Global Journal of Nursing & Forensic Studies
Open Access

Forensic nurses; Healthcare system; Psychological; Forensic laboratories

Introduction

One of the primary roles of forensic nurses is to conduct thorough and objective assessments of patients who have experienced violence or trauma. They collect and document forensic evidence, such as DNA samples, photographs, and medical histories, using specialized techniques and equipment. These nurses also provide compassionate and supportive care to victims, addressing their physical, psychological, and emotional needs. In addition to direct patient care, forensic nurses often serve as expert witnesses in legal proceedings. They may testify about their findings, interpretations, and professional opinions based on the collected evidence. Their testimony helps inform legal decisions and contributes to the pursuit of justice for the victims [1].

Forensic nursing clinical practice extends beyond responding to individual cases of violence or trauma. Forensic nurses also play a crucial role in community education and prevention efforts. They participate in public awareness campaigns, training programs, and policy development initiatives aimed at reducing violence, promoting safety, and advocating for victims' rights. To excel in forensic nursing clinical practice, nurses need specialized education and training. Many pursue advanced degrees or certifications in forensic nursing, which provide in-depth knowledge of forensic science, legal processes, and victim advocacy. Ongoing professional development and staying up-todate with advancements in the field are essential to ensure the provision of high-quality, evidence-based care [2].

Material and Methods

Forensic nursing is a specialized field of nursing that combines medical and legal expertise to provide care to victims and perpetrators of violence, abuse, and trauma. Forensic nurses play a crucial role in the collection of evidence, documentation, and the overall investigation process [3]. While the specific materials and methods used in forensic nursing clinical practice may vary depending on the setting and jurisdiction, here are some common materials and methods used:

Materials:

Forensic examination kit: This includes various tools and supplies needed to perform a forensic examination, such as swabs, evidence containers, sexual assault evidence collection kits, fingerprinting materials, and photography equipment [4].

Protective gear: Forensic nurses often wear personal protective equipment (PPE) to ensure their safety during examinations. This may include gloves, masks, goggles, and gowns.

Documentation tools: Forensic nurses use specialized documentation tools to accurately record their findings and observations. This may include standardized forms, templates, and electronic health record systems.

Photography and imaging equipment: Forensic nurses may use cameras, specialized light sources, and other imaging equipment to document injuries, collect visual evidence, or enhance visualization of certain details [5].

Methods:

Forensic assessment: Forensic nurses perform comprehensive assessments of patients, including physical, psychological, and social evaluations. They gather information about the incident, medical history, and any relevant contextual factors [6].

Evidence collection: Forensic nurses are responsible for collecting and preserving physical evidence from patients, such as DNA samples, swabs, clothing, photographs of injuries, and any other relevant items.

They follow strict chain of custody protocols to ensure the integrity and admissibility of the evidence in legal proceedings.

Injury documentation: Forensic nurses carefully document and photograph injuries, noting their location, size, shape, color, and any other distinguishing characteristics. They may use anatomical diagrams or body maps to accurately depict the injuries [7].

Documentation and reporting: Forensic nurses maintain detailed and accurate documentation of their findings, observations, and interactions with patients. They write clear and objective reports that may be used as evidence in legal proceedings.

Collaboration and referrals: Forensic nurses collaborate with other healthcare professionals, law enforcement agencies, social services, and legal authorities to ensure comprehensive care for their patients. They may provide referrals for further medical, psychological, or legal services as needed [8].

Court testimony: Forensic nurses may be called upon to testify in court as expert witnesses, presenting their findings and interpretations to help the legal system understand the medical aspects of the case.

It's important to note that forensic nursing practice may vary depending on the local laws, regulations, and available resources. Forensic nurses often undergo specialized training and certification to develop the necessary skills and knowledge required for this field.

Result and Discussion

The result and discussion of forensic nursing clinical practice can vary depending on the specific case and the goals of the forensic examination. Here are some general aspects that may be included in the result and discussion section:

Findings from the forensic assessment: This section summarizes the findings from the comprehensive assessment conducted by the forensic nurse. It may include information about the patient's physical and psychological condition, any observed injuries or trauma, and relevant historical or contextual factors.

Documentation of injuries and evidence: Forensic nurses document injuries and collect physical evidence during their examinations. The result and discussion section may present a detailed description and analysis of the documented injuries, including their location, characteristics, and possible causes. It may also discuss the collection and preservation of evidence, such as DNA samples, swabs, or clothing [9].

Interpretation of findings: This section involves the analysis and interpretation of the collected data. Forensic nurses use their expertise to interpret the significance of injuries, assess the consistency of the evidence with the reported incident, and determine if the findings align with the patient's statements.

Forensic analysis and conclusions: Based on the findings and interpretation, forensic nurses may draw conclusions regarding the nature of the incident, the presence of physical or psychological trauma, and potential links between the evidence and the reported events. This section may also discuss any limitations or uncertainties in the analysis.

Recommendations and interventions: Forensic nurses often provide recommendations for further medical, psychological, or legal interventions based on their findings. This section may outline specific recommendations for the patient's ongoing care, including referrals to specialized services, counseling, or support programs.

Ethical considerations: Forensic nursing practice involves ethical considerations related to patient privacy, informed consent, and maintaining a non-biased approach. The result and discussion section may address any ethical dilemmas encountered during the examination and provide reflections on how they were addressed.

Implications for legal proceedings: In cases where forensic nursing findings may be used as evidence in legal proceedings, the result and discussion section may discuss the implications of the findings for the legal case. This may involve a discussion of the strength of the evidence, its potential impact on the case, and any additional forensic or expert witness testimony that may be required.

It's important to note that the result and discussion section in forensic nursing practice may vary depending on the jurisdiction, the specific case, and the purpose of the examination. It should adhere to professional guidelines and ethical standards and provide a clear and objective analysis of the findings while recognizing any limitations or uncertainties in the forensic examination process [10].

Conclusion

In conclusion, forensic nursing clinical practice plays a critical role in providing care to victims and perpetrators of violence, abuse, and trauma. Through comprehensive assessments, evidence collection, documentation, and collaboration with other professionals, forensic nurses contribute to the investigation and legal proceedings surrounding these incidents. The implications of forensic nursing findings may have significant impacts on legal proceedings, and forensic nurses may be called upon to provide expert testimony in court. The result and discussion section should adhere to professional standards, maintain objectivity, and recognize any limitations or uncertainties in the forensic examination process.

Forensic nursing practice continues to evolve, and on-going training and certification are crucial for forensic nurses to stay updated with the latest techniques, guidelines, and legal requirements. The dedication and expertise of forensic nurses contribute to the pursuit of justice and the provision of comprehensive care to individuals affected by violence and trauma.

Acknowledgement

None

1. Gilmer T, Ojeda V, Folson D, Fuentes D, Garcia P, et al. (2007) Initiation and use of Public Mental Health Services by Persons with Severe Mental Illness and Limited English Proficiency. Psychiatric Services 58:1555-1562.

Indexed at, Google Scholar, Crossref

2. Golding JM (1999) Intimate partner violence as a risk factor for mental disorders: A meta-analysis. Journal of Family Violence 14:99-132.

Indexed at, Google Scholar, Crossref

3. McHugo GJ, Kammerer N, Jackson EW, Markoff LS, Gatz M, et al. (2005) Women, Co-Occurring Disorders, and Violence Study: Evaluation Design and Study Population. Journal of Substance Abuse and Treatmentn 28:91-107.

Indexed at, Google Scholar, Crossref

4. Gary F (2005) Stigma: Barrier to Mental Health Care Among Ethnic Minorities. Issues in Mental Health Nursing 26:979-999.

Indexed at, Google Scholar, Crossref

5. Alhusen JL, Bullock L, Sharps P, Schminkey D, Comstock E, et al. (2014) Intimate partner violence during pregnancy and adverse neonatal outcomes in low-income women. J Women’s Health 23:920-926.

Indexed at, Google Scholar, Crossref

6. Yoon JE, Lawrence E (2013) Psychological victimization as a risk factor in the developmental course of marriage. J Fam Psychol 27:53-64.

Indexed at, Google Scholar, Crossref

7. Kastello JC, Jacobsen KH, Gaffney KF, Kodadek MP, Sharps PW, et al. (2016) Predictors of depression symptoms among low-income women exposed to perinatal intimate partner violence. Community Ment Health J 52:683-690.

Indexed at, Google Scholar, Crossref

8. LeConte BA, Szaniszlo P, Fennewald SM, Lou DI, Qiu S, et al. (2018) Differences in the viral genome between HPV-positive cervical and oropharyngeal cancer. 13:e0203403.

Indexed at, Google Scholar, Crossref

9. De Sanjosé S, Diaz M, Castellsagué X, Clifford G, Bruni L, et al. (2007) Worldwide prevalence and genotype distribution of cervical human papillomavirus DNA in women with normal cytology: a meta-analysis. Lancet Infect Dis 7:453-459.

Indexed at, Google Scholar, Crossref

10. Bruni L, Diaz M, Castellsagué X, Ferrer E, Bosch FX (2010) Cervical human papillomavirus prevalence in 5 continents: meta-analysis of 1 million women with normal cytological findings. J Infect Dis 202:1789-1799.

Indexed at, Google Scholar, Crossref