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題名:急診室醫護人員對親密伴侶暴力被害人之照護與採證—刑事護理學的觀點
作者:黃貞觀
作者(外文):Huang Chen-Kuan
校院名稱:中央警察大學
系所名稱:犯罪防治研究所
指導教授:張維敦、林裕順
學位類別:博士
出版日期:2015
主題關鍵詞:親密伴侶暴力急診驗傷採證刑事護理學急診照護需求Intimate partner violenceforensic wound examination and evidence collection in the emergency departmentforensic nursinghealth care needs in the emergency department
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急診醫護專業人員在照顧親密伴侶暴力被害人時擔任覺察者與評估者(發現潛在個案)、服務者及諮詢者(安全及隱私環境、提供社會及法律資源)、教育者(建立自我保護知識、預警系統、脫離暴力技巧)及管理者(完整身體檢查評估、新舊傷口拍照存證)等角色。本研究目的,期望藉由刑事護理學的觀點,從被害人、護理人員、司法層面相關人員(警察及鑑識人員)角度剖析急診照護與採證作為,並提出相關建議。
本研究方法係透過系統性文獻回顧、問卷調查法、準實驗設計法及深度訪談法等方法,企圖描繪急診室醫護人員對親密伴侶暴力被害人之照護與採證現況,並以刑事護理學的觀點提出急診照護與採證策進作為。本研究主要結果發現:
1. 大多數醫務工作者缺乏犯罪學相關知識及諮商與衛教技能,刑事護理專業領域有助於提供被害者完整與合乎法律訴訟流程的照護。
2. 親密伴侶暴力被害人的主要期待為:縮短就醫時間、設置安全隱密的檢查環境、提供完整驗傷診斷書。
3. 針對刑事護理學課程介入對護生之影響,在職學生優於在學生,主要在於對刑事護理認知及提供個案照顧能力部分。
4. 司法人員對親密伴侶暴力防治工作及急診驗傷採證作為需求四項主題觀點,包含標準作業程序、醫護人員專業角色不可替代、精緻偵查及醫護人員應加入通報及網絡等需求觀點。
本研究論述重點著重於刑事護理相關概念陳述,研究限制於時間與研究主題,僅探討與刑事護理相互關聯角色,包含:被害者、醫護及司法人員等在急診照護與驗傷採證作為需求觀點,並藉由文獻回顧與系統性文獻分析提出相關策進作為之建議。
The roles that emergency healthcare professionals play when providing care for victims of intimate partner violence include that of perceivers and evaluators (identifying potential cases), service providers and consultants (providing a safe and private environment and offering social and legal resources), educators (enabling victims to obtain self-protection knowledge, develop an early warning system, and teach skills for averting violence), and managers (conducting comprehensive physical examination and assessment and photographing previous and recent wounds as evidence). The purpose of this study is to analyze, from a forensic nursing perspective, the health care and evidence collection actions in emergency rooms by examining victims, nurses, and relevant personnel at the judicial level (police officers and forensic officers). Recommendations are provided based on the results of this study. The research methods employed in this study comprise systematic literature review, questionnaire survey, comparative study, and qualitative study. The results of this study show:
1. The majority of medical workers lack criminology knowledge as well as consultation and health education skills. Professional knowledge on forensic nursing is beneficial for providing victims with comprehensive health care that complies with litigation processes.
2. The main expectations held by victims of intimate partner violence are shortening the time of medical treatment, providing a safe and private examination environment, and issuing a complete medical certificate.
3. Introducing forensic nursing courses to nursing programs has a greater influence on on-the-job nursing students than full-time students. Specifically, the knowledge of forensic nursing and the ability to provide healthcare services to victims improved more considerably among on-the-job nursing students.
4. Judicial officers have the following main views regarding the needs in intimate partner violence prevention and the forensic wound examination and evidence collection in emergency rooms: standard operating procedures, the irreplaceability of professional roles, prudent investigation, and the priority of developing a reporting and networking system for violence prevention.
The focus of this study is introducing relevant concepts of forensic nursing. Limited by time and the research topics, we only explored roles relating to forensic nursing, including the needs of victims, healthcare professionals, and judicial officers in emergency health care and forensic wound examination and evidence collection. Based on a literature review and systematic literature analysis, we offer recommendations for making improvements.
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