lnu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Nurses' views of forensic care in emergency departments and their attitudes, and involvement of family members
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. Linköping Univ ; Ersta Sköndal Univ Coll.ORCID iD: 0000-0002-0961-5250
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 1-2, p. 266-274Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. To describe nurses' views of forensic care provided for victims of violence and their families in EDs, to identify factors associated with nurses' attitudes towards families in care and to investigate if these attitudes were associated with the involvement of patients' families in care. Background. Interpersonal violence has serious health consequences for individuals and family members. Emergency departments provide care for victims of violence, and nurses play a key role in forensic care. However, there is limited knowledge of their views and their involvement of family members. Design. A cross-sectional design was used with a sample of all registered nurses (n = 867) in 28 emergency departments in Sweden. Methods. A self-report questionnaire, including the instrument Families' Importance in Nursing Care Nurses' Attitudes, was used to collect data. Descriptive statistics, multiple linear regression and ordinal regression were used to analyse data. Results. Four hundred and fifty-seven nurses completed the questionnaire (53%). Most nurses provided forensic care, but few had specific education for this task. Policy documents and routines existed for specific patient groups. Most nurses involved family members in care although education and policy documents rarely included them. Being a woman, policy documents and own experience of a critically ill family member were associated with a positive attitude towards family. A positive attitude towards family members was associated with involving patients' families in care. Conclusion. Many emergency department nurses provided forensic care without having specific education, and policy documents only concerned women and children. Nurses' positive attitude to family members was not reflected in policies or education. Relevance to clinical practice. These results can inspire clinical forensic care interventions in emergency departments. Educational efforts for nurses and policies for all groups of victims of violence are needed. Emergency departments may need to rethink how family members are included in their organisation.

Place, publisher, year, edition, pages
2015. Vol. 24, no 1-2, p. 266-274
Keywords [en]
association, attitude, emergency medical services, family, forensic nursing, nurses, victims of violence
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-41973DOI: 10.1111/jocn.12638ISI: 000350347300026Scopus ID: 2-s2.0-84926201534OAI: oai:DiVA.org:lnu-41973DiVA, id: diva2:801598
Available from: 2015-04-09 Created: 2015-04-09 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

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textScopus

Authority records BETA

Rahmqvist Linnarsson, JosefinBenzein, EvaÅrestedt, Kristofer

Search in DiVA

By author/editor
Rahmqvist Linnarsson, JosefinBenzein, EvaÅrestedt, Kristofer
By organisation
Department of Health and Caring Sciences
In the same journal
Journal of Clinical Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 256 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf