Evidence-based forensic nursing practice: benefits and challenges.
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Biomedical subjects
Publications and source records attributed to Louanne Lawson.
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The Central Arkansas Veterans Healthcare System (CAVHS) spends $1 million annually on occupational illnesses and injuries. To address the problem of injuries among hospital employees, a retrospective case-control study was conducted to examine select risk factors for work-related injuries (WRI) among CAVHS employees. Study methods included a review of employee health charts and computer and manual databases from 1997 to 2002 (N = 2,050). The researchers found that WRI increased with age; WRI occurred more often in women than in men; WRI was greater among maintenance and custodial staff compared to direct caregivers, and less among clerical staff; WRI occurred less often in part-time than full-time staff; and WRI increased with increasing body mass index. Developing standards, guidelines, and policies for preplacement screening, preventive measures, training, and education may help to minimize WRI and associated costs.
In this retrospective case-control study, researchers examined risk factors for four types of work-related injury (WRI) in hospital employees. Data were collected from employee health charts and computer databases (N = 2050) and analyzed using logistic regression. Study results showed that strain injuries were related to increased age, increased body mass index (BMI), and maintenance, custodial, and direct-caregiver employment types. Repetitive motion injuries were related to increased BMI and clerical and custodial employment types. Exposure/reaction injuries were related to increased age, increased BMI, and maintenance, custodial, and direct-caregiver employment types. Contact/assault injuries were related to increased age, increased BMI, and maintenance, custodial, and direct-caregiver employment types. All injury types were most often related to female gender and full-time employment status. Reformulating policies to improve screening, prevention, and education for those at risk for certain injury types may limit WRI occurrences and costs.
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Child sexual abusers' descriptions of their thoughts, behaviors, and relationships were identified by reviewing qualitative research studies published between 1982 and 2001. Offenders used cognitive distortions to meet personal needs, protect themselves from aversive self-awareness, and overcome internal inhibitions against engaging children in sexual activity. Offenders carefully groomed their victims by systematically separating them from their families and peers and socializing them into sexual relationships. Specific cognitive and behavioral processes were used to translate sexual arousal into offending behavior. Offenders justified the abuse by making excuses and redefining their actions as love and mutuality. Throughout the process, offenders exploited the power imbalance inherent in all adult-child relationships. The participants in these studies provided a unique perspective on child sexual abuse that can be used to help victims cope, guide treatment development and evaluation, and suggest new questions for future research.