Linnarsson Josefin Rahmqvist, Benzein Eva, Årestedt Kristofer
Department of Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.
J Clin Nurs. 2015 Jan;24(1-2):266-74. doi: 10.1111/jocn.12638. Epub 2014 Jun 1.
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.
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.
A cross-sectional design was used with a sample of all registered nurses (n = 867) in 28 emergency departments in Sweden.
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.
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.
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.
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.
描述护士对急诊科为暴力受害者及其家人提供的法医护理的看法，确定与护士对护理中家属态度相关的因素，并调查这些态度是否与患者家属参与护理有关。
人际暴力对个人和家庭成员有严重的健康影响。急诊科为暴力受害者提供护理，护士在法医护理中起关键作用。然而，对于他们的看法以及家属的参与情况了解有限。
采用横断面设计，对瑞典28个急诊科的所有注册护士（n = 867）进行抽样。
使用一份自我报告问卷，包括“家庭在护理中的重要性——护士态度”量表来收集数据。采用描述性统计、多元线性回归和有序回归分析数据。
457名护士完成了问卷（53%）。大多数护士提供法医护理，但很少有人接受过此项任务的专门教育。针对特定患者群体有政策文件和常规流程。大多数护士让家属参与护理，尽管教育和政策文件很少涉及这方面。女性、政策文件以及自己有重病家庭成员的经历与对家属的积极态度相关。对家属的积极态度与让患者家属参与护理相关。
许多急诊科护士在没有接受专门教育的情况下提供法医护理，政策文件仅涉及妇女和儿童。护士对家属的积极态度在政策或教育中未得到体现。
这些结果可启发急诊科的临床法医护理干预措施。需要对护士进行教育，并为所有暴力受害者群体制定政策。急诊科可能需要重新思考如何将家属纳入其组织架构。
