Best Practices in the Nursing Care of Patients With Injuries From Violence: An Integrative Review

奇纳 社会心理的 医学 法医护理学 护理部 家庭暴力 医疗保健 毒物控制 梅德林 心理健康 自杀预防 职业安全与健康 最佳实践 精神科 家庭医学 医疗急救 心理干预 管理 法学 政治学 经济 病理 经济增长
作者
Johannah Hickey,Mackenzie White,Sarah M. Gantz
出处
期刊:Critical Care Nurse [American Association of Critical-Care Nurses]
卷期号:44 (5): 32-41 被引量:2
标识
DOI:10.4037/ccn2024639
摘要

Background The number of patients who have experienced violence is increasing worldwide. These patients have specific psychosocial and forensic needs and can present unique challenges to the health care workers caring for them. Objective To identify best practices for the care of patients with injuries from violence in the emergency department or inpatient setting. Methods The framework for integrative reviews by Whittemore and Knafl was used to conduct a literature search in MEDLINE, CINAHL, and ProQuest Nursing and Allied Health databases. Fourteen qualitative, quantitative, and mixed-methods studies from peer-reviewed journals were included in the review. Results Themes included identifying patients as survivors of intimate partner violence or child abuse, the need to collect forensic evidence, the need for emotional support of patients and their loved ones, support for health care workers caring for patients with injuries from violence, prevention of further violence, and the challenges of caring for patients with injuries from violence with concurrent substance use disorders. Best practices for these aspects of care are summarized on the basis of literature analysis. Conclusion Screening procedures are needed to identify survivors of intimate partner violence and child abuse. Forensic evidence preservation policies should be in place. For survivors of sexual assault, a sexual assault nurse examiner should be available. Hospital systems should provide psychosocial resources for patients’ and health care workers’ mental health, implement violence reduction programs, and provide bias training. More research is needed to determine efficacy of care models and best practice.

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