As a graduate forensic nurse examiner, I am researching challenges and barriers to having patients providing responses to surveys. Almost all hospital systems, healthcare professionals provide opportunities for measuring the effectiveness and impact of the patient experience. Forensic nurse examiners are no exception. However, antidotally, we have a poor response to the survey questions we provide our clients. I am curious as to the reason why. Is it because of the nature of FNE interactions with clients? Is it the neurobiological impact of trauma that adversely influences clients' responses to surveys? Is it the very nature of the questions or the timing of the surveys that act as a deterrent to a higher response to the surveys? Any ideas you all may have would be greatly appreciated and your comments would be invaluable in shaping the research problem.
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November 2019 - April 2023
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Barb,
Agree with your comments and not sure if there is an appropriate time frame to do s/p exam surveys. Haven't found any research regarding s/p trauma surveys to guide the search. Will keep looking. Maybe, we may have to develop our own based on evidence based practices. More on this later.
Rod,
Agree we stopped during that years ago. We didn't think it was appropriate at the time of the exam asking them to "critique the care" as they were already going through so much at the time. I had one patient tell the prosecutor she had no recollection of the exam. She talked freely during the exam, she was pleasant, receptive to recommended care but weeks later meeting with prosecutor she said she didn't remember the exam. So they are pretty traumatized. I do wish there was a way to have a measurable outcome of our care.
Barb
Just a couple thoughts: I feel like health care has become so commercialized surveys may affect the patients perception of the forensic nurse examiners authenticity. Also, I have found explaining what I am going to do with this data collected assists them to understand what is being done with the data and how this can help me to do my job better to serve others in the future. I don't ever want the patient to feel as though they are just another number but rather that their survivor hood carries meaning and it starts by either reinforcing or re-evaluating the approach taken by the healthcare team. Victims of intentional or unintentional violence may also be in "survival" mode making it extremely difficult to reflect on ones experience to provide an adequate response.
I think you are on to something and am interested to read or review what you come up with!
This is been my experience as well even if you give the a stamp to mail it back. We even tried having them fill it out before they left. Anxious to hear waht others have to say...