Filmalter Celia J, Heyns T, Ferreira R
University of Pretoria, South Africa.
University of Pretoria, South Africa.
Int Emerg Nurs. 2018 Sep;40:33-36. doi: 10.1016/j.ienj.2017.09.007. Epub 2017 Oct 16.
Patients who suffer violent, crime related injuries are likely to seek medical assistance in emergency departments. Forensic patients may not disclose the cause of their injuries leading to the impairment of evidence. We explored healthcare providers' perceptions of forensic patients and how they should be cared for.
The perceptions of physicians and nurses regarding the profiles and care of forensic patients were explored in three urban emergency departments. The data were collected through a talking wall and analysed collaboratively, with the participants, using content analysis.
Healthcare providers in emergency departments differentiated between living and deceased forensic patients. Healthcare providers identified living forensic patients as victims of sexual assault, assault, gunshots and stab wounds, and abused children. Deceased patients included patients that were dead on arrival or died in the emergency departments. Healthcare providers acknowledged that evidence should be collected, preserved and documented.
Every trauma patient in the emergency department should be treated asa forensic patient until otherwise proven. If healthcare providers are unable to identify forensic patients and collect the evidence present, the patients' human right to justice will be violated.
遭受与暴力犯罪相关伤害的患者很可能会在急诊科寻求医疗救助。法医鉴定患者可能不会透露受伤原因，从而导致证据受损。我们探讨了医疗服务提供者对法医鉴定患者的看法以及应如何对他们进行护理。
在三个城市急诊科探讨了医生和护士对法医鉴定患者的特征及护理的看法。通过“讨论墙”收集数据，并与参与者一起使用内容分析法进行协作分析。
急诊科的医疗服务提供者区分了在世的和已故的法医鉴定患者。医疗服务提供者将在世的法医鉴定患者认定为性侵犯、袭击、枪击和刺伤的受害者以及受虐待儿童。已故患者包括到达时已死亡或在急诊科死亡的患者。医疗服务提供者承认应收集、保存和记录证据。
在急诊科，每一位创伤患者在未被证明并非法医鉴定患者之前都应被视为法医鉴定患者。如果医疗服务提供者无法识别法医鉴定患者并收集现有的证据，患者获得司法公正的人权将受到侵犯。
