Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping review

Health & Justice

Research Article

João Gregório¹  Anabela Neves²  Nuno Coelho³ 

[1] Center for Research in Biosciences and Health Technologies, CBIOS. Lusófona University, Lisbon, Portugal;Instituto Nacional de Medicina Legal e Ciências Forenses (National Institute of Forensic Medicine and Forensic Science), Coimbra, Portugal;Medical and Forensic Office of North Lisbon Area, Lisbon, Portugal;Instituto de Polícia Judiciária e Ciências Criminais (Institute for Judiciary Police and Criminal Science), Loures, Portugal;Center for Research in Biosciences and Health Technologies, CBIOS. Lusófona University, Lisbon, Portugal;Health Sciences PhD Program, U Alcalá, Madrid, Spain;

关键词: Sexual abuse;    Interprofessional collaboration;    Criminal investigation;    Health professionals;   

DOI  :  10.1186/s40352-023-00235-8

 received in 2023-01-17, accepted in 2023-08-07,  发布年份 2023

来源: Springer

【 摘 要 】

Survivors of sexual abuse and their families seek help from criminal law enforcement agencies and health professionals to obtain justice and health care. Many communities have implemented multi-professional collaborative models so that the victim’s well-being is assured and the truth is established. However, there is a general lack of evidence on how to best articulate these teams with the healthcare professionals caring for the survivors.Therefore, this Scoping Review was conducted in order to analyze and to map the barriers and facilitators of the relationship between health professionals and the criminal investigation team in the care of survivors of sexual abuse. The methodology proposed by the Joanna Briggs Institute for Scoping Reviews was used, and the Bronstein five dimension model of interprofessional collaboration served as the basis for the analysis of barriers and facilitators. Quantitative, qualitative and mixed studies, primary and secondary sources, text and opinion documents were included. Content analysis was performed on the main findings of the collected studies. Twelve articles were identified and analyzed. Collaboration, communication, hierarchy, skills, confidentiality, and leadership emerged as key themes. Multidisciplinary Sexual Assault Nurse Examiner (SANE) and Sexual Assault Response Teams (SARTs) were implemented to coordinate care, but conflicting goals and values among professionals posed challenges. Communication failures and inadequate information sharing hindered collaboration. Neutral leaders who coordinate teams, minimize groupthink, and improve decision-making were found to be valuable. Engaging across disciplinary boundaries and addressing power dynamics were challenging but could be addressed through facilitation and conflict resolution. This review highlights the importance of effective collaboration and interaction within teams and with other professionals in the care of sexual abuse survivors.

【 授权许可】

CC BY   
© Springer-Verlag GmbH Germany, part of Springer Nature 2023

【 图 表 】

40517_2023_261_Article_IEq37.gif

40517_2023_261_Article_IEq34.gif

40517_2023_261_Article_IEq30.gif