Journal of forensic nursing最新文献

Disturbing the Sound of Silence With Forensic Nursing Courage: Erratum. 用法医护理的勇气打破沉默：勘误。

Journal of forensic nursing Pub Date : 2025-05-22 DOI: 10.1097/JFN.0000000000000556

Carolyn M Porta

引用次数: 0

Enhancing Follow-up Care of Sexually Assaulted Children: Outcomes of a Forensic Nurse Care Coordination QI Initiative. 加强性侵犯儿童的后续护理：法医护士护理协调QI倡议的结果。

Journal of forensic nursing Pub Date : 2025-05-05 DOI: 10.1097/JFN.0000000000000546

Mary Smith, Sandra P Spencer, Antonia Chiesa

{"title":"Enhancing Follow-up Care of Sexually Assaulted Children: Outcomes of a Forensic Nurse Care Coordination QI Initiative.","authors":"Mary Smith, Sandra P Spencer, Antonia Chiesa","doi":"10.1097/JFN.0000000000000546","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000546","url":null,"abstract":"Background: Nurse care coordination for children and adolescents experiencing acute sexual assault is rarely done but could yield positive outcomes. Demonstrating the value of forensic nurse care coordination (RNCC) is challenging: No benchmarks or metrics existed to measure the impact of RNCC on patient care or outcomes. Hours could be tracked, contact attempts could be tallied, but evaluating the value and outcomes of a forensic RNCC was lacking.Methods: Using quality improvement (QI) methodology, we identified measures to quantify the impact of care coordination by a forensic nurse for pediatric and adolescent patients who had experienced acute sexual assault. Measures included attending follow-up clinic, obtaining follow-up labs at 6 weeks and 3 months post-assault, and patient concordance with an established clinical care follow-up pathway. We implemented the forensic RNCC between October 2022 and June 2023, with pre- and post-QI intervention chart review to establish baseline and post-QI outcome measures.Results: The forensic RNCC role was successfully implemented. All measures demonstrated improvement from pre- to post-intervention. Clinic follow-up increased from 70% to 98% of patients. Patients obtaining screening labs 6 weeks post-assault increased from 53% pre-intervention to 92% post-intervention. The pathway recommends patients obtain labs 3 months post-assault as well, and we saw an increase from 67% to 89% of the post-intervention group obtaining labs at 3 months. Overall concordance to the system's evidence-based clinical care pathway increased from 45% to 83% of the post-intervention group.Conclusions: This QI initiative achieved measurable improvement in patient care and outcomes by leveraging the expertise of a forensic RNCC.","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995736","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}

引用次数: 0

School Nurse Perspectives on Interventions Supporting Youth at Risk for or Experiencing Sex Trading. 从学校护士的角度对有性交易风险或经历过性交易的青少年进行干预。

Journal of forensic nursing Pub Date : 2025-04-29 DOI: 10.1097/JFN.0000000000000548

Camille Brown, Julianne Pekala, Barbara J McMorris, Knoo Lee, Emily Singerhouse, Lauren Martin

{"title":"School Nurse Perspectives on Interventions Supporting Youth at Risk for or Experiencing Sex Trading.","authors":"Camille Brown, Julianne Pekala, Barbara J McMorris, Knoo Lee, Emily Singerhouse, Lauren Martin","doi":"10.1097/JFN.0000000000000548","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000548","url":null,"abstract":"Background: School nurses work in interprofessional teams to identify and care for youth involved in commercial sex trading. However, the school nurse role in the care of these youth is not well documented despite evidence suggesting youth who trade sex are attending U.S. public schools.Study aim: To describe licensed school nurses' (LSNs) perspectives on interventions implemented to support youth who trade sex in Minnesota.Methods: Twenty-one LSNs participated in an online focus group discussing their role in the support of youth who trade sex. Thematic analysis was used to identify and synthesize details about the interventions described.Results: Four themes were identified: independent nursing interventions, collaborative interventions, barriers to intervention, and suggested support for improved intervention.Conclusions and implications: School nurses rely on developing positive relationships with students, school staff, and community partners to intervene with youth who trade sex. Such relationships can facilitate identification of sexually exploited youth and may promote trauma-informed care when youth seek care from forensic nurses. Collaboration between forensic and school nurses is a promising yet underutilized school-based intervention for youth who trade sex.","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015582","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}

引用次数: 0

Factors Influencing Intention to Use Mental Health Services among Persons in Custody in South Korea. 韩国在押人员使用精神卫生服务意愿的影响因素

Journal of forensic nursing Pub Date : 2025-04-09 DOI: 10.1097/JFN.0000000000000547

Joonyeong Lee, Moonhee Gang

引用次数: 0

Pain During Incarceration: Searching for Safety in Hypermasculine Correctional Settings. 监禁期间的痛苦：在重男轻女的惩教环境中寻找安全感。

Journal of forensic nursing Pub Date : 2025-04-01 Epub Date: 2024-09-26 DOI: 10.1097/JFN.0000000000000514

Duncan Stewart MacLennan, Gerri Lasiuk, Diane Kunyk, Maria Mayan

{"title":"Pain During Incarceration: Searching for Safety in Hypermasculine Correctional Settings.","authors":"Duncan Stewart MacLennan, Gerri Lasiuk, Diane Kunyk, Maria Mayan","doi":"10.1097/JFN.0000000000000514","DOIUrl":"10.1097/JFN.0000000000000514","url":null,"abstract":"Introduction: Hypermasculine prison culture produces hierarchies based on individuals' ability to assert dominance through strength and violence. Pain can impact physical strength, thereby limiting the ability to elevate or maintain social status within such hierarchies.Aim: The aim of the study was to explore the pain experiences of incarcerated men who were embedded into hypermasculine prison culture.Methods: Interpretive description co-positioned with relational ethics informed the study design. Twelve males participated in 1-hour interviews, which were transcribed verbatim and analyzed inductively to identify themes. The data analysis occurred in three phases: sorting and organizing, making sense of patterns, and transforming patterns into findings.Results: We found that correctional settings were characterized by a social culture of toxic hypermasculinity that influenced the pain experiences of people who were incarcerated. Individuals who experienced pain were more vulnerable to self-isolation in situations in which pain threatened their ability to defend themselves and their previously established social status within the prison hierarchy. Yet, those who felt secure in subordinate hierarchical positions and had effective peer relationships perceived greater safety in communal settings, which proved to be a distraction from pain.Conclusion: In the context of incarceration, positive peer relationships and perceptions of safety positively influenced individuals' experience of pain.","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"114-119"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335246","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}

引用次数: 0

Child maltreatment data after implementation of hospital-wide protocol and sexual assault forensic examiners. 实施全院协议和性侵犯法医检查后的儿童虐待数据。

Journal of forensic nursing Pub Date : 2025-04-01 DOI: 10.1097/JFN.0000000000000550

引用次数: 0

Trauma-Related Shame: An Evolutionary Concept Analysis. 创伤相关羞耻感：进化概念分析。

Journal of forensic nursing Pub Date : 2025-04-01 Epub Date: 2025-01-07 DOI: 10.1097/JFN.0000000000000527

Lisa M Laughlin

{"title":"Trauma-Related Shame: An Evolutionary Concept Analysis.","authors":"Lisa M Laughlin","doi":"10.1097/JFN.0000000000000527","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000527","url":null,"abstract":"Background: Feelings of shame after interpersonal assault directly impact survivor well-being. Although the concept of trauma-related shame has been well defined and applied in psychology, the direct application to nursing care for victims of sexual assault is unclear.Objective: The aim of this study was to perform an interdisciplinary concept analysis to clarify and synthesize the concept of trauma-related shame as it relates to interpersonal assault.Method: A multidisciplinary literature search was conducted using the term \"trauma-related shame.\" Article titles and abstracts were reviewed for significance to interpersonal assault. Rodgers' evolutionary method of concept analysis was used to identify attributes and related concepts and also clarify the contextual basis of trauma-related shame.Results: The search resulted in 150 articles, 15 of which met the specified inclusion criteria. Fourteen of the selected articles were research studies, and one was a systematic review. A thematic analysis was used, and two attributes were identified: self-devaluation and self-isolation. An experience of trauma, fear, multivictimization, preexisting shame, low self-esteem, stigmatized events, and negative reactions from others were identified as antecedents. Finally, when reviewing for consequences, anxiety, depression, posttraumatic stress disorder, acute stress disorder, distress, poor health outcomes, social withdrawal, and suicidal tendencies were identified as common themes.Conclusion: This concept analysis is a first step in the further development and implementation of trauma-related shame in nursing. It will be vital to the provision of holistic care for the profession to conduct research and publish literature related to shame for survivors of interpersonal traumatic events.","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"21 2","pages":"104-113"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102967","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}

引用次数: 0

"Getting People Back Into the Community": Forensic Mental Health Nurses' Perceptions and Experiences of the Recovery Model Within a High-Secure Hospital. 让人们重返社区"：法医精神健康护士对高度戒备医院内康复模式的看法和体验。

Journal of forensic nursing Pub Date : 2025-04-01 Epub Date: 2024-08-16 DOI: 10.1097/JFN.0000000000000511

Casey Roberts, Michael Luder, Crystal McMullen, Rosalind Cole, Nicole Ward, Paul Dignam, Michael Ireland

{"title":"\"Getting People Back Into the Community\": Forensic Mental Health Nurses' Perceptions and Experiences of the Recovery Model Within a High-Secure Hospital.","authors":"Casey Roberts, Michael Luder, Crystal McMullen, Rosalind Cole, Nicole Ward, Paul Dignam, Michael Ireland","doi":"10.1097/JFN.0000000000000511","DOIUrl":"10.1097/JFN.0000000000000511","url":null,"abstract":"Background: The implementation of the recovery model into forensic mental health care promotes hope and has important implications for inpatients' community reintegration.Aim: This study aimed to describe forensic mental health nurses' perceptions and experiences of providing care using the recovery model within a high-secure forensic hospital in Queensland, Australia.Methods: Twenty-seven forensic mental health nurses were interviewed regarding their perceptions and experiences of providing recovery-oriented care within a high-secure forensic hospital.Results: The participants described an individualized approach to recovery, both in the goals developed and in the level of support they required. There was an overarching shared goal across the participant group, which was focused on supporting patients to reintegrate back into the community. Inadequate resources (both internal and external), the severity of patient psychopathology, legal constraints, and the nursing role within the broader treating team were all perceived to present challenges to utilizing the recovery model within a high-secure forensic hospital.Implications for clinical forensic nursing practice: To fully realize the potential of the recovery model, a system-wide reconceptualization is necessary.","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"136-143"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989749","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}

引用次数: 0

Child Maltreatment Data After Implementation of Hospital-Wide Protocol and Sexual Assault Forensic Examiners. 实施全院协议后的儿童虐待数据和性侵犯法医对儿童虐待案件的利用。

Journal of forensic nursing Pub Date : 2025-04-01 Epub Date: 2024-12-17 DOI: 10.1097/JFN.0000000000000528

Kirsten Morrissey, Kaylin Dawson, Ashar Ata, Michael Waxman

{"title":"Child Maltreatment Data After Implementation of Hospital-Wide Protocol and Sexual Assault Forensic Examiners.","authors":"Kirsten Morrissey, Kaylin Dawson, Ashar Ata, Michael Waxman","doi":"10.1097/JFN.0000000000000528","DOIUrl":"10.1097/JFN.0000000000000528","url":null,"abstract":"Background: Child maltreatment is a significant global health concern with significant morbidity and mortality. Sexual assault forensic examiners (SAFEs) provide a valuable skill set and may be utilized in child maltreatment evaluations.Aim: The purpose of the study was to describe patient characteristics and trends after implementation of a hospital-wide standardized child maltreatment protocol including forensic examiners in child maltreatment cases.Methods: Data from January 2017 through December 2022 were retrospectively collected and reviewed on all children under 18 years old who had a child maltreatment evaluation after initiation of a standardized child maltreatment screening process and protocol incorporating SAFE forensic evaluations at a tertiary care Level 1 trauma center.Results: From January 2017 through December 2022, there were 764 child maltreatment evaluations of 742 total patients completed, with 763 (99.9%) evaluations completed by a trained SAFE. There were 378 examinations (49%) completed in children under 2 years old, 281 (37%) in children 2 years old until the 10th birthday, and the remaining 105 (14%) in children 10 years and older. The overall number of cases increased since the initiation of standardized screening and protocol from 68 cases in 2017 to 158 cases in 2022, with peak of 167 cases in 2020.Conclusion: SAFE-trained providers can be successfully incorporated in the multidisciplinary evaluation of child maltreatment patients and can add invaluable education, forensic documentation, and standardization of practice in the care of this vulnerable population.","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"95-103"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142840688","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}

引用次数: 0

Perceptions Among Mental Health Professionals Regarding the Intrusiveness of Coercive Measures: A Danish Regional Survey. 心理健康专业人员对强制措施侵入性的看法：丹麦地区调查。

Journal of forensic nursing Pub Date : 2025-04-01 Epub Date: 2024-12-24 DOI: 10.1097/JFN.0000000000000524

Søren Birkeland, Frederik Alkier Gildberg, Ellen Boldrup Tingleff, Martin Locht Pedersen, Camilla Lindekilde, Lars Morsø, Søren Bie Bogh

{"title":"Perceptions Among Mental Health Professionals Regarding the Intrusiveness of Coercive Measures: A Danish Regional Survey.","authors":"Søren Birkeland, Frederik Alkier Gildberg, Ellen Boldrup Tingleff, Martin Locht Pedersen, Camilla Lindekilde, Lars Morsø, Søren Bie Bogh","doi":"10.1097/JFN.0000000000000524","DOIUrl":"10.1097/JFN.0000000000000524","url":null,"abstract":"Background: Although hotly disputed, coercive measures are widely used in mental health services globally. In Denmark, to ensure the rights of patients, special psychiatric legislation that emphasizes the imperative to always use the least intrusive intervention has been implemented. This raises the question of which coercive measures are perceived as being less intrusive than others.Aim: The aim of this study was to investigate the perceptions of Danish mental health professionals regarding the intrusiveness of various coercive measures used in mental health settings.Methods: We conducted a web-based survey among 132 mental health professionals (response rate: 22%). The participants rated the intrusiveness of different coercive measures using the visual analog scale (VAS).Results: Mental health professionals perceived mechanical restraint as being the most intrusive coercive intervention (belt and strap fixation received a VAS rating of 92 out of 100). Conversely, body searches and observation were perceived as being among the least intrusive measures, with VAS ratings of 35 and 50, respectively. Participants with different professional backgrounds, including general and forensic mental health workers, tended to perceive the coercive measures included in this study as being equally intrusive.Conclusion: The participating mental health professionals generally perceived belt fixation as a highly intrusive measure, whereas seclusion, which is currently illegal under Danish law, was considered less intrusive. Because of the small sample size in this study, caution should be exercised when drawing conclusions based on the findings. Nevertheless, the study may add to how the principle of using the least intrusive measure is interpreted.","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"120-127"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883805","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}

引用次数: 0