New forms of nursing are indeed practiced in the forensic clinical setting, and our findings suggest that nursing practice in this domain is following the footprints of an advanced nursing practice model. Further reflections are required to determine whether the role of the forensic nurse in Switzerland should be developed as a clinical nurse specialist or that of a nurse practitioner.
Objectives: To describe male victims of physical violence by an intimate partner who consulted a medico-legal unit, and information available on their perpetrators; to characterize the violent events and their contexts. Little research exists on male victims of physical intimate partner violence seeking medical care. Method: Based on Heise's ecological framework, mixed methods were used to analyze quantitative and qualitative data collected during 122 medico-legal consultations attended by 115 men who sustained physical violence by an intimate partner from 2006-2012. Results: quantitative and quantitative data collected from male victims concurred in showing that many of such victims, as well as their partners, faced at the time of the assault multiple adversities and challenges at individual and relationship levels. Among male victims, 26 % had no paid job. Among perpetrators, 34% were third-country nationals subject to restricted residence permits. Health issues, worries about money or work combined with complex and conflictive family situations were often in the background of violent events. In a few cases however, male victims reported no other problems than their partner's assault. Conclusions: our findings point out gender-specific aspects of female to male physical partner violence. The most common feature is that violence was experienced as one among several adversities. Even though wounds sustained by male victims were not necessarily severe, their emotional suffering was frequent. When under-age children were involved, their situation was particularly noteworthy. Interventions with male victims of intimate partner violence should include protection of minors as a priority and as an incentive for fathers to seek help.
Accessible Summary What is known about the subject? The evaluation of nurse care practices poses many challenges, including the identification of all the aspects of the care given. Few studies have looked at the scope of nursing practice in psychiatry. However, the evaluation of care practices in the mental health field poses many challenges, including the identification of all aspects of care. What the document adds to existing knowledge? Findings demonstrated that mental health nurses do not invest in all domains of their scope of practice in the same way and the time spent with patients is low. Several factors contributed to this, including the increasing complexity of care, stagnant staffing levels, and a culture of care that continues to be influenced by the medical model. Current models of care still retain the stigma of this past, prioritizing medically delegated tasks rather than promoting a holistic approach to care. Although the professional identity of nurses is evolving and asserting itself, the paradigm shift in practice is still incomplete. What are the implications for practice? It is essential to describe concretely what is actually expected of nurses, to help them allocate their time effectively and to identify opportunities for improvement. The field of practice of nurses is put under stress by a demanding work environment subject to many pressures and constraints. Changing practices so that nurses can use the full scope of nursing practice requires strong nursing leadership and action on education and the organization of care, particularly on clinical assessment. Abstract IntroductionThe evaluation of nursing care practices poses many challenges, including identifying all the aspects of the care given. However, few studies have examined the scope of nursing practice in psychiatry. AimThe aim of this study was to describe the intensity of nursing activities on a psychiatric unit based on the adaptation of Déry and D'Amour's (2017, Perspect Infirm Rev Off Ordre Infirm Qué, 14, 51) Scope of Nursing Practice Model. MethodThis 56‐day descriptive observational study used the time and motion method to follow eight nurses. Results500 h of observations were carried out. The greatest lengths of time were allocated to communication and coordination of care activities and to “non‐healthcare” domains. Less time was devoted to activities related to clinical evaluation and therapeutic education. DiscussionFindings demonstrated that MHNs do not perform all the possible functions in the domains of their scope of practice in the same way, and time spent with patients was short. Several factors contributed to this, including the fact that nurses are working in increasingly demanding care settings that keep them under constant pressure.
IntroductionThe COVID-19 pandemic hit older adults particularly hard, especially those living in nursing homes. The present study’s primary aim is to quantify the states of physical and mental health of nursing home residents and their relatives following the implementation of the exceptional confinement measures. The secondary aim is to explore the lived experiences of the stressors perceived by older adults and their relatives, as well as the support strategies implemented by health professionals and their results.Methods and analysisWe chose a mixed-methods (quantitative/qualitative) study to best deliver a profound understanding of this phenomenon.Quantitative phase: participants are asked to complete several questionnaires. The study population includes all the nursing home residents in four French-speaking cantons of Switzerland (and their relatives) who are living through the COVID-19 pandemic. Descriptive statistics will be calculated for the scores of the General Health Questionnaire-12, Impact of Event Scale-6, Perceived Stress Scale, Brief Cope, Post-traumatic Growth Inventory, World Health Organization Quality of Life-BREF(WHOQOL-BREF) and WHOQOL-OLD scales. Correlational analyses will be considered.Qualitative phase: data are collected from several sources (individual semi-structured interviews, focus groups, field notes). Interviews are planned with about 12 representatives of each group of participants (residents and relatives). Two focus groups made up of healthcare professionals will be constituted to explore the lived experiences of the stressors perceived by residents and relatives, the coping strategies those two groups implemented to deal with them. The interviews and focus groups will be subjected to a thematic contents analysis.Integrating the quantitative and qualitative data will take place jointly with data interpretation.Ethics and disseminationThis project was approved by the Human Research Ethics Committee of the Canton of Vaud on 14 December 2020 (project ID: 2020-02397). The prior written informed consent of the study subjects is collected by a member of the research team before data collection. Study results will be disseminated via professional and peer-reviewed publications.Trial registration numberISRCTN12345167.
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