Eldredge Kelli, Huggins Emily, Pugh Linda C
Clinical Nurse III/Clinical Educator, Trauma Surgical Intensive Care Unit, WellSpan Health, York Hospital, PA 17403, USA.
J Forensic Nurs. 2012 Mar;8(1):39-44. doi: 10.1111/j.1939-3938.2011.01128.x. Epub 2012 Jan 6.
The ability of sexual assault nurse examiners to correctly identify and collect DNA evidence improves patient outcomes and prosecution rates. The purpose of this paper is to present findings from a collaborative evidence-based practice (EBP) project between forensic nurses and baccalaureate nursing students. The goal of the project was to determine best practice using an alternate light source (ALS) to identify trace DNA evidence in sexual assault forensic examinations. Using the Johns Hopkins Nursing Evidence-based Practice model, the team searched several databases to summarize the limited amount of evidence available regarding this topic. Recommendations from the EBP project include: elimination of the Wood's lamp in sexual assault examinations; use of an ALS that provides appropriate wavelengths to detect DNA; education of forensic nurses about the advantages and limitations of an ALS; and additional research related to use of an ALS. By participating in similar collaborative efforts, practicing forensic nurses have the opportunity to collaborate with local colleges and universities to make complex projects more manageable while fulfilling the International Association of Forensic Nurses vision for ethical practice.
性侵犯护士检查官正确识别和收集DNA证据的能力可改善患者治疗结果并提高起诉率。本文旨在介绍法医护士与护理学学士学生之间一项基于证据的合作实践(EBP)项目的结果。该项目的目标是确定在性侵犯法医检查中使用替代光源(ALS)识别微量DNA证据的最佳做法。该团队使用约翰霍普金斯大学基于证据的护理实践模型,搜索了多个数据库,以总结有关该主题的有限证据。EBP项目的建议包括:在性侵犯检查中不再使用伍德灯;使用能提供适当波长以检测DNA的ALS;对法医护士进行有关ALS优缺点的教育;以及开展与ALS使用相关的更多研究。通过参与类似的合作,执业法医护士有机会与当地的学院和大学合作,使复杂项目更易于管理,同时实现国际法医护士协会的道德实践愿景。