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Title Emergency Department Nursing Psychological Care (Early Crisis Intervention) for Adult Victims of Violent Crime: A Quantitative Study
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Publication Date
Degree PhD
Discipline/Department Nursing
Degree Level doctoral
University/Publisher Duquesne University
Abstract Recognition of the significance of early interventions and the importance of addressing psychological trauma for the victim of violence is of utmost importance for quality of life and the victim’s future. The serious impact of psychological trauma on victims of violent crime supports further study to determine whether Emergency Department (ED) nurses assess this trauma and initiate early interventions and referral for ongoing psychological care. Nursing care, assessment and early intervention with victims of violent crime was the focus of this dissertation study. A quantitative study, with a non-experimental, descriptive design employed retrospective chart reviews to determine whether ED nurses documented psychological trauma assessment and/or early intervention care for adult trauma victims of violent crime. With convenience sampling, charts were reviewed to abstract data from emergency department records, nursing notes of adult survivors of violent crime. The Triage Assessment Scale (TAS) served to guide the data collection. Descriptive and inferential statistics were used to analyze the data abstracted from emergency department nursing notes. The data analysis identified documented physical assessment and limited psychological assessment and referral, findings that are consistent and supported by previous research. Further research is needed to explore ED nursing care related to psychological assessment and early intervention for all victims of violent crime. Existing nursing research primarily focuses on victims of interpersonal violence and forensic nursing care. A need for the development of protocol and charting formats that support this care is identified in these research findings as an ongoing concern for ED nurses and victims of violent crime. The time for development of nursing early intervention protocols for care for all ED survivors of violent crime is now. The urgency and risks for these victims are too high to not address their psychological needs with a holistic approach in ED nursing care.
Subjects/Keywords Victims; Violent Crime; Post Traumatic Stress Disorder (PTSD); Resilience; Early Interventions; Emergency Department Nursing Care of Victims of Violent Crime; Medicine and Health Sciences; Nursing; Other Nursing; Psychiatric and Mental Health Nursing
Contributors L. Kathleen Sekula; Richard Zoucha; Joan Padgett; Douglas Darbro
Language en
Rights Immediate Access
Country of Publication us
Record ID oai:dsc.duq.edu:etd-2811
Repository duquesne
Date Retrieved
Date Indexed 2020-04-26
Created Date 2019-08-10 07:00:00

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Emergency Department Nursing Care of Victims of Violent Crime ........................ 32 Conceptual Cross-Comparison of Crisis Intervention Theory with Nursing Theories, SANE Model, and the ED Nurse Role…

…Green & Roberts, 2008), victims of violent crime are identified as a growing population seeking care in emergency departments (Department of Justice [DOJ], 2013). Because of the prevalence of violence in our society, nurses…

…frequently care for victims (American Association of Colleges of Nursing, 1999). The emergency department (ED) is often the initial point of entry for care provided to victims of violence (Fulton & Assid, 2006). The ED nurse can…

…be a vital link between the victim and care including early interventions as well as supportive resources that could 1 influence health outcomes and resilience (Emergency Nurses Association [EMA], 2014). In addition to caring for…

…that includes psychological care for all victims of violent crime, gaps in the literature exist specific to emergency department nursing early intervention practice. Understanding whether emergency nurses assess the psychological needs of adult victims…

…intervention care. ED nurses are in a key position to assess the actual and potential risk of psychological trauma with victims of violent crime (McBrearty, 2011). Holistic nursing care for all victims, beyond the established emergency forensic…

…protocols for interpersonal violence, would benefit the increasing numbers of victims of violent crime seeking emergency care. This is an opportunity for nursing evidence to advance understanding and practice strategies for individuals in adverse life…

…This nursing research can support empirical evidence for Emergency Department nurses who care for all victims of violent crimes. 3 Chapter 2 Literature Review Introduction This literature review will focus on the timing of early crisis intervention…

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