice.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198329","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}

{"title":"Incarcerated Persons and Dementia: Perspectives of Corrections Officers and Nurses on Health and Safety Needs.","authors":"Meredith Troutman-Jordan, Boyd Davis, Tiffany Jackson","doi":"10.1097/JFN.0000000000000631","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000631","url":null,"abstract":"<p><strong>Background: </strong>Growing numbers of incarcerated people with dementia present many challenges.</p><p><strong>Aim: </strong>To explore corrections officers' and correctional nurses' views and practices on management and safety of inmates with dementia.</p><p><strong>Methods: </strong>Focus groups with 24 corrections officers and nurses were subject to thematic content analysis.</p><p><strong>Results: </strong>Five overarching themes were identified: communication barriers, burden/role strain and emotional impact, care/safety management, cultural considerations and trust, and need for practical tools and support resources.</p><p><strong>Discussion: </strong>Corrections officers and nurses share concerns about older inmates showing signs of cognitive dysfunction. Interestingly, each group knows about the other, although they seldom have contact, they share the same worries and focus on similar potential solutions. The fact that prisons are becoming nursing homes in disguise is not just a logistical concern but a reflection of the broader societal failure to provide alternatives to incarceration for aging and medically fragile individuals.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077197","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}

{"title":"The Moral Subjectivities of Infanticidal Mothers from the Perspective of Forensic Psychiatric Nurses: A Critical Discourse Analysis.","authors":"Jean-Laurent Domingue, Dave Holmes, Rochelle Einboden, Jennifer Kilty, Julie Chartrand, Chad Hammond","doi":"10.1097/JFN.0000000000000635","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000635","url":null,"abstract":"<p><strong>Background: </strong>Infanticide, defined as the killing of a child under 1 year of age by their mother, is a rare and complex offence. In Canada and many other jurisdictions, infanticide is a gender-specific legal offence that can only be committed by women. The phenomenon is shaped by strongly gendered social and legal attitudes that influence perceptions of women convicted of infanticide.</p><p><strong>Aim: </strong>To examine forensic psychiatric nurses' perspectives on the moral subjectivities of mothers convicted of infanticide.</p><p><strong>Methods: </strong>A critical discourse analysis, informed by feminist and poststructuralist theory, was conducted. Five forensic psychiatric nurses who had provided care to mothers convicted of infanticide were interviewed. Interview data were analyzed to explore the discursive practices through which nurses constructed patients' moral subjectivities.</p><p><strong>Results: </strong>Two overarching observations emerged. First, participants assessed patients' morality through discourses linking moral worth to mental health or illness and to perceptions of maternal willfulness. Second, nurses conditioned patients' moral identities on their behavior while in care. Patients' expressions of grief were interpreted according to normative expectations regarding the performance of remorse, shaping nurses' evaluations of their character and the care they received.</p><p><strong>Discussion: </strong>Findings suggest that forensic psychiatric nurses' understandings of women convicted of infanticide are informed by gendered assumptions about morality, motherhood, and emotional expression. These assumptions influence how patients' actions and emotions are interpreted within forensic psychiatric settings. This study highlights the importance of examining the moral and gendered frameworks that may shape nursing practice and patient care in forensic mental health contexts.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077279","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}

{"title":"Ethical Considerations in Handling Victims of Sexual Violence: Collaborative Role of Nurses and Forensic Experts.","authors":"Neha Sharma, Siddharth V Vergia, Rahul Panwar","doi":"10.1097/JFN.0000000000000634","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000634","url":null,"abstract":"<p><strong>Background: </strong>Sexual violence is a major public health and medicolegal concern. Sexual Assault Nurse Examiners (SANEs) collaborate with law enforcement, crime laboratory analysts, victim advocates, and prosecutors, creating ethical tensions between survivor-centered care and forensic obligations, with trauma-informed, patient-centered care as the primary clinical commitment.</p><p><strong>Aim: </strong>To provide an ethical analysis structured around the four biomedical principles, autonomy, beneficence, non-maleficence, and justice, to guide clinical decision-making in sexual assault care.</p><p><strong>Methods: </strong>A narrative review supplemented by hand-searching of professional guidelines, using the Beauchamp and Childress principlist framework for systematic, principle-level analysis across informed consent, evidence collection, mandatory reporting, trauma-informed care, professional boundaries, secondary victimization, and structural justice concerns.</p><p><strong>Results: </strong>Autonomy centers on mandatory reporting as a direct tension with self-determination, alongside dynamic consent and trauma-informed practice. Beneficence addresses the asymmetry between the immediate patient burden and the indirect, societal-level benefits of evidence collection, including nonreport kits that preserve future legal options. Non-maleficence addresses avoidance of retraumatization and minimization of examination-related harm. Justice addresses structural inequities: geographic disparities in SANE access, including the growing role of telehealth in narrowing the rural-urban gap, resource gaps between Sexual Assault Response Teams (SARTs) and non-SART settings, and broader structural barriers to equitable care. Professional and system-level considerations, including interdisciplinary role conflict, competing institutional obligations, moral distress, and practice sustainability, are cross-cutting to all four principles.</p><p><strong>Conclusions: </strong>Ethical sexual assault care is grounded in trauma-informed, survivor-centered practice; forensic documentation functions as a secondary obligation that must not supersede informed consent or patient well-being.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149043033","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}

{"title":"A Haunting Sense of Comfort: The Role of Forensic Nurses in the Care of Patients Who Have Been Strangled.","authors":"Donna Scott Tilley, Carolyn M Porta","doi":"10.1097/JFN.0000000000000630","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000630","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149027129","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}

{"title":"Nursing Students' Knowledge of Provider-Committed Murder of Patients: A Before and After Study.","authors":"Zane Robinson Wolf, Denise Nagle Bailey, Claudia Grobbel, Lynda Poly-Droulard, Kimberly Byrd","doi":"10.1097/JFN.0000000000000633","DOIUrl":"10.1097/JFN.0000000000000633","url":null,"abstract":"<p><strong>Background: </strong>Patient safety is a central goal of health care systems, and preventing harm to patients, including patient murder, is a critical safety priority.</p><p><strong>Aim: </strong>To evaluate undergraduate students' knowledge of murder of patients by health care providers, a before and after study was conducted.</p><p><strong>Methods: </strong>A convenience sample of traditional, accelerated, and RN-BSN students enrolled in nursing leadership courses completed a pretest ( n =115), viewed an educational intervention involving three recorded powerpoint presentations, completed the post-test ( n =104), and evaluated the program.</p><p><strong>Results: </strong>Correct items increased on post-test. Pretest and post-test knowledge scores differed at a statistically significant level ( P =0.009). Post hoc testing of program pairs' scores showed that traditional program scores differed by accelerated and RN-BSN responses.</p><p><strong>Discussion: </strong>When a co-worker is charged with murdering patients, health care leaders are horrified yet concerned about institutional reputation, delaying investigations. Education on health care provider murder of patients is needed in undergraduate nursing curriculums.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993309","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}

{"title":"Reframing Intimate Partner Violence Response Through a BE-KNOW-DO Praxis: Integrating Evidence-Based Practices, Culturally Relevant Frameworks, and Adaptive Leadership.","authors":"Sarah E Moses, Jarrett Ryan Moses","doi":"10.1097/JFN.0000000000000632","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000632","url":null,"abstract":"<p><strong>Background: </strong>Intimate partner violence (IPV) continues to be inconsistently identified, documented, and referred within healthcare settings, reflecting misalignments in clinicians' beliefs, knowledge, and clinical actions.</p><p><strong>Aim: </strong>This brief report evaluates the BE-KNOW-DO praxis model as a mechanism‑based framework for clarifying how these multilevel barriers shape forensic‑nursing response and for identifying opportunities to strengthen culturally responsive, trauma‑informed practice.</p><p><strong>Methods: </strong>A convergent integrative approach synthesized quantitative findings from prior mixed‑methods research with qualitative themes from interdisciplinary forensic‑nursing literature. Quantitative analyses examined relationships among evidence‑based practices, culturally responsive practice, and practitioner effectiveness. Qualitative themes were drawn from trauma‑informed, culturally responsive, and systems‑based studies. All data were mapped onto core forensic‑nursing processes-screening, trauma‑informed assessment, documentation, and referral-and organized using the BE-KNOW-DO model.</p><p><strong>Results: </strong>The synthesis identified \"three recurring barriers: belief‑level distortions, knowledge gaps, and methodological inconsistencies\". Belief‑level assumptions limited recognition of IPV indicators. Knowledge gaps undermined documentation accuracy and interpretation. Methodological inconsistencies fragmented care and reduced timely forensic‑nursing consultation. Evidence‑based practices were positively associated with practitioner effectiveness, partially mediated by culturally responsive practice.</p><p><strong>Discussion: </strong>Inconsistent IPV response arises from systemic misalignment across belief systems, knowledge structures, and clinical actions. The BE-KNOW-DO model offers a concise mechanism‑based lens for guiding culturally responsive practice, standardized workflows, and adaptive leadership to strengthen continuity, equity, and timeliness of IPV identification and referral.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148979225","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}

{"title":"Assessing Burnout and Secondary Traumatic Stress Among Sexual Assault Nurse Examiners in the Upstate of South Carolina.","authors":"Stacy N Nguyen, Alexis M Stoner, Lindsey Tjiattas-Saleski, Natalie M Fadel, David Redden","doi":"10.1097/JFN.0000000000000628","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000628","url":null,"abstract":"<p><strong>Background: </strong>Sexual assault nurse examiners (SANEs) provide trauma-informed care to victims of sexual assault. Repeated exposure to trauma places SANEs at risk for burnout and secondary traumatic stress (STS), which may negatively impact SANE availability.</p><p><strong>Aim: </strong>To examine burnout and STS among SANEs and their potential impact on workforce sustainability.</p><p><strong>Methods: </strong>SANEs in the Upstate of South Carolina completed a cross-sectional survey including a demographic and occupational questionnaire, the Maslach Burnout Inventory-Human Services Survey for Medical Personnel, and the Secondary Traumatic Stress Scale.</p><p><strong>Results: </strong>Among 11 respondents, none met criteria for burnout or severe STS; however, low personal accomplishment and varying levels of depersonalization were observed. Noncertified SANEs reported significantly higher emotional exhaustion and depersonalization than certified SANEs, and higher assault volume was associated with increased intrusion symptoms.</p><p><strong>Conclusion: </strong>SANEs demonstrated subscale variations in burnout and trauma-related symptoms, with differences by certification status and case volume, highlighting the need for ongoing support interventions.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148979253","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}

{"title":"Comprehensive Care of Patients Following Sexual Assault: A Cross-Sectional Survey of Services Provided by Forensic Nursing Programs.","authors":"Jessica E Draughon Moret, Mary Paterno, Maria Loginova, Selamawit Gebrezghi, Jocelyn C Anderson","doi":"10.1097/JFN.0000000000000623","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000623","url":null,"abstract":"<p><strong>Background: </strong>Standards for sexual assault care include forensic examination, medical evaluation, prophylaxis for pregnancy and sexually transmitted infections, crisis intervention, and referrals to supportive services. Care models have evolved, yet the current availability of care remains unclear.</p><p><strong>Aim: </strong>To describe and compare the availability of post-sexual assault care across forensic nursing programs with previously published data.</p><p><strong>Methods: </strong>We used a cross-sectional survey to assess service provision among 104 programs in the United States and Canada.</p><p><strong>Results: </strong>Comparing services offered every time to every patient with previously published data, we observed increased frequency of provision for 8 of 17 services. Offering HIV PEP, pregnancy information, pregnancy testing, and emergency contraception all increased. Only 40% of programs reported offering advocacy accompaniment during the exam to every patient every time.</p><p><strong>Implications: </strong>Provision of HIV and pregnancy prevention has increased significantly, demonstrating improved prevention following sexual assault. Low rates of advocacy accompaniment highlight the need to strengthen survivor‑centered supports.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148946324","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}