Date of Award

2008

Degree Name

Doctor of Philosophy (PhD)

Schools and Centres

Nursing and Midwifery

First Supervisor

Professor Selma Alliex

Abstract

The results of violence are a major public health problem that infiltrates hospital emergency departments (ED) daily. Often, ED nurses are the first healthcare professionals to see patients, speak with family members, handle personal property and collect laboratory specimens. Such actions can be of extreme importance to the 27 different categories of forensic patients. To adequately address forensic patient issues, ED nurses need exposure to forensic education. The aim of this research was to develop and evaluate the effectiveness of a clinical forensic education package on ED nurses’ perceptions, knowledge and care of forensic patients. To accomplish this aim, this descriptive research study employed a multiple triangulation methodology design. Additionally, theoretical guidance was sought from Bandura’s (1977) Social Cognitive Theory, Malcolm Knowles (1980) Adult Learning Principles and Lynch’s (1990) forensic nursing integrated practice model. Forty nine treatment and control group nursing participants were recruited from two metropolitan Western Australian hospitals. In addition, 22 forensic and hospital stakeholders from 10 specialty areas were interviewed to explore and identify key forensic issues that confront Western Australian healthcare and forensic professionals. Data was obtained from qualitative and quantitative means which included; semi-structured interviews, policy manual reviews, audits of nursing documentation, pre and post-test questionnaires, focus group interviews, and the researcher’s observations. Data analysis indicated that the forensic educational package significantly increased participant’s forensic nursing knowledge by 23.8%. In addition, data indicated that treatment group participants altered their documentation and clinical practices as a result of attending the forensic intervention workshops. The study results suggest that a nurse focused approach can be an effective strategy to address the complex issues violence brings into the healthcare system by improving forensic knowledge, influencing nursing practice, and altering participant perceptions regarding forensic patient care. Moreover, this study identified gaps in the amount and variety of available forensic educational material for nurses. As a result, a clinical forensic nursing self directed learning package was developed which aimed at fulfilling general forensic educational needs for all Registered Nurses across Australia and International settings.

Michel_2008_Title_Abstract.pdf (103 kB)
Title_Abstract

Michel_2008_Chapter1.pdf (109 kB)
Chapter 1 Introduction

Michel_2008_Chapter2.pdf (211 kB)
Chapter 2 Literature Review

Michel_2008_Chapter3.pdf (367 kB)
Chapter 3 Methodology

Michel_2008_Chapter4.pdf (235 kB)
Chapter 4 Replication of 27 Categories

Michel_2008_Chapter5.pdf (434 kB)
Chapter 5 Analysis of Data

Michel_2008_Chapter6.pdf (145 kB)
Chapter 6 Discussion of Findings

Michel_2008_Chapter7.pdf (97 kB)
Chapter 7 Implications of Findings

Michel_2008_References.pdf (150 kB)
References

Michel_2008_Appendices.pdf (587 kB)
Appendix