Peel Matthew
Leeds Community Healthcare NHS Trust, Leeds, England.
Nurs Stand. 2017 May 31;31(40):42-50. doi: 10.7748/ns.2017.e10479.
Nurses working in police custody settings may be called on to assess a detainee's fitness to be interviewed by police, for example where the person is thought to have a mental disorder or vulnerability. This article outlines the role of the custody nurse in the fitness-to-interview assessment. This assessment is complex and multifaceted. It requires custody nurses to assess a detainee's medical, mental health, educational and social history, as well as any substance misuse. It should include a mental state examination and, where appropriate, a physical examination. Fitness-to-interview decisions should be rigorous to prevent miscarriages of justice or significant harm to detainees. Custody nurses should advocate for detainees who are mentally vulnerable and ensure appropriate safeguards are in place, where necessary. Further work is required to reduce the subjectivity of the fitness-to-interview assessment, along with increased investment in appropriate adult services. Equally, custody nurses working at this advanced level of practice require relevant postgraduate knowledge and skills.
在警察拘留场所工作的护士可能会被要求评估被拘留者是否适合接受警方讯问，例如，当认为该人患有精神障碍或存在脆弱性时。本文概述了拘留护士在讯问适格性评估中的作用。这项评估复杂且多方面。它要求拘留护士评估被拘留者的医疗、心理健康、教育和社会历史，以及任何药物滥用情况。评估应包括精神状态检查，并在适当时进行身体检查。讯问适格性的决定应严格，以防止司法不公或对被拘留者造成重大伤害。拘留护士应为精神脆弱的被拘留者提供支持，并在必要时确保采取适当的保障措施。需要进一步开展工作以减少讯问适格性评估的主观性，同时增加对适当的成人服务的投入。同样，处于这种高级实践水平的拘留护士需要相关的研究生知识和技能。
