The Experts below are selected from a list of 237 Experts worldwide ranked by ideXlab platform
Rebecca Campbell - One of the best experts on this subject based on the ideXlab platform.
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predicting sexual assault kit submission among adolescent rape cases treated in Forensic Nurse examiner programs
Journal of Interpersonal Violence, 2013Co-Authors: Jessica Shaw, Rebecca CampbellAbstract:Following a sexual assault, victims are usually advised to have a medical Forensic exam and sexual assault Forensic exam kit (SAK). Once completed, the SAK is to be transported by law enforcement to the crime lab for analysis. However, many kits are never transported to the crime lab, thereby preventing Forensic evidence obtained in the kit to be used during the prosecutorial process. The current study examined rates of SAK submission for 393 adolescent sexual assault cases in two Midwestern communities and explored what factors predicted law enforcement officers’ submission of SAKs to the crime lab for analysis. Findings reveal that more than 40% of the adolescent cases did not have their SAK submitted, and several factors, including the age and race of the victim, the number of perpetrators in the assault, and the number of assaultive acts, predicted SAK submission. Implications for SAK community protocols are discussed.
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Adult sexual assault survivors' experiences with sexual assault Nurse examiners (SANES)
Journal of interpersonal violence, 2011Co-Authors: Giannina Fehler-cabral, Rebecca Campbell, Debra PattersonAbstract:Sexual assault survivors often feel traumatized by the care received in traditional hospital emergency departments. To address these problems, Sexual Assault Nurse Examiner (SANE) programs were created to provide comprehensive medical care, crisis intervention, and Forensic services. However, there is limited research on the actual experiences and emotional impact of sexual assault survivors who seek treatment from SANEs. This qualitative study examined twenty rape survivors’ experiences with Forensic Nurse examiners of a Midwestern SANE program. Findings suggest that SANEs provided survivors with care and compassion, clear explanations, and choices. Taken together, these positive experiences were perceived as “humanizing”. However, some survivors perceived Forensic Nurses as hurtful when they were not provided with choices, explanation, and/or acted cold and distant. Implications for future research on SANE care and practice are discussed.
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anogenital injuries in childhood sexual abuse victims treated in a pediatric Forensic Nurse examiner fne program
Journal of Forensic Nursing, 2010Co-Authors: Rebecca Campbell, Debra Patterson, Emily R Dworkin, Renae DiegelAbstract:Medical Forensic exams for victims of childhood sexual abuse (CSA) can be a helpful resource for addressing patients' complex medical, psychological, and legal needs. These exams can be performed by physicians or Forensic Nurses to identify and treat injuries, evaluate the risk for sexually transmitted infections and pregnancy, and collect evidence. In this study, we examined CSA cases treated in a midwestern, community-based Forensic Nurse examiner (FNE) program to document rates of anogenital injury and identify what factors predict the presence of such injuries (N= 203). Overall, 39% of the cases had anogenital injury. Victims who were examined for suspected vaginal and/or anal assault were significantly more likely to have anogenital injuries, and patients examined within 24 hours of an assault were also significantly more likely to have documented injuries. Patients who were seen for vaginal and/or anal assaults and who had bathed since the assault were significantly less likely to have injury. Nurses who had less experience with pediatric medical Forensic exams were somewhat more likely to document anogenital injuries. Findings suggest that clinical pediatric practice would benefit from additional practitioner training in injury detection to avoid false positives. Language: en
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Anogenital injuries in childhood sexual abuse victims treated in a pediatric Forensic Nurse Examiner (FNE) program.
Journal of forensic nursing, 2010Co-Authors: Rebecca Campbell, Debra Patterson, Emily R Dworkin, Renae DiegelAbstract:Medical Forensic exams for victims of childhood sexual abuse (CSA) can be a helpful resource for addressing patients' complex medical, psychological, and legal needs. These exams can be performed by physicians or Forensic Nurses to identify and treat injuries, evaluate the risk for sexually transmitted infections and pregnancy, and collect evidence. In this study, we examined CSA cases treated in a midwestern, community-based Forensic Nurse examiner (FNE) program to document rates of anogenital injury and identify what factors predict the presence of such injuries (N= 203). Overall, 39% of the cases had anogenital injury. Victims who were examined for suspected vaginal and/or anal assault were significantly more likely to have anogenital injuries, and patients examined within 24 hours of an assault were also significantly more likely to have documented injuries. Patients who were seen for vaginal and/or anal assaults and who had bathed since the assault were significantly less likely to have injury. Nurses who had less experience with pediatric medical Forensic exams were somewhat more likely to document anogenital injuries. Findings suggest that clinical pediatric practice would benefit from additional practitioner training in injury detection to avoid false positives.
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a comparative study of the prosecution of childhood sexual abuse cases the contributory role of pediatric Forensic Nurse examiner fne programs
Journal of Forensic Nursing, 2009Co-Authors: Debra Patterson, Rebecca CampbellAbstract:This study used a rigorous quasiexperimental design to compare prosecution outcomes for childhood sexual abuse (CSA) cases examined in a pediatric Forensic Nurse Examiner (FNE) program (the "intervention group") (n= 95) to a comparison sample of CSA cases examined by non-FNE medical professionals prior to the inception of the FNE program (the "comparison group") (n= 54). The types of cases in the intervention and comparison groups were different such that the FNE program had significantly more cases with younger victims where it was unknown or ambiguous whether they had penetration and/or fondling. Multivariate logit modeling was used to explore what factors predict legal case outcomes. Prosecution rates were significantly higher in the FNE group as opposed to the comparison group. In addition, cases with older victims who sustained penetration were the most likely to be prosecuted. Implications for Forensic nursing practice are discussed. Language: en
Debra Patterson - One of the best experts on this subject based on the ideXlab platform.
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Adult sexual assault survivors' experiences with sexual assault Nurse examiners (SANES)
Journal of interpersonal violence, 2011Co-Authors: Giannina Fehler-cabral, Rebecca Campbell, Debra PattersonAbstract:Sexual assault survivors often feel traumatized by the care received in traditional hospital emergency departments. To address these problems, Sexual Assault Nurse Examiner (SANE) programs were created to provide comprehensive medical care, crisis intervention, and Forensic services. However, there is limited research on the actual experiences and emotional impact of sexual assault survivors who seek treatment from SANEs. This qualitative study examined twenty rape survivors’ experiences with Forensic Nurse examiners of a Midwestern SANE program. Findings suggest that SANEs provided survivors with care and compassion, clear explanations, and choices. Taken together, these positive experiences were perceived as “humanizing”. However, some survivors perceived Forensic Nurses as hurtful when they were not provided with choices, explanation, and/or acted cold and distant. Implications for future research on SANE care and practice are discussed.
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anogenital injuries in childhood sexual abuse victims treated in a pediatric Forensic Nurse examiner fne program
Journal of Forensic Nursing, 2010Co-Authors: Rebecca Campbell, Debra Patterson, Emily R Dworkin, Renae DiegelAbstract:Medical Forensic exams for victims of childhood sexual abuse (CSA) can be a helpful resource for addressing patients' complex medical, psychological, and legal needs. These exams can be performed by physicians or Forensic Nurses to identify and treat injuries, evaluate the risk for sexually transmitted infections and pregnancy, and collect evidence. In this study, we examined CSA cases treated in a midwestern, community-based Forensic Nurse examiner (FNE) program to document rates of anogenital injury and identify what factors predict the presence of such injuries (N= 203). Overall, 39% of the cases had anogenital injury. Victims who were examined for suspected vaginal and/or anal assault were significantly more likely to have anogenital injuries, and patients examined within 24 hours of an assault were also significantly more likely to have documented injuries. Patients who were seen for vaginal and/or anal assaults and who had bathed since the assault were significantly less likely to have injury. Nurses who had less experience with pediatric medical Forensic exams were somewhat more likely to document anogenital injuries. Findings suggest that clinical pediatric practice would benefit from additional practitioner training in injury detection to avoid false positives. Language: en
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Anogenital injuries in childhood sexual abuse victims treated in a pediatric Forensic Nurse Examiner (FNE) program.
Journal of forensic nursing, 2010Co-Authors: Rebecca Campbell, Debra Patterson, Emily R Dworkin, Renae DiegelAbstract:Medical Forensic exams for victims of childhood sexual abuse (CSA) can be a helpful resource for addressing patients' complex medical, psychological, and legal needs. These exams can be performed by physicians or Forensic Nurses to identify and treat injuries, evaluate the risk for sexually transmitted infections and pregnancy, and collect evidence. In this study, we examined CSA cases treated in a midwestern, community-based Forensic Nurse examiner (FNE) program to document rates of anogenital injury and identify what factors predict the presence of such injuries (N= 203). Overall, 39% of the cases had anogenital injury. Victims who were examined for suspected vaginal and/or anal assault were significantly more likely to have anogenital injuries, and patients examined within 24 hours of an assault were also significantly more likely to have documented injuries. Patients who were seen for vaginal and/or anal assaults and who had bathed since the assault were significantly less likely to have injury. Nurses who had less experience with pediatric medical Forensic exams were somewhat more likely to document anogenital injuries. Findings suggest that clinical pediatric practice would benefit from additional practitioner training in injury detection to avoid false positives.
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a comparative study of the prosecution of childhood sexual abuse cases the contributory role of pediatric Forensic Nurse examiner fne programs
Journal of Forensic Nursing, 2009Co-Authors: Debra Patterson, Rebecca CampbellAbstract:This study used a rigorous quasiexperimental design to compare prosecution outcomes for childhood sexual abuse (CSA) cases examined in a pediatric Forensic Nurse Examiner (FNE) program (the "intervention group") (n= 95) to a comparison sample of CSA cases examined by non-FNE medical professionals prior to the inception of the FNE program (the "comparison group") (n= 54). The types of cases in the intervention and comparison groups were different such that the FNE program had significantly more cases with younger victims where it was unknown or ambiguous whether they had penetration and/or fondling. Multivariate logit modeling was used to explore what factors predict legal case outcomes. Prosecution rates were significantly higher in the FNE group as opposed to the comparison group. In addition, cases with older victims who sustained penetration were the most likely to be prosecuted. Implications for Forensic nursing practice are discussed. Language: en
Mark J. Yaffe - One of the best experts on this subject based on the ideXlab platform.
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Development of skills-based competencies for Forensic Nurse examiners providing elder abuse care.
BMJ open, 2016Co-Authors: Janice Du Mont, Sheila Macdonald, Daisy Kosa, Shannon Elliot, Mark J. YaffeAbstract:Objective As a critical step in advancing a comprehensive response to elder abuse built on existing Forensic nursing-led hospital-based programmes, we developed a list of skills-based competencies for use in an Elder Abuse Nurse Examiner curriculum. Participants and setting Programme leaders of 30 hospital-based Forensic nursing-led sexual assault and domestic violence treatment centres. Primary and secondary outcome measures 149 verbatim recommendations for components of an elder abuse response were identified from a systematic scoping review. In 2 online Delphi consensus survey rounds, these components of care were evaluated by an expert panel for their overall importance to the elder abuse intervention under development and for their appropriateness to the scope of practice of an elder abuse Nurse examiner. The components retained after evaluation were translated into skills-based competencies using Bloom9s Taxonomy of Learning and, using the Nominal Group Technique, were subsequently reviewed and revised by a subset of members of the expert panel in a consensus meeting. Results Of the 148 recommendations evaluated, 119 were rated as important and achieved consensus or high level of agreement. Of these, 101 were determined to be within the scope of practice of an Elder Abuse Nurse Examiner and were translated into skills-based competencies. Following review and revision by meeting experts, 47 final competencies were organised by content into 5 metacompetencies: documentation, legal and legislative issues; interview with older adult, caregiver and other relevant contacts; assessment; medical and Forensic examination; and case summary, discharge plan and follow-up care. Conclusions We determined the skills-based competencies of importance to training Forensic Nurse examiners to respond to elder abuse in the context of a hospital-based intervention. These findings may have implications for violence and abuse treatment programmes with a Forensic nursing component that are considering the provision of a dedicated response to the abuse of older women and men.
Debra S. Holbrook - One of the best experts on this subject based on the ideXlab platform.
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connecting hispanic women in baltimore to the mercy medical center sexual assault Forensic examiners Forensic Nurse examiners program a preliminary assessment of service utilization and community awareness
Journal of Forensic Nursing, 2016Co-Authors: Margaret Adams, Sheila T Fitzgerald, Debra S. HolbrookAbstract:Sexual violence and gender-based violence represent a major public health problem causing significant negative mental, physical, and social outcomes for victims. The rapidly growing population of Hispanic women in Baltimore are both more vulnerable to sexual assault and less able to access postassault services. In an effort to assess service utilization and community awareness of the Mercy Medical Center Sexual Assault Forensic Examiners/Forensic Nurse Examiners Program, we conducted a retrospective chart review of 2,322 women who were seen by the program between 2010 and 2013 and found that only 2.5% of the women were identified as Hispanic, about half of what Baltimore City demographic data would predict. This exploratory pilot project, augmented by key informant interviews, reveals that Hispanic women are underutilizing sexual assault services. Multiple barriers exist for Hispanic women in obtaining victim services, including lack of awareness within the community that the services exist, cultural factors, language barriers, lack of awareness of legal rights, and a fear of deportation.
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Connecting Hispanic Women in Baltimore to the Mercy Medical Center Sexual Assault Forensic Examiners/Forensic Nurse Examiners Program: A Preliminary Assessment of Service Utilization and Community Awareness
Journal of Forensic Nursing, 2016Co-Authors: Margaret Adams, Sheila T Fitzgerald, Debra S. HolbrookAbstract:Sexual violence and gender-based violence represent a major public health problem causing significant negative mental, physical, and social outcomes for victims. The rapidly growing population of Hispanic women in Baltimore are both more vulnerable to sexual assault and less able to access postassault services. In an effort to assess service utilization and community awareness of the Mercy Medical Center Sexual Assault Forensic Examiners/Forensic Nurse Examiners Program, we conducted a retrospective chart review of 2,322 women who were seen by the program between 2010 and 2013 and found that only 2.5% of the women were identified as Hispanic, about half of what Baltimore City demographic data would predict. This exploratory pilot project, augmented by key informant interviews, reveals that Hispanic women are underutilizing sexual assault services. Multiple barriers exist for Hispanic women in obtaining victim services, including lack of awareness within the community that the services exist, cultural factors, language barriers, lack of awareness of legal rights, and a fear of deportation.
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use of an alternative light source to assess strangulation victims
Journal of Forensic Nursing, 2013Co-Authors: Debra S. Holbrook, Christine M JacksonAbstract:Alternative light sources (ALSs) are commonly used at crime scenes and in Forensic laboratories to collect evidence such as latent fingerprints, body fluids, hair, and fibers. This article describes the use of this technology to reveal soft tissue injuries that are not visible to the naked or unaided eye in patients who report strangulation. The value of this information to the medical, nursing, and judicial systems is discussed. The records of the 172 strangulation patients seen in our Forensic Nurse examiner program between 2009 and 2010 were reviewed. The SPEX Crimescope (SPEX Forensics, Edison, New Jersey) was used during the assessment of all of them. Ninety-three percent of the patients had no visible evidence of external injuries on physical examination. The ALS revealed positive findings of intradermal injuries in 98% of that group. Information obtained with ALS devices helps medical and nursing practitioners understand the gravity of patients' injuries, influences medical treatment decisions and follow-up care, and supports the prosecution of the perpetrators of crimes of violence. Educational programs about the application of ALS and the interpretation of its findings are valuable for medical, nursing, and other Forensic disciplines.
Renae Diegel - One of the best experts on this subject based on the ideXlab platform.
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anogenital injuries in childhood sexual abuse victims treated in a pediatric Forensic Nurse examiner fne program
Journal of Forensic Nursing, 2010Co-Authors: Rebecca Campbell, Debra Patterson, Emily R Dworkin, Renae DiegelAbstract:Medical Forensic exams for victims of childhood sexual abuse (CSA) can be a helpful resource for addressing patients' complex medical, psychological, and legal needs. These exams can be performed by physicians or Forensic Nurses to identify and treat injuries, evaluate the risk for sexually transmitted infections and pregnancy, and collect evidence. In this study, we examined CSA cases treated in a midwestern, community-based Forensic Nurse examiner (FNE) program to document rates of anogenital injury and identify what factors predict the presence of such injuries (N= 203). Overall, 39% of the cases had anogenital injury. Victims who were examined for suspected vaginal and/or anal assault were significantly more likely to have anogenital injuries, and patients examined within 24 hours of an assault were also significantly more likely to have documented injuries. Patients who were seen for vaginal and/or anal assaults and who had bathed since the assault were significantly less likely to have injury. Nurses who had less experience with pediatric medical Forensic exams were somewhat more likely to document anogenital injuries. Findings suggest that clinical pediatric practice would benefit from additional practitioner training in injury detection to avoid false positives. Language: en
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Anogenital injuries in childhood sexual abuse victims treated in a pediatric Forensic Nurse Examiner (FNE) program.
Journal of forensic nursing, 2010Co-Authors: Rebecca Campbell, Debra Patterson, Emily R Dworkin, Renae DiegelAbstract:Medical Forensic exams for victims of childhood sexual abuse (CSA) can be a helpful resource for addressing patients' complex medical, psychological, and legal needs. These exams can be performed by physicians or Forensic Nurses to identify and treat injuries, evaluate the risk for sexually transmitted infections and pregnancy, and collect evidence. In this study, we examined CSA cases treated in a midwestern, community-based Forensic Nurse examiner (FNE) program to document rates of anogenital injury and identify what factors predict the presence of such injuries (N= 203). Overall, 39% of the cases had anogenital injury. Victims who were examined for suspected vaginal and/or anal assault were significantly more likely to have anogenital injuries, and patients examined within 24 hours of an assault were also significantly more likely to have documented injuries. Patients who were seen for vaginal and/or anal assaults and who had bathed since the assault were significantly less likely to have injury. Nurses who had less experience with pediatric medical Forensic exams were somewhat more likely to document anogenital injuries. Findings suggest that clinical pediatric practice would benefit from additional practitioner training in injury detection to avoid false positives.