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

Abstract 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 est...

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Main Authors: Nuno Coelho, Anabela Neves, João Gregório
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Health & Justice
Subjects:
Online Access:https://doi.org/10.1186/s40352-023-00235-8
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author Nuno Coelho
Anabela Neves
João Gregório
author_facet Nuno Coelho
Anabela Neves
João Gregório
author_sort Nuno Coelho
collection DOAJ
description Abstract 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.
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spelling doaj.art-aa2066f49fcc469cac343b8e4e5ef0a32023-11-19T12:41:55ZengBMCHealth & Justice2194-78992023-08-0111111110.1186/s40352-023-00235-8Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping reviewNuno Coelho0Anabela Neves1João Gregório2Instituto de Polícia Judiciária e Ciências Criminais (Institute for Judiciary Police and Criminal Science)Instituto Nacional de Medicina Legal e Ciências Forenses (National Institute of Forensic Medicine and Forensic Science)Center for Research in Biosciences and Health Technologies, CBIOS. Lusófona UniversityAbstract 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.https://doi.org/10.1186/s40352-023-00235-8Sexual abuseInterprofessional collaborationCriminal investigationHealth professionals
spellingShingle Nuno Coelho
Anabela Neves
João Gregório
Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping review
Health & Justice
Sexual abuse
Interprofessional collaboration
Criminal investigation
Health professionals
title Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping review
title_full Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping review
title_fullStr Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping review
title_full_unstemmed Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping review
title_short Physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse: a scoping review
title_sort physicians and nurses professional relationship with criminal investigation in dealing with survivors of sexual abuse a scoping review
topic Sexual abuse
Interprofessional collaboration
Criminal investigation
Health professionals
url https://doi.org/10.1186/s40352-023-00235-8
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