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Forensic nursing is the nursing care of crime victims and people who are accused or convicted of committing crimes. The term forensic nurse came into use in 1992 after a group of about 70 sexual assault nurses met in Minneapolis and started the International Association of Forensic Nursing. Forensic nursing is defined as the application of the medicolegal aspects of health care in the scientific investigation of trauma and/or death related issues. Forensic nursing practice is as old as the interface between the legal and health care systems and has been considered a subspecialty of nursing since 1995.

Forensic Nursing Practice

Clinical forensic nurses do many of the same things other nurses do: conduct health interviews, perform physical assessments, conduct medical tests, collect specimens, help people manage crises, document information, and prevent problems. Unlike other nurses, however, forensic nurses are involved with the patient specifically because there is an interface between the health care and legal systems, and that influences what the nurses do. For instance, a forensic nurse may collect specimens, an ordinary nursing function. Specimen collection becomes a forensic function when the specimens come from a suspect in a reported sexual assault. In the same way, forensic psychiatric nurses may use the familiar tools to evaluate mental status, but the information may be used in court rather than in a discharge planning conference.

Forensic nurse researchers add to the body of scientific knowledge that supports forensic nursing practice, education, and administration. The National Institute of Nursing Research has funded over 40 violence-related research studies since 2001, most focusing on sexual violence or interpersonal violence. Forensic nurse education is provided in 32 master's and post-master's certificate programs nationwide, 13 of which are offered exclusively online. Forensic nurse administrators manage Sexual Assault Nurse Examiner programs in every state in the United States, some of which also incorporate services to victims of domestic violence.

The Forensic Nursing Workplace

Forensic nurses work in hospitals and clinics, just like other nurses do. The difference is that the hospital might be in a prison, or the clinic might be in a jail. Forensic nurses who are death investigators go to crime scenes. Forensic psychiatric nurses work in mental health facilities and advocacy organizations. Sexual assault nurse examiners work in hospital emergency departments and freestanding clinics.

Forensic nursing is a role rather than a job description, so forensic nursing principles are useful in any setting. If, for example, a nurse is focused on intimate partner violence and its effect on women and children, he or she might work in a prenatal or pediatric clinic. Legal nurse consultants help both the prosecution and defense in their search for truth and justice; they often own their own businesses and may have additional training as attorneys or paralegals.

LouanneLawson

Further Readings

BenakL.Forensic nursing: A global response to crime, violence and trauma. On the Edge12(2006). (4)9–10.
LynchV. A.Forensic aspects of health care: New roles, new responsibilities. Journal of Psycho social Nursing31(1993). 5–6.
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