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1.
Rev. enferm. Cent.-Oeste Min ; 10(1): 3635, out. 2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1140139

RESUMO

Objetivo: Identificar os conteúdos curriculares de enfermagem forense, nos cursos de graduação em Enfermagem. Método: Tratase de uma pesquisa quantitativa, descritiva e exploratória, realizada com coordenadores dos cursos de Enfermagem de 88 Instituições de Ensino Superior. Utilizou-se o Teste Exato de Fisher, para verificar a significância entre as variáveis dependentes (Instituições de Ensino Superior públicas e privadas). Resultados: Ao cruzar as variáveis, as Instituições de Ensino Superior privadas (76,5%) tiveram mais respostas em relação às públicas(50,0%) que fornecem tais conteúdos nas suas receptivas disciplinas. Para tal, os conteúdos de enfermagem forense por Instituições de Ensino Superior foram sobre pessoas que sofreram violência no trabalho, vítimas de desastre em massa, pessoas sob uso e abuso de álcool e outras drogas e internações compulsórias. Conclusão: Foi possível identificar os conteúdos ministrados nos cursos de Enfermagem, salientando-se a necessidade da existência de uma disciplina específica de enfermagem forense a ser ofertada no projeto pedagógico de curso.(AU)


Objective: To identify the curricular content of forensic nursing in undergraduate nursing courses. Method: This is a quantitative, descriptive and exploratory research carried out with coordinators of the Nursing courses of 88 Higher Education Institutions. Fisher's exact test was used to verify the significance between the dependent variables (public and private higher education institutions). Results: When crossing the variables, private Higher Education Institutions (76.5%) had more responses than public ones (50.0%) that provide such content in their receptive disciplines. To this end, the content of forensic nursing by Higher Education Institutions was about people who suffered violence at work, victims of mass disaster, people under the use and abuse of alcohol and other drugs and compulsory hospitalizations. Conclusion: It was possible to identify the contents taught in nursing courses, emphasizing the need for the existence of a specific forensic nursing discipline to be offered in the course pedagogical project.(AU)


Objetivo: Identificar el contenido curricular de la enfermería forense en los cursos de pregrado en enfermería. Método: Se trata de una investigación cuantitativa, descriptiva y exploratoria, realizada con coordinadores de los cursos de Enfermería de 88 Instituciones de Educación Superior. La prueba exacta de Fisher se utilizó para verificar la importancia entre las variables dependientes (instituciones de educación superior públicas y privadas). Resultados: Al cruzar las variables, las instituciones privadas de educación superior (76.5%) tuvieron más respuestas que las públicas (50.0%) que proporcionan dicho contenido en sus disciplinas receptivas. Con este fin, el contenido de enfermería forense por parte de las instituciones de educación superior fue sobre personas que sufrieron violencia en el trabajo, víctimas de desastres masivos, personas bajo el uso y abuso de alcohol y otras drogas y hospitalizaciones obligatorias. Conclusión: Fue posible identificar los contenidos enseñados en los cursos de Enfermería, enfatizando la necesidad de ofrecer una disciplina específica de enfermería forense en el proyecto del curso pedagógico.(AU)


Assuntos
Currículo , Educação Superior , Educação , Enfermagem Forense
5.
J Forensic Nurs ; 16(1): 22-28, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32068676

RESUMO

INTRODUCTION: The need for trauma care and forensic services is among the top five reasons for seeking healthcare in the United States. Critical aspects of caring for a forensic patient include early recognition of the need for implementing forensic approaches to care: assessment, evidence collection and preservation, and forensic documentation. The intent of this study was to examine fundamental forensic knowledge and perceived ability of graduate-level emergency nurse practitioner students. METHODS: The study was designed to assess fundamental forensic knowledge of graduate-level emergency nurse practitioners using a pretest-and-posttest prospective design utilizing simulation. RESULTS: Students showed an increase in their knowledge of forensic nursing concepts from pretest to posttest (t(39) = 9.63, p < 0.001). In addition, there was an increase in students' perceived ability (confidence) to recognize the forensic aspects of patient care. Two unexpected findings were revealed during debriefing. Although the students were interested in gaining forensic knowledge, they felt it was more important to know when to refer a patient rather than to gain the requisite knowledge to perform forensic functions on their own. Furthermore, students developed an awareness of how their previous clinical experiences influenced their care. CONCLUSION: Findings from this study will inform further development of graduate-level nursing education to include forensic and multidisciplinary simulation exercises.


Assuntos
Competência Clínica , Enfermagem em Emergência , Enfermagem Forense/educação , Profissionais de Enfermagem/educação , Treinamento por Simulação , Avaliação Educacional , Feminino , Humanos , Masculino , Estudos Prospectivos
6.
J Forensic Nurs ; 16(1): 29-35, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32068677

RESUMO

BACKGROUND: Emergency department (ED) personnel frequently encounter incidents related to crime, violence, and suspicious injuries. The aim of this descriptive study was to determine the knowledge levels of ED healthcare personnel in their handling of frequently encountered forensic cases. METHODS: A cross-sectional descriptive study composed of ED healthcare personnel at all state, education and research, and university hospitals with EDs, located in Ankara, Turkey, was completed. Participants at the 15 hospitals in question were interviewed via a questionnaire developed by the researchers. RESULTS: Three hundred fifty healthcare personnel who worked agreed to participate in the study. The results show that ED healthcare personnel have less knowledge than expected of the right way to handle frequently encountered forensic cases. Very few of the healthcare professionals who participated in the study had received any training or education in the field of forensic nursing. Among participants, postgraduates, health professionals educated in forensic nursing, and healthcare staff who used additional resources to understand forensic cases, and those who had evaluated cases that presented to the ED as forensic cases, had significantly higher levels of knowledge. IMPLICATIONS: This study supports the need for professional development in forensic nursing, such as in-service training, and curriculum development for a certificate in forensic nursing to enhance the practical training of healthcare professionals who work in EDs.


Assuntos
Competência Clínica , Serviço Hospitalar de Emergência , Enfermagem Forense/métodos , Recursos Humanos de Enfermagem no Hospital , Adulto , Estudos Transversais , Documentação , Feminino , Enfermagem Forense/educação , Enfermagem Forense/legislação & jurisprudência , Humanos , Masculino , Pessoa de Meia-Idade , Manejo de Espécimes , Inquéritos e Questionários , Turquia , Adulto Jovem
7.
J Trauma Nurs ; 27(1): 58-62, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31895321

RESUMO

Violence is a growing public health problem worldwide. Nurses increasingly must perform forensic procedures with the responsibility to collect, document, preserve, and store evidence that may be used in the investigation of a violent crime. However, few nurses receive education in forensic evidence collection as part of their training. This study aimed to evaluate the relationship between nurses' knowledge and performance of forensic evidence procedures. This is a descriptive survey study of nurses working in a prehospital emergency care service in Aracaju, Brazil. A 32-question survey related to forensic evidence knowledge and procedures was completed by 128 nurses. Descriptive statistics and Kendall's Tau-b were used to describe the sample and evaluate correlations. Results revealed an overall linear relationship between knowledge and performance of forensic evidence procedures (r = .69). The strongest correlation was between knowledge and documentation (r = .71). Weaker correlations were demonstrated between knowledge and evidence collection (r = .47), evidence preservation (r = .47), and overall evidence procedure execution (r = .53). Forensic nursing knowledge is related to forensic evidence procedure performance. Although the study showed that nurses agreed forensic evidence procedures are important for criminal investigations, most reported they were unprepared to carry out these procedures. The need for additional training and adherence to established institutional protocols are identified as contributing factors.


Assuntos
Documentação/métodos , Documentação/normas , Serviços Médicos de Emergência/métodos , Serviços Médicos de Emergência/normas , Enfermagem Forense/métodos , Enfermagem Forense/normas , Manejo de Espécimes/normas , Adulto , Brasil , Documentação/estatística & dados numéricos , Serviços Médicos de Emergência/estatística & dados numéricos , Feminino , Enfermagem Forense/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Manejo de Espécimes/estatística & dados numéricos , Inquéritos e Questionários , Violência/estatística & dados numéricos
8.
J Forensic Nurs ; 16(1): 16-21, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31567656

RESUMO

The nonavalent human papilloma virus (HPV) vaccination prophylactically contributes to the prevention of nine types of HPV-associated oral and genital cancers. HPV vaccination rates remain lower than the national Healthy People 2020 goal of 80%. Victims of pediatric sexual abuse are at a higher risk for acquiring and developing HPV-related outcomes. Current research supports vaccination after sexual abuse as soon as eligible and suggests utilizing multiple types of medical encounters to increase vaccination rates.An institutional-review-board-approved quality improvement project was developed to determine the impact of promoting and providing HPV vaccination during the medical encounter after pediatric sexual abuse in a child protection team (CPT) clinic. Twenty percent of the 111 total clinic patients evaluated in the preintervention period and 21% of the 99 patients evaluated in the postintervention period were HPV vaccine eligible, illustrating a significant opportunity for impact. During the intervention period, 62% of patients who were vaccine eligible and presented for their CPT clinic visit received HPV vaccine. Barriers to vaccination in the outpatient CPT clinic setting included high appointment no-show rates, high social and medical visit complexity, and absence of an appropriate consenting caretaker. Implications for forensic nursing practice are discussed.


Assuntos
Abuso Sexual na Infância , Vítimas de Crime , Infecções por Papillomavirus/prevenção & controle , Vacinas contra Papillomavirus , Vacinação/estatística & dados numéricos , Instituições de Assistência Ambulatorial , Cuidadores , Criança , Feminino , Enfermagem Forense , Humanos , Masculino , Pacientes não Comparecentes , Avaliação de Programas e Projetos de Saúde , Melhoria de Qualidade
9.
Rev Rene (Online) ; 21: e44196, 2020. graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1136125

RESUMO

RESUMO Objetivo construir e validar um questionário de rastreamento de disciplinas e conteúdos de Enfermagem Forense e similares em cursos de graduação. Métodos estudo metodológico de construção e validação de conteúdo e de semântica. Os itens foram construídos e categorizados por meio da análise de conteúdo, com base no referencial teórico nacional e internacional de Enfermagem Forense, estruturado em três seções com perguntas dicotômicas e abertas. Realizaram-se as validações de conteúdo e de semântica adotando Índice de Concordância de 80% entre os juízes, com a técnica brainstorming. Resultados as seções referem-se a: identificação dos cursos, das disciplinas de Enfermagem Forense e de Violência, e dos conteúdos de Enfermagem Forense. Conclusão o Questionário de Rastreamento de Disciplinas e Conteúdos de Enfermagem Forense nos Cursos de Graduação em Enfermagem foi considerado viável e amplo para avaliar a situação das disciplinas de Enfermagem Forense e de Violência nos cursos de Enfermagem das Instituições de Ensino Superior.


ABSTRACT Objective to construct and validate a questionnaire for tracking disciplines and content of Forensic Nursing and similar disciplines in undergraduate courses. Methods methodological study for the construction and validation of content and semantics. The items were constructed and categorized using content analysis, based on the national and international theoretical framework of Forensic Nursing, structured in three sections with dichotomous and subjective questions. Content and semantics were validated using the brainstorming technique and an 80% concordance index among the judges. Results the sections were: identification of courses, of disciplines of Forensic Nursing and Violence, and contents of Forensic Nursing discipline. Conclusion the Forensic Nursing Discipline and Content Supervision Questionnaire for Graduation Nursing Courses was considered easy to use and dynamic to assess the situation of Forensic Nursing and Violence-related subjects in Nursing courses at college Institutions.


Assuntos
Coleta de Dados , Enfermagem , Educação Superior , Estudo de Validação , Educação , Enfermagem Forense
10.
Referência ; serIV(23): 99-106, dez. 2019. tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1098636

RESUMO

Enquadramento: Reconhecer a violência e dar assistência às vítimas ou agressor são desafios para a enfermagem. Objetivos: Adaptar para o Brasil e verificar as propriedades psicométricas do Questionário de Conhecimento sobre Práticas de Enfermagem Forenses. Metodologia: Estudo metodológico, com graduandos de enfermagem, envolvendo adaptação idiomática e semântica e verificação das propriedades psicométricas (validação de construto convergente e divergente e fidedignidade). Resultados: A versão do questionário adaptada para o idioma do Brasil apresentou, na validação semântica geral, boa/muito boa aceitação (97,0%), alta relevância (56,0%) e fácil compreensão (83,0%). Na avaliação específica dos itens a relevância variou de 61 a 95%, o entendimento foi maior que 93,0% e a clareza maior que 90,0%. Nas medidas psicométricas, com 253 estudantes, obtiveram-se validades de construto convergente e divergente satisfatórias apenas para duas das subescalas e fidedignidade global satisfatória. Conclusão: A adaptação idiomática e semântica do questionário para o Brasil e a fidedignidade foram satisfatórias. Recomenda-se avaliar o conteúdo dos itens e a sua relação com os aspetos teóricos, o número de itens e reorganização da constelação das subescalas.


Background: Recognizing violence and providing assistance to victims or aggressors are challenges facing nursing. Objective: To adapt the Knowledge Questionnaire over Forensics Nursing Practices to Brazil and verify its psychometric properties. Methodology: Methodological study with nursing undergraduates, involving linguistic and semantic adaptation and analysis of the psychometric properties (convergent and divergent validity and reliability). Results: In its general semantic validation, the questionnaire version adapted to Brazilian Portuguese showed good/very good acceptance (97.0%), high relevance (56%), and easy comprehension (83.0%). In terms of item evaluation, the relevance ranged from 61 to 95.0% and its comprehension and clarity were higher than 93.0% and 90.0%, respectively. The analysis of the psychometric properties with 253 students showed that both convergent validity and divergent validity were satisfactory only for two subscales and that the overall reliability was satisfactory. Conclusion: The linguistic and semantic adaptation of the questionnaire to Brazilian Portuguese was satisfactory, as well as its reliability. It is recommended that the content of the items and their association with the theoretical aspects, the number of items, and the subscales' reorganization should be assessed.


Marco contextual: Reconocer la violencia y proporcionar asistencia a las víctimas o agresores son retos para la enfermería. Objetivos: Adaptar para Brasil y verificar las propiedades psicométricas del Cuestionario de Conocimientos sobre Prácticas de Enfermería Forense. Metodología: Estudio metodológico, con graduandos de enfermería, que comprende la adaptación idiomática y semántica, así como la verificación de las propiedades psicométricas (validez de constructo convergente y divergente y fiabilidad). Resultados: La versión del cuestionario adaptada al idioma de Brasil presentó, en la validación semántica general, buena/muy buena aceptación (97,0%), alta relevancia (56,0%) y fácil comprensión (83,0%). En la evaluación específica de los ítems la relevancia osciló entre el 61 y el 95%, la comprensión fue superior al 93,0% y la claridad superior al 90,0%. En las mediciones psicométricas, con 253 estudiantes, se obtuvo una validez de constructo convergente y divergente satisfactoria solo para dos de las subescalas, y una fiabilidad global satisfactoria. Conclusión: La adaptación idiomática y semántica del cuestionario para Brasil y la fiabilidad fueron satisfactorias. Se recomienda evaluar el contenido de los ítems y su relación con los aspectos teóricos, el número de ítems y la reorganización del conjunto de subescalas.


Assuntos
Violência , Estudo de Validação , Enfermagem Forense , Cuidados de Enfermagem
13.
J Forensic Nurs ; 15(4): 199-205, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31764523

RESUMO

Initial conceptualizations of violence and trauma in forensic nursing have remained relatively narrowly defined since the specialty's inception. The advent of trauma-informed care has been important but has limitations that obfuscate social and structural determinants of health, equity, and social justice. As forensic nursing practice becomes more complex, narrow definitions of violence and trauma limit the effectiveness of trauma-informed care in its current incarnation. In keeping with the nursing model of holistic care, we need ways to teach, practice, and conduct research that can accommodate these increasing levels of complexity, including expanding our conceptualizations of violence and trauma to advance health equity and social justice. The objective of this article is to introduce the concepts of structural violence and trauma- and violence-informed care as equity-oriented critical paradigms to embrace the increasing complexity and health inequities facing forensic nursing practice.


Assuntos
Enfermagem Forense , Equidade em Saúde , Trauma Psicológico/enfermagem , Justiça Social , Vítimas de Crime , Currículo , Educação em Enfermagem , Política de Saúde , Disparidades nos Níveis de Saúde , Humanos , Pesquisa em Enfermagem
14.
J Forensic Nurs ; 15(4): E1, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31764530

RESUMO

The International Association of Forensic Nurses has issued guidance in response to victim- or self-administered evidence kits after sexual assault.


Assuntos
Vítimas de Crime , Enfermagem Forense , Delitos Sexuais , Manejo de Espécimes , Humanos , Determinação de Necessidades de Cuidados de Saúde , Papel do Profissional de Enfermagem , Exame Físico
15.
Referência ; serIV(22): 43-50, set. 2019. ilus, tab
Artigo em Português | BDENF - Enfermagem | ID: biblio-1098613

RESUMO

Enquadramento: A enfermagem forense (EF) surge como uma nova área da enfermagem, a qual alia o saber científico e técnico, para a melhoria dos cuidados de enfermagem. Objetivos: Analisar se os planos de estudos do curso da licenciatura em enfermagem incluem conteúdos relacionados com a EF. Metodologia: Estudo qualitativo. Realizada análise documental dos diferentes programas das unidades curriculares do curso de licenciatura em enfermagem, ministrado em Portugal. Incluídas 11 instituições, os conteúdos programáticos estavam disponíveis online. Os planos analisados reportavam-se ao ano letivo 2017/2018. Resultados: Os planos de estudos abordam conteúdos relacionados com situações forenses (situações de maus tratos de crianças e idosos, violência e cuidados) ao nível da saúde mental. Conclusão: São lecionadas temáticas relacionadas com EF, no entanto, insuficientes para boas práticas, aquando da assistência a vítimas de violência. Sugere-se a inclusão de temáticas ou unidades curriculares nos planos de estudos da licenciatura em enfermagem.


Background: Forensic nursing (FN) emerges as a new area of nursing, combining scientific and technical knowledge, for the improvement of nursing care. Objectives: To analyze if the study plans for the bachelor's degree in nursing include contents related to FN. Methodology: Qualitative study. Documentary analysis of the various programs of the curricular units of the bachelor's degree in nursing, in Portugal. Eleven institutions were studied, and their programmatic contents were available online. The study plans assessed reported to the academic year of 2017/2018. Results: The study plans cover content related to forensic situations (cases of child and elderly abuse, violence, and care) at the level of mental health. Conclusion: Topics related to FN are addressed, though insufficient for good practices when delivering care to violence victims. The authors suggest including topics or curricular units in the study plans of the bachelor's degree in nursing.


Marco contextual: La enfermería forense (EF) surge como una nueva área de la enfermería, que combina el conocimiento científico y técnico para mejorar la atención de enfermería. Objetivos: Analizar si los planes de estudio de la carrera de Enfermería incluyen contenidos relacionados con la EF. Metodología: Estudio cualitativo. Se realizó un análisis documental de los diferentes programas de las unidades curriculares del grado de Enfermería, impartido en Portugal. El contenido del programa, que incluía a 11 instituciones, estaba disponible en línea. Los planes analizados se referían al curso 2017/2018. Resultados: Los planes de estudio abordan contenidos relacionados con situaciones forenses (situaciones de malos tratos a niños y ancianos, violencia y cuidado) en relación con la salud mental. Conclusión: Se enseñan temas relacionados con la EF, sin embargo, de manera insuficiente para las buenas prácticas en la asistencia a las víctimas de violencia. Se sugiere que se incluyan temas o unidades curriculares en los planes de estudio de la carrera de Enfermería.


Assuntos
Educação em Enfermagem , Enfermagem Forense , Portugal , Ciências Forenses
16.
J Forensic Nurs ; 15(3): 143-151, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31436682

RESUMO

In 2012, the Massachusetts Department of Public Health Sexual Assault Nurse Examiner (SANE) Program was awarded a grant from the Department of Justice, Office for Victims of Crime, to pilot the use of telemedicine technology to extend the reach of SANE expertise to six diverse communities across the United States. To meet the goals of this project, the National TeleNursing Center (NTC) developed a three-phase professional practice model integrating the Quality-Caring Model (QCM) to support the delivery of NTC teleSANE services. Using the QCM as a foundation for teleSANE practice ensures that patients experiencing a recent sexual assault who participate in teleSANE encounters receive quality forensic nursing care. In this article, we briefly review elements of the QCM, describe the application of the model to the NTC Professional Practice Model, and detail how teleSANEs integrate the QCM Caring Behaviors into all three phases of its model. The NTC Professional Practice Model provides a quality-based teleSANE model that may be translatable to other areas of telenursing practice.


Assuntos
Vítimas de Crime , Enfermagem Forense/organização & administração , Delitos Sexuais , Telenfermagem/organização & administração , Humanos , Modelos de Enfermagem , Papel do Profissional de Enfermagem , Garantia da Qualidade dos Cuidados de Saúde , Estados Unidos
17.
J Forensic Nurs ; 15(3): 152-162, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31436683

RESUMO

INTRODUCTION: This project describes the first time live sexual assault nurse examiner (SANE) services were provided via telehealth to support site clinicians conducting sexual assault forensic medical examinations for adult and adolescent patients. It involved six sites in three states, including rural, tribal, military, and community hospitals. The purpose of this process evaluation was to determine the extent to which patients consent to telehealth technology, examine how the technology worked, and explore the types of assistance. METHODS: We reviewed information for sexual assault patients who presented at emergency departments (N = 215) and conducted telephone and online surveys with 178 clinicians who provided or received telehealth services. RESULTS: Between May 1, 2015, and March 31, 2018, 129 patients and site clinicians received services via telehealth and an additional 86 site clinicians received consultation advice via telehealth. Most patients consented and accepted SANE services via telehealth (86% overall and 97% in non-U.S. Navy sites). No significant technology problems were experienced for most interactions (92%). The assistance provided remotely by SANEs to site clinicians included guiding clinicians through history taking and documentation, forensic examination and evidence collection techniques, identifying and documenting injuries, and guiding clinical practice. Site clinicians reported, on average, a positive impact of the assistance on their confidence in providing an effective examination, their ability to provide their patient with the best care, and their sense of feeling supported. IMPLICATION: Results of this pilot suggest that using live telehealth services for sexual assault forensic examinations is a promising practice.


Assuntos
Vítimas de Crime , Enfermagem Forense/métodos , Avaliação de Processos em Cuidados de Saúde , Delitos Sexuais , Telenfermagem , Humanos , Consentimento Livre e Esclarecido , Projetos Piloto , Estados Unidos , Comunicação por Videoconferência
18.
J Forensic Nurs ; 15(3): 193-194, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31436684

RESUMO

The International Association of Forensic Nurses has developed a Position Statement regarding child maltreatment. The Position Statement identifies the problem statement, association position, and rationale for interventions.


Assuntos
Maus-Tratos Infantis/diagnóstico , Papel do Profissional de Enfermagem , Criança , Maus-Tratos Infantis/prevenção & controle , Enfermagem Forense , Humanos , Avaliação em Enfermagem , Fatores de Risco , Sociedades de Enfermagem
19.
J Forensic Leg Med ; 66: 86-90, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31233969

RESUMO

The study is designed as quasi experimental including pre-test and post-test. The sample of the study is consisted of 98 students who are taking the Forensic Nursing course in the second year of the School of Nursing at a university. The mean score obtained from the test on the knowledge of forensic evidence before the training was 23.63 ±â€¯5.24 while the mean score after the training was 33.32 ±â€¯4.54. A statistically significant difference was found when the average scores of the students were compared before and after the course of forensic nursing. It was revealed that the course of forensic nursing taken by the students has a positive effect on the knowledge of forensic evidence of students and increases their knowledge level. The results suggest to add a course of forensic nursing as an elective or mandatory course to the curriculum of nursing programs and disseminate the postgraduate education on forensic nursing.


Assuntos
Avaliação Educacional , Enfermagem Forense/educação , Estudantes de Enfermagem , Feminino , Humanos , Masculino , Competência Profissional , Turquia , Adulto Jovem
20.
J Psychiatr Ment Health Nurs ; 26(7-8): 212-222, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31209980

RESUMO

WHAT IS KNOWN ABOUT THIS SUBJECT?: Burnout is a prominent issue in psychiatric nursing and associated with significant adverse consequences for staff, service users and at an organizational level. Exploration of the extent and predictors of burnout in secure settings has received little research attention. It is not fully understood why prevalence rates of burnout in forensic settings are not elevated in comparison to other settings, despite the presence of known risk-related correlates. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: In contrast to previous research, findings suggest that clinical supervision may not be an effective, stand-alone intervention to support staff experiencing burnout. Thus, the current focus on clinical supervision to mitigate burnout may be insufficient in forensic services. The ward environment (specifically how safe staff feel, how therapeutic the ward feels and how well service users relate to one another) was found to be more important than clinical supervision in terms of burnout for forensic psychiatric nursing staff. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Policies regarding staff health and well-being should be developed with due consideration given to the association between burnout and the working environment. It should not be assumed that clinical supervision is sufficient to mitigate burnout in practice. Further research assessing all types of support and the ward environment is needed to gain a better understanding of its relationship to burnout. ABSTRACT: Introduction Despite extensive research examining burnout in psychiatric nursing staff, literature exploring key predictors of burnout in secure psychiatric settings has been relatively neglected. Research has yet to explore burnout in these settings by adopting previously identified predictors such as support or the ward environment. Aim The current study aimed to reduce this gap by exploring burnout, the perceived effectiveness of clinical supervision and ward environment. Method In 2014, nursing staff working in a medium secure forensic psychiatric unit in the United Kingdom (N = 137) provided demographic information and completed the measures assessing: Burnout, clinical supervision and the ward environment. Results Approximately 10% of nursing staff could be classed as "burnt-out". The main predictors of burnout were age and ward environment. Clinical supervision had minimal association with burnout. Discussion The current study sheds doubt on clinical supervision as a potential intervention for burnout and results appear comparable to research within other settings. The implications of the ward environment, supervision and burnout are discussed herein. Implication for Practice Interventions may need to focus on a positive ward environment (including patient cohesion, experienced safety and enhancing the therapeutic atmosphere). Organizations should support younger nursing staff as they appear particularly vulnerable to burnout.


Assuntos
Atitude do Pessoal de Saúde , Esgotamento Profissional/epidemiologia , Enfermagem Forense/estatística & dados numéricos , Hospitais Psiquiátricos/estatística & dados numéricos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Enfermagem Psiquiátrica/estatística & dados numéricos , Adulto , Inglaterra/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
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