Development of a New Practice Model: Postmortem Sexual Evidence Collection Forensic Examiner Multimedia Training Module

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Hdl Handle:
http://hdl.handle.net/10755/316471
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Development of a New Practice Model: Postmortem Sexual Evidence Collection Forensic Examiner Multimedia Training Module
Author(s):
Turkington-McCue, Kirsten
Additional Author Information:
Inducted member STTI. If further research discussion is warranted, please contact the author by email: kirsten.turkington@gmail.com
Advisors:
Saulpaugh, Janine; Crouch, Laura; Rasile, Karyn
Degree:
DNP
Degree Year:
2014
Grantor:
Northern Arizona University
Abstract:

The aim of this Forensic Nurse Examiner (FNE) practice improvement initiative was to design an online multimedia training module for postmortem sexual evidence collection.  FNEs, as clinical experts in antemortem sexual assault and interpersonal violence evidence collection, are uniquely qualified for the expanded role in postmortem sexual evidence collection. Current forensic literature lacks data regarding injury identification in sexual homicide victims limiting forensic training, new program development and potential advancements in forensic research.  Additionally, inconsistent data collection in sexual homicides poses prosecution concerns with identification of sexual homicides and evidentiary examinations.  Antemortem and postmortem sexual evidence collections are not identical processes; FNE expertise may not translate to understanding of critical postmortem changes and clinical evidence collection requirements in deceased patients.  A multimedia-training module on postmortem evidence collection was developed to expand the role of the FNE. A 25-item survey critiquing essential training module content was distributed to 23 nationally recognized forensic experts.  Fifteen surveys were completed and analyzed using descriptive statistics and percent agreement of four content areas.  Reviewer comments were also incorporated in the analysis.  Expert agreement regarding content was supported with statistically significant Intraclass Correlation Coefficient (ICC = .838, 95% CI = .638, .944, p < .001) and average pairwise agreements of 90.5% and 89.1% respectively.  This practice improvement initiative provides the scientific foundation for a multimedia training module as an ideal training platform to expand Forensic Nurse Examiner practice. 

Keywords:
forensic nursing; sexual evidence; homicides; postmortem; multimedia instruction; training module
MeSH:
Forensic Nursing; Autopsy
LCSH Subjects:
Evidence, Criminal
Note:
Due to the sensitive nature of this work, the attached document is under extended embargo. It appears in the Henderson Repository as part of a graduation requirement of the Northern Arizona University School of Nursing, DNP program. Please direct all inquiries to the author. Author contact information is listed in the “Additional Author Information” field above. This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2014-05-02T17:38:55Z
Date of Publication:
2014-05-02

Full metadata record

DC FieldValue Language
dc.contributor.advisorSaulpaugh, Janine-
dc.contributor.advisorCrouch, Laura-
dc.contributor.advisorRasile, Karyn-
dc.contributor.authorTurkington-McCue, Kirsten-
dc.date.accessioned2014-05-02T17:38:55Z-
dc.date.available2014-05-02T17:38:55Z-
dc.date.issued2014-05-02-
dc.identifier.urihttp://hdl.handle.net/10755/316471-
dc.description.abstract<p>The aim of this Forensic Nurse Examiner (FNE) practice improvement initiative was to design an online multimedia training module for postmortem sexual evidence collection.  FNEs, as clinical experts in antemortem sexual assault and interpersonal violence evidence collection, are uniquely qualified for the expanded role in postmortem sexual evidence collection. Current forensic literature lacks data regarding injury identification in sexual homicide victims limiting forensic training, new program development and potential advancements in forensic research.  Additionally, inconsistent data collection in sexual homicides poses prosecution concerns with identification of sexual homicides and evidentiary examinations.  Antemortem and postmortem sexual evidence collections are not identical processes; FNE expertise may not translate to understanding of critical postmortem changes and clinical evidence collection requirements in deceased patients.  A multimedia-training module on postmortem evidence collection was developed to expand the role of the FNE. A 25-item survey critiquing essential training module content was distributed to 23 nationally recognized forensic experts.  Fifteen surveys were completed and analyzed using descriptive statistics and percent agreement of four content areas.  Reviewer comments were also incorporated in the analysis.  Expert agreement regarding content was supported with statistically significant Intraclass Correlation Coefficient (<em>ICC</em> = .838, 95% <em>CI</em> = .638, .944, <em>p</em> < .001) and average pairwise agreements of 90.5% and 89.1% respectively.  This practice improvement initiative provides the scientific foundation for a multimedia training module as an ideal training platform to expand Forensic Nurse Examiner practice. </p>en_GB
dc.language.isoen_USen
dc.rightsAn error occurred on the license name.*
dc.rights.uriAn error occurred getting the license - uri.*
dc.subjectforensic nursingen_GB
dc.subjectsexual evidenceen_GB
dc.subjecthomicidesen_GB
dc.subjectpostmortemen_GB
dc.subjectmultimedia instructionen_GB
dc.subjecttraining moduleen_GB
dc.subject.lcshEvidence, Criminalen_GB
dc.subject.meshForensic Nursingen_GB
dc.subject.meshAutopsyen_GB
dc.titleDevelopment of a New Practice Model: Postmortem Sexual Evidence Collection Forensic Examiner Multimedia Training Moduleen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen_GB
thesis.degree.levelDNPen
dc.description.noteDue to the sensitive nature of this work, the attached document is under extended embargo. It appears in the Henderson Repository as part of a graduation requirement of the Northern Arizona University School of Nursing, DNP program. Please direct all inquiries to the author. Author contact information is listed in the “Additional Author Information” field above. This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsInducted member STTI. If further research discussion is warranted, please contact the author by email: kirsten.turkington@gmail.comen_GB
thesis.degree.year2014en
dc.type.categoryFull-texten_GB
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
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