Journal of forensic nursing最新文献

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Integrating Trauma and Violence informed care Training into an Indigenous Health Clinic: A Quality Improvement Study. 将创伤和暴力知情护理培训纳入土著保健诊所:一项质量改进研究。
IF 0.9
Journal of forensic nursing Pub Date : 2026-02-10 DOI: 10.1097/JFN.0000000000000595
Jacqueline Callari Robinson, Jeneile Luebke, Lydia Biehr, Deborah Black, Peninnah M Kako, Charles Antwi-Boasiako
{"title":"Integrating Trauma and Violence informed care Training into an Indigenous Health Clinic: A Quality Improvement Study.","authors":"Jacqueline Callari Robinson, Jeneile Luebke, Lydia Biehr, Deborah Black, Peninnah M Kako, Charles Antwi-Boasiako","doi":"10.1097/JFN.0000000000000595","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000595","url":null,"abstract":"<p><strong>Background: </strong>While a trauma- and violence-informed approach to delivering health care can improve outcomes, it is unclear if training on this approach can promote cultural safety, reduce stigmas, and mitigate disparities for Indigenous populations.</p><p><strong>Aim: </strong>To deliver and evaluate a mandatory trauma- and violence-informed care (TVIC) training as part of a recently established medical forensic program at Gerald Ignace Indian Health Clinic.</p><p><strong>Methods: </strong>Implemented TVIC training in early 2023 with 60 participants. Results from pretraining and post-training surveys, as well as a 4-month follow-up survey, were analyzed.</p><p><strong>Results: </strong>Consistent improvements in exam comprehension and patient communication reflect a durable impact of the TVIC intervention, emphasizing long-term provider transformation through education.</p><p><strong>Discussion: </strong>Training in TVIC can empower staff to deliver care to Indigenous patients. Health care staff who interact with Indigenous patients may benefit from the implementation of similar training to help meet their health care needs in safe, trustworthy ways.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151512","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
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。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub 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":"10.1097/JFN.0000000000000546","url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>This QI initiative achieved measurable improvement in patient care and outcomes by leveraging the expertise of a forensic RNCC.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E53-E59"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","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
Testifying Strategies for Nurses Who Serve as Legal Witnesses. 护士作为法律证人的作证策略。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2025-10-30 DOI: 10.1097/JFN.0000000000000583
Rachel McMahan Thomas
{"title":"Testifying Strategies for Nurses Who Serve as Legal Witnesses.","authors":"Rachel McMahan Thomas","doi":"10.1097/JFN.0000000000000583","DOIUrl":"10.1097/JFN.0000000000000583","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E3-E4"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145411258","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
Experiences of Women Sexual Assault Survivors With Police in the Early Aftermath of Assault: Results From a Large-scale Prospective Study. 女性性侵幸存者在性侵后早期与警察的经历:一项大规模前瞻性研究的结果。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2025-09-23 DOI: 10.1097/JFN.0000000000000573
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":"E15-E25"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","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}
引用次数: 0
Retrospective Study on Pain Reports and Treatments at Sexual Assault Medical Forensic Examinations: Clinical Practice Implications. 性侵犯医学法医检查中疼痛报告和治疗的回顾性研究:临床实践意义。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2025-11-10 DOI: 10.1097/JFN.0000000000000569
Leslie W Miles, Julie L Valentine, Alyssa Hildt Moxley, Abby Anderson Cullimore, Bob Wong
{"title":"Retrospective Study on Pain Reports and Treatments at Sexual Assault Medical Forensic Examinations: Clinical Practice Implications.","authors":"Leslie W Miles, Julie L Valentine, Alyssa Hildt Moxley, Abby Anderson Cullimore, Bob Wong","doi":"10.1097/JFN.0000000000000569","DOIUrl":"10.1097/JFN.0000000000000569","url":null,"abstract":"<p><strong>Background: </strong>Sexual assault (SA) nurse examiners conduct SA medical forensic examinations (SAMFEs), addressing pain assessment, documentation, and treatment. Limited research exists on patients' pain and related nursing interventions during SAMFEs.</p><p><strong>Aim: </strong>To evaluate patients' reported pain levels, locations, treatments, and implications for forensic nursing practice.</p><p><strong>Methods: </strong>Retrospective chart review (2017-2022) of 5,052 SAMFEs from five Mountain West sites included patients aged 14+, with unrestricted SA kit collection. Descriptive and logistic regression analyses identified predictors of pain reports and treatments.</p><p><strong>Results: </strong>Pain was reported by 63.1% of patients (mean score: 6/10). Common pain locations were anogenital (41%), abdomen/pelvis (28%), and head (26%). Age, gender, race, injuries, and assailant actions predicted pain reports. Despite documented pain (>4/10), 55.4% received no treatment. Predictors of treatment included age, injury severity, and SAMFE site.</p><p><strong>Discussion: </strong>SA nurse examiners should conduct thorough pain assessment, documentation, treatment, and reevaluation to improve patient outcomes.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E33-E43"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145484576","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
Murdered Indigenous Girls: An Analysis of Victims and Perpetrators. 被谋杀的土著女孩:受害者和肇事者的分析。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2026-02-19 DOI: 10.1097/JFN.0000000000000591
{"title":"Murdered Indigenous Girls: An Analysis of Victims and Perpetrators.","authors":"","doi":"10.1097/JFN.0000000000000591","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000591","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"22 1","pages":"E81"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215213","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
Healthcare Experiences, Perspectives, and Recommendations From Sex Trafficking Victims and Survivors: A Scoping Review. 性交易受害者和幸存者的医疗保健经验、观点和建议:范围审查。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2025-06-11 DOI: 10.1097/JFN.0000000000000553
Isabella Reitz, Rujuta Takalkar, Cathleen Huang, Ananya Pappu, Juliana M Kling
{"title":"Healthcare Experiences, Perspectives, and Recommendations From Sex Trafficking Victims and Survivors: A Scoping Review.","authors":"Isabella Reitz, Rujuta Takalkar, Cathleen Huang, Ananya Pappu, Juliana M Kling","doi":"10.1097/JFN.0000000000000553","DOIUrl":"10.1097/JFN.0000000000000553","url":null,"abstract":"<p><strong>Aims: </strong>To synthesize healthcare experiences of victims of sex trafficking, identify common challenges, and inform improvements for healthcare.</p><p><strong>Methods: </strong>Using Arksey and O'Malley's framework and the PRISMA-ScR checklist, we reviewed CINAHL, Embase, and PubMed databases for studies published between 2010 and 2024 involving interviews with trafficked individuals and were categorized for thematic synthesis.</p><p><strong>Results: </strong>Of 155 articles, 16 met inclusion criteria, and involved 669 people who had experienced trafficking. Participants across studies identified reasons for and barriers to seeking healthcare, and their perceptions and recommendations about clinicians' attitudes, law enforcement, and recognizing trafficking. Participants emphasized the need for better clinician training, stronger policies, greater patient autonomy, and a more supportive clinical environment.</p><p><strong>Conclusions: </strong>Gaps persist in healthcare for trafficked individuals. Collaboration among healthcare workers, especially forensic nurses, is essential, along with enhancing trauma-informed interventions and closing gaps in quality care.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E26-E32"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277071","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
Murdered Indigenous Girls: An Analysis of Victims and Perpetrators. 被谋杀的土著女孩:受害者和肇事者的分析。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2025-09-30 DOI: 10.1097/JFN.0000000000000575
Elizabeth Burgess Dowdell, Victor Petreca, Mak Mars, Aidan Dsouza, Abigail Lapinski, Ann Wolbert Burgess
{"title":"Murdered Indigenous Girls: An Analysis of Victims and Perpetrators.","authors":"Elizabeth Burgess Dowdell, Victor Petreca, Mak Mars, Aidan Dsouza, Abigail Lapinski, Ann Wolbert Burgess","doi":"10.1097/JFN.0000000000000575","DOIUrl":"10.1097/JFN.0000000000000575","url":null,"abstract":"<p><strong>Introduction: </strong>Exposure to and experiences of violence are identified as factors contributing to the issue of murdered Indigenous girls and women.</p><p><strong>Methods: </strong>Descriptive, correlational study of public access data with a sample of 64 murdered Indigenous girls ranging in age from 14 months to 18 years.</p><p><strong>Results: </strong>Indigenous girls under 5 years (59%) had the highest report of domestic violence in their history and were more likely to be in foster care (36.3%; p =0.03). Age of victim was related to perpetrator sex, with girls under age 5 years more likely to be murdered by a familial or caretaker relationship female (78.6%), whereas 100% of adolescent girls were murdered by males with higher rates of sexual assault (74.5%; p =0.003).</p><p><strong>Discussion: </strong>Forensic nurses and health professionals are in a key position to conduct routine screenings, response-oriented interventions, violence prevention, and education on healthy relationships through person-centered care to Indigenous girls experiencing violence.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E5-E14"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310459","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
Pediatric TeleSANE: A Discussion of the Appropriateness, Feasibility, and Recommendations for Expanding Access to Medical Forensic Care for Prepubescents. 儿童远程医疗:讨论适当性、可行性和建议扩大获得医学法医护理的青春期前。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2025-11-11 DOI: 10.1097/JFN.0000000000000584
Amy Michael, Katherine Budge, Nancy Downing
{"title":"Pediatric TeleSANE: A Discussion of the Appropriateness, Feasibility, and Recommendations for Expanding Access to Medical Forensic Care for Prepubescents.","authors":"Amy Michael, Katherine Budge, Nancy Downing","doi":"10.1097/JFN.0000000000000584","DOIUrl":"10.1097/JFN.0000000000000584","url":null,"abstract":"<p><strong>Background: </strong>Access to high-quality medical forensic exams can be challenging, particularly in rural areas. A novel modality aimed at addressing this access issue is TeleSANE, where experienced sexual assault nurse examiners (SANEs) consult and/or assist clinicians with limited medical forensic experiences in performing a SANE exam via telehealth.</p><p><strong>Aim: </strong>To address concerns with applying this modality to prepubescent populations.</p><p><strong>Methods: </strong>We completed a feasibility report to examine a potential prepubescent TeleSANE program. Strategies included conducting a literature review, meeting with SANEs and TeleSANE programs, and engaging with stakeholders and experts to gain consensus regarding feasibility for TeleSANE use in the prepubescent population.</p><p><strong>Results: </strong>Pediatric TeleSANE is a feasible and promising innovation to expand access for prepubescent medical-forensic examinations.</p><p><strong>Discussion: </strong>We suggest minimum requirements for establishing and sustaining a pediatric TeleSANE program, including limiting TeleSANE to acute exams, specifying both TeleSANE and clinician minimum requirements, and expert exam review.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"22 1","pages":"E44-E52"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215147","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
Bearing Witness: Embracing Our Humanity in Forensic Nursing. 作证:在法医护理中拥抱我们的人性。
IF 0.9
Journal of forensic nursing Pub Date : 2026-01-01 Epub Date: 2026-02-19 DOI: 10.1097/JFN.0000000000000586
Carolyn M Porta
{"title":"Bearing Witness: Embracing Our Humanity in Forensic Nursing.","authors":"Carolyn M Porta","doi":"10.1097/JFN.0000000000000586","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000586","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"22 1","pages":"E1-E2"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215151","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
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