Journal of forensic nursing最新文献

{"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":"<p><strong>Background: </strong>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.</p><p><strong>Aim: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}

{"title":"Assessing Trauma and Training Needs of Sexual Assault Nurse Examiners Across the United States.","authors":"Haley R Dawson, Nadja Schreiber Compo, Tami Thomas, Juan Lopez Nobrega","doi":"10.1097/JFN.0000000000000520","DOIUrl":"10.1097/JFN.0000000000000520","url":null,"abstract":"<p><strong>Background: </strong>Much of the research on sexual assault nurse examiners (SANEs) focuses on program outcomes rather than the individual experiences of SANEs. The present research therefore sought to examine the individual experiences of SANEs regarding trauma, support, training needs, and challenges.</p><p><strong>Methods: </strong>A national sample of SANEs participated in an online survey. In addition to a series of questions on work-related challenges and training needs, participants also completed the Secondary Traumatic Stress Scale (Bride et al., 2004) and the Professional Quality of Life Scale Stamm, 2009). Written survey responses were analyzed for themes regarding support services and training needs.</p><p><strong>Results: </strong>One hundred twelve SANEs from 24 U.S. states participated in our survey. Of these, 74 SANEs completed the Secondary Traumatic Stress Scale, and 69 SANEs completed the Professional Quality of Life Scale. Overall, SANEs reported little secondary trauma or burnout. Furthermore, SANEs identified key areas in which additional training would be beneficial, including trial preparation, photography, and hands-on training.</p><p><strong>Discussion: </strong>Self-reported trauma and burnout findings are discussed in light of the high use of support services such as therapy, decompressing with other SANEs, and leisure activities. Our findings provide valuable information for supervisors and training providers of SANEs and have important implications for future SANE research.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"77-85"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908040","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":"Improving Access to Community-Based Services for Sexual Assault Survivors.","authors":"Julie Brosnan, Robin Shannon, Shannon Krueger, Kimberly Wolgast","doi":"10.1097/JFN.0000000000000516","DOIUrl":"10.1097/JFN.0000000000000516","url":null,"abstract":"<p><strong>Background: </strong>Emergency department (ED) encounters are often the only healthcare provider encounter for patients seeking care after a reported sexual assault (SA), making the encounter a crucial opportunity to connect patients to support services in the community. An opportunity existed at an urban Level II trauma center to standardize SA discharge planning.</p><p><strong>Aims: </strong>This quality improvement project aimed to improve access to SA support services.</p><p><strong>Methods: </strong>The Model for Improvement guided two plan-do-study-act (PDSA) cycles. Implementation included (a) creation of a QR-code-accessible SA resource website, (b) ED standardized patient print and electronic medical record after-visit summaries with follow-up guidelines and the QR code, (c) ED staff education, and (d) a community stakeholder survey to assess facilitators and barriers to support services.</p><p><strong>Results: </strong>During the first PDSA cycle, 19 reported SA survivors were seen in the ED (18 adult, one pediatric) and 14 SA resource website visits. During the second PDSA cycle, 13 reported SA survivors (10 adult, three pediatric) were seen in the ED and 29 website visits. Stakeholder survey data revealed barriers to support services were transportation, overloaded support services, and survivor knowledge of existing services.</p><p><strong>Conclusion: </strong>The QR code intervention model is a discrete method of improving access to resources and is applicable to other vulnerable populations. The multiagency SA response team will utilize partner survey data to improve access to community resources such as housing and transportation.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"128-135"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960725","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":"Re LAB ReImagine Clinical Residency for Sexual Assault Nurse Examiners: Initial Outcomes of an Academic-Clinical Partnership.","authors":"Carolyn M Porta, Ellen Johnson, Ellen A Frerich, Tara C Dillon, Sarah J Hoffman","doi":"10.1097/JFN.0000000000000536","DOIUrl":"10.1097/JFN.0000000000000536","url":null,"abstract":"<p><strong>Background: </strong>Recruiting, preparing, and retaining sexual assault nurse examiners (SANEs), particularly in rural and isolated areas, is increasingly difficult because of widespread emotional exhaustion and burnout among nurses. We describe our academic-clinical partnered development and initial outcomes from the ReImagine Clinical Residency. The residency is part of the larger Re LAB workforce program to support competency development and confidence building among current and future SANEs with limited experience.</p><p><strong>Methods: </strong>SANEs were screened and enrolled in the residency for 1-2 weeks, participating in patient encounters at hospitals in the Minneapolis-St. Paul metropolitan area. Preresidency and postresidency surveys were completed, including our SANE Practice Innovation Configuration Evaluation tool. Descriptive statistical and thematic analyses were conducted.</p><p><strong>Results: </strong>Eleven SANEs completed the ReImagine Clinical Residency; most were early-career nurses working in healthcare provider shortage areas in the United States. Statistically significant pre-post improvements were observed in five of the six SANE Practice Innovation Configuration Evaluation components. Residents described valuing the hands-on experience, diverse clinical environments, and preceptor support.</p><p><strong>Conclusion: </strong>Residency programs are essential for addressing the specific professional development needs of novice SANEs and those with limited patient encounters in their current practice settings. By providing structured, precepted experiences, these residencies can contribute to workforce retention and ultimately strengthen patient care for victim-survivors of sexual violence.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"86-94"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451231","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":"Disturbing the Sound of Silence With Forensic Nursing Courage.","authors":"Carolyn M Porta","doi":"10.1097/JFN.0000000000000549","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000549","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"21 2","pages":"75-76"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102950","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 Scoping Review of Patient Involvement in Violence Risk Assessment.","authors":"Phil Woods, Laleh Dadgardoust","doi":"10.1097/JFN.0000000000000500","DOIUrl":"10.1097/JFN.0000000000000500","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aimed to summarize the published literature on patient involvement in violence risk assessment. Two research questions reviewed the extent of patient involvement and what evidence exists.</p><p><strong>Inclusion criteria: </strong>English-language peer-reviewed published articles of any methodology related to violence risk assessment toward others were included. Articles were related to forensic and mental health practice and involve patients directly in the process.</p><p><strong>Methods: </strong>Five electronic databases were comprehensively searched, as well as the reference lists of included articles. Both authors reviewed articles for inclusion and extracted data from included articles.</p><p><strong>Results: </strong>Fifteen articles met the inclusion criteria. Articles reported on three approaches to patient engagement in structured violence risk assessment: how patients were involved or experienced the process, using rating scales, and using questions related to patient self-perceived risk. In relation to what evidence existed, four main themes emerged: patient views about risk and their involvement in risk assessment, comparing the predictive accuracy of patient self-rated tools with clinician-rated tools, predictive accuracy of a patient self-rated tool, and comparing risk ratings between patients and clinicians.</p><p><strong>Conclusions: </strong>There is a dearth of research published about involving patients in their own risk assessment. Patients report both positive and negative experiences of the process. From cohort-type studies, results have shown that patient self-risk assessment can have a similar predictive ability to the clinician ratings related to adverse violence outcomes. Findings from studies can pave the way for future clinical research around the tools that have been developed thus far.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E26-E40"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989831","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 Extremely High Risk Category Model for Nonfatal Strangulation.","authors":"Chelsea Knutson, Patricia Carter","doi":"10.1097/JFN.0000000000000537","DOIUrl":"10.1097/JFN.0000000000000537","url":null,"abstract":"<p><strong>Aims: </strong>This study investigates the risk factors and prevalence of nonfatal strangulation (NFS) within the contexts of intimate partner violence and sexual assault, with a particular focus on the demographic and relational dynamics that influence its occurrence.</p><p><strong>Design/methods: </strong>A comprehensive literature review was undertaken, encompassing both quantitative and qualitative data from existing research on NFS.</p><p><strong>Results: </strong>The Extremely High Risk Category Conceptual Model for NFS emerged as an innovative, investigator-developed framework that synthesizes the current literature on factors associated with NFS risk.</p><p><strong>Conclusion: </strong>Frameworks that integrate current evidence on NFS risk factors, such as the Extremely High Risk Category model, have the potential to inform the practices of healthcare, social services, and law enforcement professionals. By identifying higher risk individuals, these professionals can implement targeted safety planning and support services. There is an urgent need for focused research and intervention strategies to address the complexities of NFS within intimate partner violence and sexual assault contexts. Expanding research to include diverse populations across genders and ages is crucial for the development of comprehensive prevention and support measures.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574958","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":"Associations Between Suicidal Ideation and Behaviors, Sexual Violence Victimization, and Sexual Orientation in Youth: A Secondary Data Analysis of the 2021 Youth Risk Behavior Survey.","authors":"Larissa Allen, Jamie Zelazny, Susan Sereika","doi":"10.1097/JFN.0000000000000530","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000530","url":null,"abstract":"<p><strong>Introduction: </strong>The relationship between sexual violence victimization (SVV) and suicidal thoughts and behaviors (STBs) has been established. However, when applied to LGBTQ+ (i.e., lesbian, gay, bisexual, transgender, and queer) populations, the impact of SVV on the severity of STBs experienced requires further exploration. Suicide is a major public health problem, with youth aged 10-24 years accounting for 14% of all suicides seen in the United States. The association between SVV, STBs, and other psychopathologies, such as anxiety and depression, is stronger in sexual minorities (LGBQT+) than in the heterosexual population. A cross-sectional secondary analysis of the 2021 Youth Risk Behavior Survey (YRBS) was completed to investigate the association between SVV and STBs in LGBTQ+ youth populations when compared with their heterosexual peers and to determine if sexual orientation is a potential moderator in this relationship.</p><p><strong>Methods: </strong>Sexual orientation, questions related to STBs, and sexual assault/rape and intimate partner violence experiences were extracted from the 2021 YRBS. Binary logistic regression considering the complex sample survey design of the YRBS was utilized to assess associations of SVV with STBs while controlling for sexual orientation.</p><p><strong>Results: </strong>Sexual minority youth exhibit higher odds of both experiencing SVV and exhibiting STBs compared with their heterosexual peers. Some aspects of STBs in the presence of SVV are moderated by sexual orientation.</p><p><strong>Conclusion: </strong>Further investigation is needed into this association in LGBTQ+ youth populations who have experienced sexual violence to better understand this relationship.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412084","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":"Understanding Interpersonal Violence Incidence in a U.S.-Mexico Border Community: A Geospatial Approach.","authors":"Melissa Wholeben, Hyunjung Cheon, Amanda Goodson, Jayajit Chakraborty, Gloria Salazar, Robert McCreary","doi":"10.1097/JFN.0000000000000532","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000532","url":null,"abstract":"<p><strong>Background: </strong>Interpersonal violence (IV) is a global pandemic. Geographic borders represent unique spaces that are often shaped by cultural clashes, economic inequality, and jurisdictional complexities. Given the intricate social dynamics along the U.S.-Mexico border, this region provides a compelling yet understudied setting to advance research on the geographic dimensions of IV. However, communities situated alongside the U.S.-Mexico border are noticeably absent from this body of research, which is problematic as these regions often face unique social and structural challenges.</p><p><strong>Method: </strong>This retrospective study examined the spatial distribution of a subset of zip code data that represented IV incidences between 2017 and 2022 in the El Paso, Texas region. The source of the IV data was medical records of patients that were seen by sexual assault nurse examiners for IV-related injuries at a Level 1 trauma center.</p><p><strong>Results: </strong>The retrospective study included 384 IV incidents. In terms of IV survivors' characteristics, the mean age of trauma survivors was 26 years (SD = 14 years), with the majority in the 25- to 59-year age range (39.4%). Most of the survivors were identified as Hispanic, Latino, or Spanish (78.2%). The findings illustrate the uneven spatial distribution of IV incidence rates in El Paso, emphasizing the presence of high-risk zones within the inner city.</p><p><strong>Conclusion: </strong>This study examined the spatial distribution and characteristics of IV incidents in the El Paso region. The combination of spatial analysis, hotspot identification, and establishment overlay mapping offers a holistic perspective on the spatial dynamics of IV. The identification of hotspots and exploration of regions with high IV occurrence contribute to actionable insights for the development and implementation of targeted interventions. By understanding IV occurrence within the community, forensic nurses can target trauma survivor prevention efforts and integrate education and resources for nurses caring for survivors in emergency situations. In addition, forensic nurses become proactive agents of change, tackling IV at its source with targeted recognition, response, and safety protocols.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143412086","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":"Correlates of Disclosing Sexual Victimization to a Resident Assistant: A Study of College Women.","authors":"Anusha Rahman, Charlene Collibee, Lindsay M Orchowski","doi":"10.1097/JFN.0000000000000471","DOIUrl":"10.1097/JFN.0000000000000471","url":null,"abstract":"<p><strong>Abstract: </strong>First-year college women are at a high risk for sexual victimization. Staff within residence halls play an important role in connecting students who experience harm with resources. This study utilized survey assessments to examine correlates of likelihood to disclose sexual victimization to a resident assistant among a sample of first-year college women (N = 374). History of sexual victimization, self-concealment, attitudes toward psychological care, and social support were evaluated as correlates of likelihood to disclose to a resident assistant. A history of sexual victimization, level of self-concealment, and attitudes toward seeking psychological care showed a negative association to perceived likelihood to report sexual victimization to a resident assistant. Self-esteem, tendency to disclose sensitive information, tendency to cope via problem solving, social support grounded in guidance, and social support providing reassurance of worth were positively associated with perceived likelihood to disclose to a resident assistant. Multivariate analyses revealed that having no history of prior sexual victimization, high levels of social support that offered reassurance of worth, and a greater tendency to disclose sensitive information emerged as salient multivariate predictors of college women's perceived likelihood to disclose sexual victimization to a resident assistant. Findings increase our understanding of the individual characteristics that influence whether someone seeks assistance from a resident assistant after sexual assault and which students may benefit from additional outreach to connect with university resources after experiences of sexual violence.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"21 1","pages":"38-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143417120","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}