Forensic Cases in the Operating Room: Knowledge and Practices of Physicians and Nurses

Özşaker, Esma; Kaya, Ahsen; Alcan, Aliye Okgün; Gıersbergen, Meryem Yavuz Van; Aktaş, Ekin Özgür

doi:10.1016/j.jopan.2019.06.010

Cited by 5 publications

(17 citation statements)

References 13 publications

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“…Theorists further elaborated on this remark by claiming that the offender enters the crime scene with something and departs with something, which both may be utilized as forensic evidence. A physician is competent to seek for forensic evidence by conducting a physical examination and gathering biological evidence on the patient's body (Ozsaker et al, 2020;Kotze, Brits, and Botes, 2014).…”

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confidence: 99%

Knowledge, Attitude and Practice of an Egyptian Physicians Sample towards Dealing with Medico-legal Cases and Forensic Evidence

Mostafa

Awny

Siam

et al. 2022

Zagazig Journal of Forensic Medicine

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Introduction: A medico-legal case (MLC) is one of the most challenging clinical cases encountered by physicians during their daily work. Handling violence, poisonings, and multiple injury cases indicate the important role of physicians in examining such injuries before changing their features through surgical intervention or recovery. Aim of the work: to assess knowledge, attitude, and practice of an Egyptian physicians' sample towards dealing with MLC and forensic evidence. Participants and methods: A cross-sectional study using an anonymous electronic questionnaire was conducted on a convenience sample. The questionnaire included demographic and training characteristics, knowledge, attitude, and practice in dealing with MLC and forensic evidence and common challenges. Results: The respondents were 145 Egyptian physicians and 83% of them did not receive any postgraduate forensic training.Based on Bloom's cutoff score, the participants had fair knowledge (50.3%), a positive attitude (67.6 %) and 80% had poor practice. No significant associations were found between the knowledge and the attitude scores with all studied variables. Age group >50 was found to be associated with positive attitude better than other age groups while poor practice was observed in age group (20-30 years). Physicians with previous postgraduate forensic training had better knowledge, more positive attitude, and better practice scores than those without such training.There were considerable challenges faced by physicians during dealing with MLCs, such as pressure from relatives (92.4%), psychological stress (89.7%), and proper dealing with forensic evidence (89%). Conclusion: Despite that most of the participants in this study had positive attitude score towards dealing with MLCs, only half of them had fair knowledge and 80% had poor practice. Recommendations: To integrate forensic education at the postgraduate level and take measures to ensure proper handling, documentation, and reporting of MLCs and forensic evidence at medical institutes to protect patient rights.

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confidence: 99%

Knowledge, Attitude and Practice of an Egyptian Physicians Sample towards Dealing with Medico-legal Cases and Forensic Evidence

Mostafa

Awny

Siam

et al. 2022

Zagazig Journal of Forensic Medicine

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“…There many different factors of violence such as patients, relatives, coworkers in healthcare institutions. Hospitals are becoming more dangerous for healthcare personnel day by day [35]. In that case doctors and healthcare personnel do not feel safe themselves in their workplaces.…”

Section: Psychological Risk Factorsmentioning

confidence: 99%

Occupational Health and Safety in Operating Rooms

Gül¹

2022

Healthcare Access

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Nurses are one of the most endeavored members of healthcare services. Operating rooms, on the other hand, require special caution and contain various hazards for healthcare professionals. Operating rooms contain various risk factors related to applications, infrastructure and humans. It is one of the areas that need nursing care the most since patients are dependent on their nurses to meet their personal needs. Nurses are exposed to various risk and health problems in operating rooms. Healthcare service provided by nurses working in a healthy environment directly affects the health and quality of life of those who receive the service. In order to prevent these problems, intensive up-to-date educations on occupational risks and employee safety should be provided for the nurses working in operating rooms. In addition to the general occupational hygiene measures, different precautions should be taken for the operating rooms. Working in a healthy and safe environment is a human right that every individual must have. Managers of the medical institutions should be attentive to follow the laws and sanctions on occupational health and safety, institutions should be inspected frequently and monitored carefully. In this section, this subject will be studied in line with actual data and resources.

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“…In fact, forensic nursing is defined as a nursing specialty with subspecialties that focus on nursing practice related to clinical legal issues of living or deceased victims and offenders [1]. Nurses are the first people who are in contact with patients and their families and have a direct relationship with medical records [2]. Nurses should also be aware of possible injuries while performing work, such as collecting, storing, and preserving evidence, and preventing damage to forensic records [3].…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…Nurses should also be aware of possible injuries while performing work, such as collecting, storing, and preserving evidence, and preventing damage to forensic records [3]. Therefore, forensic nurses can help resolve disputed cases through membership in the forensic team [2]. There is little evidence in the field of forensic nursing in nursing courses [1,2].…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…Therefore, forensic nurses can help resolve disputed cases through membership in the forensic team [2]. There is little evidence in the field of forensic nursing in nursing courses [1,2]. Hence, strengthening forensic nursing education will have positive results such as improving the quality of patient care, increasing access to services, reducing the burden on the health care system, increasing nurses' confidence, and increasing patient satisfaction [4].…”

Section: Introduction Backgroundmentioning

confidence: 99%

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Effect of a forensic nursing virtual education course on knowledge and clinical decision-making of master’s nursing students in Iran: a non-equivalent control group pre- and post-test study

Firuzi

Sabet²,

Jafaraghaee

et al. 2022

J Educ Eval Health Prof

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Purpose: Forensic nursing is a specialty in the nursing profession based on legal procedures. This study aimed to assess the effect of a forensic nursing virtual education course on knowledge and clinical decision-making among master’s nursing students.Methods: In a quasi-experimental study with a pre- and post-test, 106 master’s nursing students at Guilan (n=65) and Mazandaran (n=41) Universities of Medical Sciences, Iran were enrolled. Data were collected using census sampling from March to April 2021. Participants in the intervention group received a forensic nursing virtual education course in three 90-minute sessions for 2 days.Results: A total of 88 out of 106 master’s nursing students were enrolled in this study. The mean post-education score for knowledge in the intervention group was significantly higher than in the control group (12.52 vs. 7.67, P<0.001). The mean post-education score for clinical decision-making in the intervention group was significantly higher than in the control group (16.96 vs. 13.64, P<0.001).Conclusion: The level of knowledge and clinical decision-making of master’s nursing students regarding forensic evidence improved after the forensic nursing virtual education course in the intervention group compared to the control group. Nursing managers and policymakers can develop appropriate strategies to improve the knowledge and clinical decision-making of nursing students by using forensic nursing education courses in the curricula of nursing programs, especially in postgraduate education as an elective or mandatory course.

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Forensic Cases in the Operating Room: Knowledge and Practices of Physicians and Nurses

Cited by 5 publications

References 13 publications

Knowledge, Attitude and Practice of an Egyptian Physicians Sample towards Dealing with Medico-legal Cases and Forensic Evidence

Knowledge, Attitude and Practice of an Egyptian Physicians Sample towards Dealing with Medico-legal Cases and Forensic Evidence

Occupational Health and Safety in Operating Rooms

Effect of a forensic nursing virtual education course on knowledge and clinical decision-making of master’s nursing students in Iran: a non-equivalent control group pre- and post-test study

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