护理实践中累犯的危险因素:一项刑事定罪案例回顾队列研究

IF 4.2 4区 医学 Q1 NURSING
Elizabeth H. Zhong PhD, Brendan Martin PhD
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引用次数: 1

摘要

护理委员会(BONs)调查投诉并对护士执照采取纪律处分,以维护患者安全。对于有犯罪前科的护士,对患者安全的潜在风险尚未得到正式评估。目的本研究旨在评估护士的犯罪前科对护理实践中再犯风险的影响,并调查护士是否因犯罪而受到英国海关的处罚,但仍保留有效的护理执照,对公共安全构成后续风险。方法回顾Nursys 2008-2018年的纪律数据,比较2012-2013年因刑事定罪受到处罚的护士和因其他违规行为受到处罚的护士的再犯风险。对犯罪类型和执法人员的惩戒行为进行了记录和分析。结果2012 - 2013年因刑事定罪受到纪律处分的护士5年再犯率为38%,与对照组护士的再犯率(36%)相当。总体而言,在那些有犯罪前科但仍持有有效执照的人中,4%的人在处罚后的5年内犯下了与实践相关的违法行为或犯罪行为。累犯的相关因素有3个:(1)与药物使用障碍有关的犯罪;(2)与护理工作有关的犯罪;(3)多重犯罪。结论:大多数因刑事定罪而受到英国护士管理局纪律处分并被允许继续从事护理工作的护士,在5年的纪律处分后,没有因随后的执业相关违规或犯罪行为而受到英国护士管理局的额外纪律处分。目前的研究表明,护士在应对刑事定罪时使用的执照和纪律程序有助于减少护理实践中伤害患者的风险,从而与他们保护公众的使命保持一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Risk Factors for Recidivism in Nursing Practice: A Criminal Conviction Case Review Cohort Study

Background

Boards of nursing (BONs) investigate complaints and take disciplinary actions against the licenses of nurses in order to maintain patient safety. For nurses with prior criminal convictions, the potential risks to patient safety have not been formally evaluated.

Objective

This study aims to assess the impact of a nurse’s prior criminal conviction(s) on the risk of recidivism in nursing practice and to investigate whether nurses who were disciplined by BONs for a crime but retained an active nursing license posed a subsequent risk to public safety.

Methods

We reviewed Nursys discipline data from 2008–2018 to compare the risk of recidivism for nurses sanctioned for criminal convictions between 2012–2013 and those disciplined for other violations. The type of crimes and disciplinary actions taken by BONs were recoded and analyzed.

Results

The 5-year recidivism rate of nurses who received disciplinary actions for criminal convictions between 2012 and 2013 was 38%, which is comparable to the recidivism rate among nurses in the control group (36%). Overall, among those who had a criminal conviction history yet retained an active license, 4% committed a practice-related violation or crime within the 5-year postdisciplinary period. Three factors correlated with recidivism: (1) committing a crime related to substance use disorder, (2) committing a crime related to nursing practice, and (3) committing multiple crimes.

Conclusion

The majority of nurses who were disciplined by BONs for a criminal conviction and allowed to remain in nursing practice did not receive additional disciplinary actions by BONs for committing subsequent practice-related violations or crimes during the 5-year post disciplinary period. The current study suggests that the licensure and discipline procedures used by BONs in response to criminal convictions help to reduce the risk of patient harm in nursing practice, thereby aligning with their mission of public protection.

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来源期刊
CiteScore
4.60
自引率
12.50%
发文量
50
审稿时长
54 days
期刊介绍: Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.
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