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Preparedness to care for victims of violence and their families in emergency departments
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Familjefokuserad omvårdnad (FFO))
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Familjefokuserad omvårdnad (FFO))ORCID iD: 0000-0002-9714-4056
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Familjefokuserad omvårdnad (FFO))ORCID iD: 0000-0002-0961-5250
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. (Familjefokuserad omvårdnad (FFO))
2013 (English)In: Emergency Medicine Journal, ISSN 1472-0205, E-ISSN 1472-0213, Vol. 30, no 3, p. 198-201Article in journal (Refereed) Published
Abstract [en]

Objective To describe the preparedness to provide care for victims of violence and their families in emergency departments (EDs) in Sweden.

Methods A web-based questionnaire was sent to all hospital EDs in Sweden (N=66).

Results A total of 46 out of 66 (70%) heads of EDs completed the questionnaire. The results show that most of the EDs are prepared to care for women and children who are victims of violence. However, there seems to be a lack of preparedness to care for other groups of patients, such as victimised men. Very few EDs have routines to identify victims of violence among patients. Results also indicate that nurses play a key role in the care for victims of violence; however, family members are rarely included in care.

Conclusions A lack of general preparedness in EDs to care for all victims of violence, regardless of gender and age, can lead to many patients not receiving appropriate care and treatment. To correct this there is a need to implement guidelines and routines about the care for victims of violence. Further research can shed more light on which measures are needed to improve quality of care for these patients and their families.

Place, publisher, year, edition, pages
2013. Vol. 30, no 3, p. 198-201
Keywords [en]
emergency department, guidelines, interpersonal violence, family
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-18092DOI: 10.1136/emermed-2012-201127ISI: 000314922100018PubMedID: 22433592Scopus ID: 2-s2.0-84874668064OAI: oai:DiVA.org:lnu-18092DiVA, id: diva2:511611
Projects
Omhändertagande av våldsdrabbade och deras närstående på akutmottagningen - forensisk omvårdnadAvailable from: 2012-03-22 Created: 2012-03-22 Last updated: 2018-11-10Bibliographically 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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Publisher's full textPubMedScopushttp://emj.bmj.com/content/early/2012/03/20/emermed-2012-201127.full.html

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Rahmqvist Linnarsson, JosefinBenzein, EvaÅrestedt, KristoferErlingsson, Christen

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