Evaluating the Introduction of the Safewards Model to a Medium- to Long-Term Forensic Mental Health Ward.

Abstract:

:Care and treatment in forensic mental health wards can present with challenges when loss of hope and freedom, and aggression are present, which can then influence ward atmosphere and feelings of safety. Safewards is a model designed to address a range of conflict (e.g., aggression and self-harm) and containment (e.g., use of restrictive interventions) events and may provide a suitable approach to delivery of care in a forensic setting, while also addressing aggression, restrictive interventions, and ward atmosphere. The aim of this study was to evaluate the introduction of Safewards to a forensic mental health ward to determine suitability, and to explore if changes to conflict, containment, and ward atmosphere occurred. A mixed methods approach was used involving the collection of incident data related to conflict and containment, an assessment of the degree to which interventions were implemented, and an assessment of the social climate before and after implementation. Results suggested that there were fewer conflict events after Safewards was introduced; however, there did not appear to be any changes in the already low use of restrictive interventions. The Safewards interventions were implemented to a high degree of fidelity, and there was indication of an increase in a positive perception of ward atmosphere, supported by themes of positive change, enhanced safety, and respectful relationships. Safewards may assist in contributing to an improvement in the perception of ward atmosphere. To enhance implementation in a forensic mental health setting, there may be a need to consider additional elements to Safewards, pertinent to this setting.

journal_name

J Forensic Nurs

authors

Maguire T,Ryan J,Fullam R,McKenna B

doi

10.1097/JFN.0000000000000215

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

214-222

issue

4

eissn

1556-3693

issn

1939-3938

pii

01263942-201812000-00007

journal_volume

14

pub_type

杂志文章
  • Interviewing the incarcerated offender convicted of sexually assaulting the elderly.

    abstract::Sexual assault is considered one of the most terrible crimes committed against the elderly, particularly as they are noted to be among the most innocent and vulnerable of populations. To better understand offender motivation and related behaviors, this article presents suggestions that are possible guidelines for fore...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2006.tb00072.x

    authors: Cooper GM,King MR

    更新日期:2006-10-01 00:00:00

  • Forensic nursing in secure environments.

    abstract::There are few well-designed studies of corrections or prison nursing roles. This study seeks to describe the corrections or prison role of forensic nurses in the United States who provide care in secure environments. National data detailing the scope of practice in secure environments are limited. This pencil and pape...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2009.01046.x

    authors: Shelton D

    更新日期:2009-01-01 00:00:00

  • Evaluation of personality disorder workshops in Essex, England: reported impacts on clinical practice.

    abstract::In this paper we examine the background and context for training related to working with people with personality disorders in England. People with a diagnosis of personality disorder often feel excluded from mainstream health, social and employment contexts, and sometimes experience negative and stigmatizing attitudes...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0b013e31827a5b0e

    authors: Schafer T,McGrath M,Kent L,Nightingale M

    更新日期:2013-04-01 00:00:00

  • When a Child Is Found Dead: The Role of the Forensic Nurse Death Investigator and Psychosocial Impact for Parents.

    abstract::The traumatic death of a child is an immediately life-changing event. In all cases, a parent who finds that their child has died suddenly and violently is no longer the same person. Early in the chaotic aftermath of this journey, they will likely be disoriented and affectively numb because their sense of an otherwise ...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000306

    authors: Clements PT,O'Neal BJ

    更新日期:2020-10-01 00:00:00

  • Qualitative Analysis of Prosecutors' Perspectives on Sexual Assault Nurse Examiners and the Criminal Justice Response to Sexual Assault.

    abstract:OBJECTIVE:The aim of this study was to understand prosecutors' perspectives on the contribution of Sexual Assault Nurse Examiners (SANEs) to evidence collection and trials in sexual assault cases. BACKGROUND:Several studies have suggested that a sexual assault case is more likely to progress in the criminal justice sy...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000151

    authors: Schmitt T,Cross TP,Alderden M

    更新日期:2017-04-01 00:00:00

  • The voices of Brazilian women breaking free from intimate partner violence.

    abstract::Intimate partner violence (IPV) is a global problem with a direct effect on the health of the victims and their communities. With the intention to inform nursing care delivered to women experiencing IPV, this qualitative study was conducted, specifically to understand the meaning that IPV has for assaulted women and t...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000030

    authors: Pacheco LR,Medeiros M,Garcia CM

    更新日期:2014-04-01 00:00:00

  • Nurses and Medicolegal Death Investigation.

    abstract::Forensic nurses currently serve in medicolegal death investigation settings nationwide, yet registered nurses seldom recognize death investigation as a career option. The purpose of this article is to describe medicolegal death investigation in the United States and the roles nurses can achieve, depending upon state a...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000310

    authors: Drake SA,Tabor P,Hamilton H,Cannon A

    更新日期:2020-10-01 00:00:00

  • "A Drop in the Ocean": A Reflection on the Application of Cognitive Analytic Therapy Within a Prison Setting.

    abstract::This article reflects on the application of cognitive analytic therapy (CAT) with prisoners referred to a mental health in-reach team within a U.K. prison based on the author's experience as a clinical psychologist. The extent of mental health problems in the prison population and the provision of mental health servic...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000191

    authors: Roper L

    更新日期:2018-07-01 00:00:00

  • Baccalaureate Nursing Students' Perceptions Regarding Autopsy Experiences.

    abstract:PURPOSE:Since 2012, a medical-surgical nursing course at a midsized state university has provided the opportunity for students to view autopsies with a board-certified forensic pathologist. The autopsies are performed at a midsized hospital relatively close to the campus. The purpose of this study was to discover nursi...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000172

    authors: Cannon EJ,Bauer RN

    更新日期:2017-10-01 00:00:00

  • Self-inflicted injuries in adolescents presenting to a suburban emergency department.

    abstract::Emergency department medical records of adolescents presenting with a traumatic injury were screened daily by a designated follow up nurse for the presence of a precipitating historical event (such as an argument or a fight) in which anger or an uncontrolled temper resulted in self inflicted injury during 1998. The au...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2005.tb00006.x

    authors: Specht J,Singer AJ,Henry MC

    更新日期:2005-04-01 00:00:00

  • Receiving a forensic medical exam without participating in the criminal justice process: what will it mean?

    abstract:UNLABELLED:As a result of the Violence Against Women Act (VAWA) Reauthorization of 2005, state governments must develop processes by which victims of sexual assault can receive a forensic medical exam without being required to cooperate with law enforcement, or participate in the criminal justice system. The benefits a...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2009.01063.x

    authors: Price B

    更新日期:2010-07-01 00:00:00

  • Forensic investigation of sex crimes in Colombia.

    abstract::Victimization by sexual assault has become not only a public health and safety issue but a way of life for many in Colombia. Poverty, gender inequality, and a lack of family and community support contribute to the cycle of sexual violence. Ineffective medico-legal systems have added to a rate of 93% for sex crimes tha...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2007.tb00096.x

    authors: Cabelus NB,Sheridan GT

    更新日期:2007-10-01 00:00:00

  • Child Labor Trafficking Essentials for Forensic Nurses.

    abstract::Human trafficking is a form of modern-day slavery and is a significant pediatric healthcare problem in the United States. The term "human trafficking" encompasses both sex and labor trafficking. Sex trafficking, especially child sex trafficking, has received significant lay and professional attention. However, few eff...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000299

    authors: Hornor G

    更新日期:2020-10-01 00:00:00

  • Toward the establishment of a forensic nursing specialty in Brazil: an integrative literature review.

    abstract:BACKGROUND:Over the past two decades, Brazil has made progress in bringing political and community attention to issues related to violence. The recognition of links between violence and health has intensified calls to accelerate the development of a forensic nursing specialty in Brazil. AIM:The aim of this study was t...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章,评审

    doi:10.1097/JFN.0000000000000048

    authors: Esteves RB,Lasiuk GC,Cardoso L,Kent-Wilkinson A

    更新日期:2014-10-01 00:00:00

  • What Does the Implementation of Peer Care Training in a U.K. Prison Reveal About Prisoner Engagement in Peer Caregiving?

    abstract::The number of aging and chronically ill prisoners continues to rise within the United Kingdom prison demography; consequentially, many institutions face health and social care crises of immense proportions. The needs of this group are both complex and costly, and in the United Kingdom, this is set to a backdrop of ove...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000183

    authors: Stewart W

    更新日期:2018-01-01 00:00:00

  • Forensic Nursing Response to Victim-Administered Evidence Kits.

    abstract::The International Association of Forensic Nurses has issued guidance in response to victim- or self-administered evidence kits after sexual assault. ...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000266

    authors: Pierce-Weeks J

    更新日期:2019-10-01 00:00:00

  • Risk management--the forensic nursing response 'ability'.

    abstract::As risk managers begin to reconsider their nursing roles and responsibilities, the impact of the forensic applications are endless. The forensic element of the role as a health care professional is a very real entity that is often overlooked as the responsibility of someone else. All nurses are responsible for their o...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2005.tb00021.x

    authors: Benak L

    更新日期:2005-07-01 00:00:00

  • Enhancing assessment of interpersonal violence (IPV) pregnancy-related homicide risk within nursing curricula.

    abstract::Pregnancy and motherhood traditionally represent evolution of the next generation; yet, contemporary research and analyses confirm that this time can also be manifested in fear by the expectant mother within an environment of battering, cruelty, physical and emotional abuse, and sexual assault. Often to the surprise o...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1939-3938.2011.01119.x

    authors: Clements PT,Holt KE,Hasson CM,Fay-Hillier T

    更新日期:2011-12-01 00:00:00

  • Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?

    abstract::Although forensic psychiatric care is located at the intersection of health care and the Swedish legal system, nursing research has not yet evaluated how language is context bound or its consequences for understanding patient care. The aim of this study was to explore how nursing staff talk about patient care in Swedi...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000227

    authors: Kumpula E,Gustafsson LK,Ekstrand P

    更新日期:2019-01-01 00:00:00

  • At a crossroads: reentry challenges and healthcare needs among homeless female ex-offenders.

    abstract::The exponential increase in the number of women parolees and probationers in the last decade has made women the most rapidly growing group of offenders in the United States. The purpose of this descriptive, qualitative study is to understand the unique gendered experiences of homeless female ex-offenders, in the conte...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/jfn.0b013e31827a1e9d

    authors: Salem BE,Nyamathi A,Idemundia F,Slaughter R,Ames M

    更新日期:2013-01-01 00:00:00

  • Sexual Assault Simulation Course for Healthcare Providers: Enhancing Sexual Assault Education Using Simulation.

    abstract::Patients who have been sexually assaulted disproportionately experience gaps in healthcare delivery. Ensuring that healthcare providers who care for this population are adequately prepared is one way of addressing this gap. At the Brigham and Women's Hospital, a 4-hour long interprofessional Sexual Assault Simulation ...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000089

    authors: Scannell M,Lewis-O'Connor A,Barash A

    更新日期:2015-10-01 00:00:00

  • "She was truly an angel": Women with disabilities' satisfaction with hospital-based sexual assault and domestic violence services.

    abstract:INTRODUCTION:Little is known about the characteristics of women with disabilities who have experienced abuse and their satisfaction with care received from specialized healthcare providers working in hospital-based violence services. METHOD:To address this gap, we surveyed clients presenting to 30 sexual assault/domes...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0b013e31829e9608

    authors: Du Mont J,Macdonald S,White M,Turner L

    更新日期:2013-07-01 00:00:00

  • Global Voyeurism or Sustainable Ethical Practice?

    abstract::This is a conceptual article exploring global voyeurism and service, overlaying ethical considerations in service within the profession of forensic nursing. Key elements considered include examining and reflecting on personal motivations, benefits, and consequences of service when viewed through an ethical perspective...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000170

    authors: Finn C,Coast MJ

    更新日期:2017-10-01 00:00:00

  • The contribution of personality and workplace characteristics in predicting turnover intention among sexual assault nurse examiners: a path analytic study.

    abstract::The purpose of this study was to determine how personality characteristics, sense of organizational empowerment, and job satisfaction combine to predict turnover intention among a population of Sexual Assault Nurse Examiners (SANEs). Data were collected from 161 SANEs from 23 SANE organizations across the central and ...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2012.01141.x

    authors: Strunk KC,Strunk KK

    更新日期:2012-09-01 00:00:00

  • Health Literacy, Drug Knowledge, and Drug Misuse Behaviors Among North Korean Refugees.

    abstract:PURPOSE:This study measured levels of health literacy, drug knowledge, and drug misuse behavior and analyzed the relationship among major variables related to 137 North Korean refugees who could only receive limited medical benefits owing to cultural and linguistic barriers. METHOD:The data were analyzed using descrip...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000280

    authors: Jeon JH,Lee IS

    更新日期:2020-01-01 00:00:00

  • Lifetime and Recent Experiences of Violence Among College Women.

    abstract:INTRODUCTION:Intimate partner violence (IPV) and sexual violence (SV) are serious issues for female college students. Approximately one third of women have experienced physical violence or SV in their lifetime. Female college students experience high rates of both IPV and SV. The purpose of this secondary analysis was ...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000211

    authors: Fantasia HC,Sutherland MA,Hutchinson MK

    更新日期:2018-10-01 00:00:00

  • Correlates to Increased Risk of Sexual Assault and Sexual Harassment Among LGBT+ University Students.

    abstract:BACKGROUND:Although the rates of sexual assault in general are alarming, students who identify as lesbian, gay, bisexual, transgender, queer, asexual, or pansexual, hereafter referred to as LGBT+, are even more likely to experience sexual assault. AIM:The aim of this study was to examine the correlates to sexual assau...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000284

    authors: Tilley DS,Kolodetsky A,Cottrell D,Tilton A

    更新日期:2020-04-01 00:00:00

  • Homicide bereavement: A family affair.

    abstract::Murder of a loved one typically has a tremendous impact on the family as a whole and on individual members. While it is true people often react in very similar ways following such a traumatic loss, they do not necessarily grieve in the same way or at the same time. Additionally, the murder may have a detrimental effec...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1939-3938.2005.tb00025.x

    authors: Asaro MR,Clements PT

    更新日期:2005-10-01 00:00:00

  • An Evaluation of Verbal, Physical, and Sexual Violence Against Healthcare Workers in Ankara, Turkey.

    abstract:BACKGROUND:Healthcare professionals work in high-stress, fast-paced settings where individuals from different professions work together and who are exposed to many types of violence. The phenomenon of violence has become a concern of utmost importance for healthcare professionals that should be addressed with due atten...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1097/JFN.0000000000000286

    authors: Demirci Ş,Uğurluoğlu Ö

    更新日期:2020-10-01 00:00:00

  • Enhancing effectiveness in assessing forensic nursing staff competency.

    abstract::Assessing the competency of forensic nurses is an evolving area of management practice. This article presents a performance-based model for the assessment process. Examples of competency assessment activities that can measure psychomotor skills, critical thinking, and interpersonal skills are discussed, along with a s...

    journal_title:Journal of forensic nursing

    pub_type: 杂志文章

    doi:10.1111/j.1939-3938.2007.tb00106.x

    authors: Miller PJ

    更新日期:2007-07-01 00:00:00