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Challenges of caring for victims of violence and their family members in the emergency department
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.ORCID iD: 0000-0002-9714-4056
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2019 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 42, p. 2-6Article in journal (Refereed) Published
Abstract [en]

Introduction

Interpersonal violence causes illness and suffering for victims and their family members. Emergency nurses are often given responsibility for forensic patients and their family members, but there is limited knowledge of their experiences regarding this task. This study aimed to describe nurses' experiences when caring for victims of violence and their family members in the emergency department.

Methods

Individual interviews were conducted with twelve nurses from seven emergency departments. Data were analyzed using qualitative content analysis.

Results

The analysis resulted in the theme: a challenge to create a caring encounter. Hindering factors comprising this challenge are described under four categories: struggling to intervene and talk about violence; contradictions when caring for family members; being helped by forensic guidelines but needing more knowledge; and dealing with one’s own strong emotions towards violence.

Discussion

Creating a caring encounter is perceived as a prerequisite to providing forensic care. Nurses often felt hindered to act and forensic issues were left unaddressed. Family members are offered little or no support in the aftermath of violence. The hindering factors must be overcome to ensure forensic care for victims of all types of violence.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 42, p. 2-6
Keywords [en]
Victims of violence, Family, Emergency, Nursing, Forensic care, Experiences
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-78753DOI: 10.1016/j.ienj.2018.10.007ISI: 000455920300002PubMedID: 30392921Scopus ID: 2-s2.0-85055739266OAI: oai:DiVA.org:lnu-78753DiVA, id: diva2:1262266
Available from: 2018-11-10 Created: 2018-11-10 Last updated: 2019-08-29Bibliographically approved
In thesis
1. Forensic care for victims of violence and their family members in the emergency department
Open this publication in new window or tab >>Forensic care for victims of violence and their family members in the emergency department
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Forensisk vård för våldsutsatta personer och deras familjemedlemmar på akutmottagningen
Abstract [en]

Aim: To explore forensic care in EDs for victims of violence and their family members from the perspectives of ED department heads, ED nurses, and a family member of a victim of violence.

Methods: Study I consisted of a questionnaire to all heads of EDs in Sweden, data were analyzed with descriptive statistics. Study II consisted of a similar questionnaire which also included the instrument Families’ Importance in Nursing Care-Nurses’ Attitudes. It was sent to all nurses at 28 EDs and data were analyzed using descriptive statistics, multiple linear and ordinal regression analysis. Study III comprised of individual interviews with twelve nurses from seven EDs and data were analyzed with content analysis. Study IV was a single case study with two interviews with a family member of a victim of violence. Data were analyzed with a Gadamer-inspired hermeneutic approach.

Results: ED preparedness for forensic care varied and was often limited to women and children. Nurses played a key role, but most of them had no training for this task and felt uncertain (I, II, III). Creating a caring encounter was the main challenge for providing forensic care and nurses perceived hindering factors to overcome this challenge (III). Family members were rarely included in forensic care and nurses perceived that family members were offered little help (I-III). Having ED documents that included family members, was associated with a more positive attitude to family members, which in turn was associated with involving them in care (II). For the family member, perfunctory encounters and caring alliances had a major impact and the experience reframed life (IV).

Conclusion: Lack of preparedness in EDs to care for all types of victims of violence and differences between individual nurses may prohibit the provision of equal care. Hindering factors for a caring encounter can result in forensic care being unaddressed, which may limit possibilities for alleviated suffering and legal justice. Family members were rarely included in forensic care, but caring encounters can be crucial for the family member in the aftermath of violence.

Place, publisher, year, edition, pages
Växjö: Linnaeus University Press, 2018. p. 63
Series
Linnaeus University Dissertations ; 337/2018
Keywords
interpersonal violence, family member, forensic care, emergency department, nurses, experiences
National Category
Health Sciences Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-78757 (URN)978-91-88898-18-0 (ISBN)978-91-88898-19-7 (ISBN)
Public defence
2018-12-07, V159, Storken, Kalmar, 10:00
Opponent
Available from: 2018-11-14 Created: 2018-11-10 Last updated: 2019-01-16Bibliographically approved

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Rahmqvist Linnarsson, JosefinBenzein, EvaErlingsson, Christen

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