Kaylen M Moore, Linda M Wesp, Jacqueline Callari Robinson, Laura Bennett, Alison M Lopez, Peninnah M Kako
{"title":"Education for Equity: A Cultural Safety and Intersectionality Informed Sexual Assault Nurse Examiner Curriculum.","authors":"Kaylen M Moore, Linda M Wesp, Jacqueline Callari Robinson, Laura Bennett, Alison M Lopez, Peninnah M Kako","doi":"10.1097/JFN.0000000000000559","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000559","url":null,"abstract":"<p><strong>Background: </strong>Current Sexual Assault Nurse Examiner (SANE) education guidelines outline the minimum instruction needed for nurses to practice as SANEs. However, the same patients facing a higher prevalence of sexual violence are experiencing complex structural determinants of health, as well as ongoing stigma and discrimination in the health care setting. Therefore, SANE education should prepare nurses to care for survivors who disproportionately experience sexual violence.</p><p><strong>Aim: </strong>To present our equity-focused SANE curriculum designed to build competencies for nurses caring for survivors disproportionately impacted by sexual violence.</p><p><strong>Methods: </strong>Our SANE curriculum development was guided by cultural safety and intersectionality frameworks.</p><p><strong>Conclusions: </strong>We believe our enhanced SANE curriculum has the potential to more effectively prepare nurses to fully care for all survivors, particularly those who disproportionately experience sexual violence. Implementation and long-term evaluation of patient care outcomes are warranted.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145188052","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}
Benjamin S McLean, Sara Rodríguez, Andrew Tungate, Andrea A Massa, Jeffrey Ho, Grace A Burud, Megan Lechner, Jenny Black, Jennie Buchanan, Gordon Reed, Melissa Platt, Ralph Riviello, Catherine Rossi, Israel Liberzon, Sheila A M Rauch, Kenneth Bollen, Samuel A McLean, Sandra L Martin
{"title":"Experiences of Women Sexual Assault Survivors With Police in the Early Aftermath of Assault: Results From a Large-scale Prospective Study.","authors":"Benjamin S McLean, Sara Rodríguez, Andrew Tungate, Andrea A Massa, Jeffrey Ho, Grace A Burud, Megan Lechner, Jenny Black, Jennie Buchanan, Gordon Reed, Melissa Platt, Ralph Riviello, Catherine Rossi, Israel Liberzon, Sheila A M Rauch, Kenneth Bollen, Samuel A McLean, Sandra L Martin","doi":"10.1097/JFN.0000000000000573","DOIUrl":"10.1097/JFN.0000000000000573","url":null,"abstract":"<p><strong>Background: </strong>Over 100,000 women present for emergency care after sexual assault (SA) annually in the United States. No large-scale prospective studies have assessed SA survivor experiences with police.</p><p><strong>Aims: </strong>To evaluate SA survivor experiences with the police.</p><p><strong>Methods: </strong>A large-scale longitudinal study was conducted of women who received SA nurse examiner examinations after presenting to the emergency department following SA at 12 sites (n = 706).</p><p><strong>Results: </strong>At six weeks (n = 630), most women were interested in speaking with the police (75%), spoke with police, and reported positive experiences. Latinas and women with lower income were less likely to speak with police (χ2 = 4.76, p = 0.0370; χ2 = 11.37, p = 0.0008). Survivors with greater posttraumatic stress and previous trauma report worse experiences with police. Qualitative comments provide key points for police to consider.</p><p><strong>Discussion: </strong>This study demonstrates high contact and overall satisfaction with police. However, disparities remain among Latinas, survivors with lower socioeconomic status, and survivors with previous life trauma.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133222","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":"Think Forensic, Act Forensic, Feel Forensic: Qualitative Descriptive Recording of Forensic Nurses' Experiences in German-Speaking Switzerland.","authors":"Malaika Vetter, Julian Mausbach, Tina Quasdorf","doi":"10.1097/JFN.0000000000000576","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000576","url":null,"abstract":"<p><strong>Background: </strong>Forensic nursing (FN) is slowly increasing as an area of nursing practice in German-speaking Switzerland, particularly following the implementation of the Istanbul Convention.</p><p><strong>Objectives: </strong>To explore FN roles, barriers, and support structures in this part of Switzerland.</p><p><strong>Methods: </strong>Qualitative descriptive study involving 10 expert interviews with FNs.</p><p><strong>Results: </strong>FNs aim to improve care for patients affected by violence, balancing direct patient contact with interprofessional collaboration. While they feel confident in their responsibilities, challenges include limited role awareness among other professionals and unclear role definitions. Interprofessional collaboration remains underdeveloped but significantly affects FN responsibilities. The integration of FNs into the Swiss health care system depends on various factors, including positive political pressure and funding.</p><p><strong>Conclusions: </strong>Improved communication, clearer role definitions, and further research on FN practices in Switzerland are needed. Overcoming challenges is crucial if Swiss FNs are to meet international standards and maximize their role within the national health care framework.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133173","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":"Evaluation of a Human Trafficking Screening Process in an Urban Emergency Department.","authors":"Kathleen Stepanovic, Anna Candoleza Muglia, Jennie Paxton, Jenny Ahn, Monika Pitzele","doi":"10.1097/JFN.0000000000000570","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000570","url":null,"abstract":"<p><strong>Background/aims: </strong>Human trafficking (HT) affects 25 million people globally, with Illinois ranking eleventh in U.S. cases, highlighting the need for effective health care identification systems. To evaluate an HT screening program implemented in a Chicago emergency department (ED).</p><p><strong>Methods: </strong>The program established an HT victim screening tool into the electronic medical record, trained staff on HT red flags, and used a silent identification system to enhance victim detection at multiple patient interaction points.</p><p><strong>Results: </strong>Two HT victims were identified shortly after implementation. However, sustainability measures proved inadequate, with screening numbers at only 15 screens 2 years after implementation. Challenges included high staff turnover, insufficient training, hidden screening locations, and poor maintenance of the silent notification system.</p><p><strong>Discussions: </strong>Ongoing education, better screening placement, and leveraging Sexual Assault Nurse Examiners' expertise are critical for improvement. A new initiative is underway to address barriers and enhance the HT protocol in the Chicago ED.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133153","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":"Closing the Gap: Education for Emergency Department Nurses in the Use of Human Trafficking and Intimate Partner Violence Screening Tools.","authors":"Danielle Paravati","doi":"10.1097/JFN.0000000000000567","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000567","url":null,"abstract":"<p><strong>Background: </strong>There is an identified educational gap in ED nurses regarding their comfort in screening for victims of human trafficking (HT) and intimate partner violence (IPV).</p><p><strong>Aim: </strong>To increase nurses' knowledge about HT and IPV, legal requirements, available resources, and the use of an EHR screening tool.</p><p><strong>Methods: </strong>A single-session 30-minute educational intervention on HT, IPV, and screening was delivered, with pre-evaluation and post-evaluation.</p><p><strong>Results: </strong>Of the 15 participants, there was a significant increase in staff understanding of caring for victims of HT and IPV after the intervention. Specifically, nurses' knowledge increased in areas such as defining HT and IPV, identifying HT \"Red Flags,\" and adopting a trauma-informed care approach.</p><p><strong>Conclusions: </strong>A brief educational intervention can improve ED nurses' knowledge and confidence regarding HT and IPV identification and screening. Further longitudinal research is warranted to assess outcomes over time and the possible need for ongoing professional development on HT and IPV screening.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115802","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}
Tehillah Eskelund, Teresa Martin, Caroline Park, Xichen Wang, Jason Rydberg, Lela Bachrach, Hanni Stoklosa
{"title":"Assessing for Bias in Health Professional Human Trafficking Trainings: A Descriptive Study.","authors":"Tehillah Eskelund, Teresa Martin, Caroline Park, Xichen Wang, Jason Rydberg, Lela Bachrach, Hanni Stoklosa","doi":"10.1097/JFN.0000000000000560","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000560","url":null,"abstract":"<p><strong>Background: </strong>Health professionals frequently care for individuals who have been trafficked, yet many go unrecognized. Trainings that reinforce narrow stereotypes may contribute to these missed opportunities by shaping provider perceptions and deepening bias.</p><p><strong>Purpose: </strong>To assess whether introductory online trainings about human trafficking reflect representational biases.</p><p><strong>Methods: </strong>Thirteen publicly available trainings were analyzed for sensationalism, racial representation, gender identity expression, and trafficking type.</p><p><strong>Results: </strong>All trainings showed bias in at least one domain; the greatest bias was toward feminine gender expression (92%). Sensationalized imagery appeared in 46%. White-presenting survivors were overrepresented in 38%. About half lacked any transgender/nonbinary (46%) or LGBTQ+ (54%) identities. Sex trafficking was emphasized over labor trafficking in 85% of trainings.</p><p><strong>Conclusions: </strong>Even brief trainings can shape perceptions and perpetuate bias. Educators should critically examine representation and their own positionality to support trauma-informed skills-building that helps clinicians recognize and support all survivors in clinical care.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133166","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":"Bridging Care and Justice: Using an Interprofessional Simulated Mock Courtroom Experience for Sexual Assault Nurse Examiner Training.","authors":"Carman Turkelson, Megan M Keiser","doi":"10.1097/JFN.0000000000000566","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000566","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Background: </strong>There is limited literature on the best strategies to prepare sexual assault nurse examiners (SANEs) for the intensity of providing testimony in court.</p><p><strong>Aim: </strong>To explore the impact of a mock courtroom simulation-enhanced interprofessional experience on perceptions of comfort, confidence, and testimony ability in SANEs.</p><p><strong>Methods: </strong>A mock courtroom simulation-enhanced interprofessional experience was developed to provide SANEs with multiple opportunities to practice critical skills related to providing expert testimony for a sexual assault criminal proceeding. Narrative feedback was gathered, exploring perceptions of confidence, comfort, and awareness of legal processes. A thematic analysis was conducted.</p><p><strong>Results: </strong>Themes included (1) realism and practical exposure, (2) confidence and composure under pressure, (3) enhanced understanding of legal protocols and self-advocacy, and (4) long-term professional preparation.</p><p><strong>Discussion: </strong>Exposure to multiple cases and styles of cross-examination from prosecutors and defense attorneys proved to be a valuable strategy for preparing SANEs for the rigor of providing testimony in court.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133195","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 for Sexually Exploited Youth: A Case Report.","authors":"Breanna Heisterkamp, Brittany Puckett, Stephanie Ellis","doi":"10.1097/JFN.0000000000000568","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000568","url":null,"abstract":"<p><strong>Introduction: </strong>This case report describes a model for identification and response to adolescents at risk for human trafficking/sexual exploitation in an emergency department setting. The Short Screen for Child Sex Trafficking is used, and then identified high-risk individuals are provided a forensic nurse examiner (FNE) assessment.</p><p><strong>Case presentation: </strong>The patient presented to an emergency department three times for mental health care and was screened using the Short Screen for Child Sex Trafficking, which showed significant human trafficking/sexual exploitation risk. This triggered FNE interventions that led to disclosure of exploitation, connection to resources, and progress in the patient's understanding and ability to seek support. While the patient's substance dependency and mental health concerns persisted, highlighting gaps, systematic screening paired with trauma-informed, patient-directed FNE response facilitated meaningful intervention without requiring self-identification or relying on provider recognition.</p><p><strong>Conclusions: </strong>This is a replicable model for health care settings seeking to improve identification and support of at-risk youth.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071404","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}
Ellen Boldrup Tingleff, Sofie Louise Aslerin, Signe Unmack Larsen, Camilla Rosendal Lindekilde, Martin Locht Pedersen, Frederik Alkier Gildberg
{"title":"Content and Feasibility of Interventions to Reduce Mechanical Restraint Use in Adult Forensic Mental Health Inpatient Settings: A Qualitative Study of Service Users', Relatives', and Staff's Perceptions in Denmark.","authors":"Ellen Boldrup Tingleff, Sofie Louise Aslerin, Signe Unmack Larsen, Camilla Rosendal Lindekilde, Martin Locht Pedersen, Frederik Alkier Gildberg","doi":"10.1097/JFN.0000000000000572","DOIUrl":"10.1097/JFN.0000000000000572","url":null,"abstract":"<p><strong>Introduction: </strong>Most interventions aimed at reducing mechanical restraint (MR) have not been adapted to forensic mental health settings (FMHS) and rarely consider the perspectives of service users (SUs), relatives, and staff.</p><p><strong>Aim: </strong>To investigate the perceptions of SUs, relatives, and staff regarding the content and feasibility of seven interventions to reduce MR use in adult FMHS.</p><p><strong>Methods: </strong>We conducted semi-structured, one-on-one, and group interviews with SUs, relatives, and staff within an FMHS and analyzed the data using content analysis.</p><p><strong>Results: </strong>Seven categories were produced: building relationships, expanding patient-related knowledge, applying de-escalation methods, optimizing staffing levels, increasing availability, improving collaboration, and promoting professional staff attitudes.</p><p><strong>Conclusions: </strong>Strengthening relationships is fundamental to the feasibility of most interventions aimed at reducing MR episodes. SU-staff relations depend on staff's knowledge of and genuine engagement with SUs, while staff-staff dynamics are built on trust and collaboration.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984142","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}