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Vloga medicinske sestre na urgenci v forenzičnih preiskavah : presečna anketna raziskava
Gros, Tina (Author), Pahor, Majda (Mentor) More about this mentor... This link opens in a new window, Herman, Simon (Co-mentor)

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Abstract
Uvod: V preiskavah prometnih nesreč ali nasilnih dogodkov so potrebni podatki o psihofizičnem stanju poškodovancev, zato je sodelovanje preiskovalcev in zdravstvenih delavcev pomembno. Namen: V teoretičnem delu smo predstavili področja medpoklicnega sodelovanja medicinskih sester in policistov/kriminalistov. V empiričnem delu smo želeli pridobiti podatke o znanju urgentnih medicinskih sester na področju prepoznavanja in postopanja z materialnimi dokazi ter oceniti trenutno sodelovanje urgentnih enot in policije v primerih, ko se zaradi interesov preiskave pojavi potreba po sodelovanju. Metode dela: Anketne vprašalnike smo posredovali medicinskim sestram v petih bolnišničnih urgentnih enotah in kriminalistom v osmih policijskih upravah. Odgovore sodelujočih poklicnih skupin smo primerjali med seboj. Rezultati: Medicinske sestre in kriminalisti veliko sodelujejo, najpogosteje osebno in preko telefonske linije. Medicinske sestre ocenjujejo sodelovanje s kriminalisti bolj pozitivno kot kriminalisti, ki so v večji meri mnenja, da se pri medsebojnem sodelovanju srečujejo s stereotipnimi predstavami. Glede jasnosti navodil in usmeritev za delo z oblačili, obutvijo poškodovancev in nevarnimi predmeti skupini nimata enakega mnenja, se pa strinjata, da so navodila najbolj jasna za obravnavo žrtev posilstev. Obe skupini vesta, kakšni so pravilni postopki ravnanja z oblačili pacientov, ki so zabodeni ali ustreljeni v predel trupa, prav tako dobro poznata sistem odvzema krvi in urina po odredbi. Pri ravnanju s tujki samo tretjina respondentov ve, kakšen je popolnoma pravilen postopek. Višje kot je znanje posamezne poklicne skupine, višje ocenjuje svoje poznavanje postopkov pri urgentni zdravstveni oskrbi, obe pa dobro ocenjujeta lastno poznavanje postopkov. Kriminalisti v višjem deležu ocenjujejo, da so znanja s področja zbiranja in preučevanja materialnih sledov pomembna. Višje tudi ocenjujejo potrebo po natančnih pisnih navodilih za ravnanje zdravstvenega osebja pri forenzičnih preiskavah, čeprav medicinske sestre v večji meri ocenjujejo, da uničijo forenzične sledove med urgentnimi postopki. V mnenju o možnostih za vzporedno izvajanje postopkov se anketirana profila ne razlikujeta – oba menita, da ti postopki lahko potekajo vzporedno. Medicinske sestre menijo, da bi sodelovanje med profiloma najbolj izboljšala pisna navodila za skupna področja, kriminalisti pa, da bi k izboljšanju najbolj pripomogla neformalna druženja. Razprava in zaključek: Medicinske sestre in kriminalisti pri svojem delu dobro sodelujejo, vendar bi potrebovali skupna navodila in protokole za delo.

Language:Slovenian
Keywords:medicinska sestra, urgenca, kriminalist, forenzična preiskava
Work type:Master's thesis/paper (mb22)
Organization:ZF - University College of Health Studies
Year:2017
COBISS.SI-ID:5274219 Link is opened in a new window
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Downloads:635
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Secondary language

Language:English
Title:The role of emergency nurse in forensic investigations : cross-sectional survey study
Abstract:
Introduction: When investigating traffic accidents and violent incidents the authorities need information about the psychophysical condition of the victims, therefore it is important the investigators and healthcare personnel cooperate effectively. Purpose: The theoretical part introduces the area of interprofessional relationships of nurses and the police officers/detectives. For the empirical part we obtained the data on the knowledge among emergency nurses regarding recognising and handling of material evidence, and evaluated the current cooperation of emergency units and the police in the cases where the investigation requires it. Methods of work: The questionnaires were distributed among the nurses in five hospital emergency departments and among detectives in eight police directorates. We compared their replies. Results: Nurses and detectives cooperate on numerous occasions, most often face to face and over the telephone. The nurses evaluated the cooperation more favourably than the detectives, who were to a larger degree of the opinion, that they are facing stereotypes in this kind of environment. The groups differ in the opinion as to the clarity of the instructions and guidelines for the handling of victims' clothes and shoes, and dangerous objects; however, they agree that the instructions are the clearest for the victims of rape. Both groups know the correct procedures for handling the clothes of patients, who are stabbed or shot in the torso, they also know the procedures for taking blood and urine samples. In handling foreign objects only a third of respondents knows the only correct procedure. The higher the knowledge of each group of professionals, the higher they evaluate their knowledge of procedures in emergency healthcare. Both groups feel they know the procedures well. There is a higher percentage of detectives who see the knowledge of proper collection and study of material traces as important. They also put much more importance on the need for accurate written instructions for the procedures of the healthcare staff in forensic examination, although more nurses estimated that they destroy forensic evidence during emergency procedures. Regarding the option of simultaneously carrying out the procedures, the groups do not differ – both believe that these procedures can be carried out side by side. Nurses believe that cooperation between the groups could be improved by written instructions for the common areas, while detectives believe that improvement could be best achieved in informal meetings. Discussion and conclusion: Nurses and detectives cooperate well, but would need common instructions and protocols.

Keywords:nurse, emergency department, detective, forensic investigation

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