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* 1. Consent Information:
- I agree to take part in this research project
- I have read the Information Sheet provided and understand the purpose of this study, the procedures involved and what is expected of me.
- I understand that I will be asked questions in relation to interpersonal violence.
- The researcher has answered any questions I have had after reading the Information sheet.
- I understand that I may withdraw from participating in the project at any time without prejudice.
- I agree that any research data gathered for the study may be published provided my name or other identifying information is not disclosed.

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* 2. How long have you been practicing in the health care profession?

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* 3. What state do you practice in?

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* 4. What type of facility do you practice in?

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* 5. What is your role?

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* 6. Please tick the applicable number next to the patient type that indicates how often that patient group would present to your emergency care facility.

  0 (never) 1 (Yearly) 2 (every 2-3 months) 3 (monthly) 4 (Weekly) 5 (Daily)
Abuse of the disabled
Assault and Battery
Intentional Burns>5%
Child abuse and neglect
Domestic Violence
Elder abuse and neglect
Gang violence
Human bites
Sharp force injuries
Firearm Injuries
Victims of terrorist activity
Sexual assualt

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* 7. What aspects of identifying, collecting, preserving, or documenting evidence, do you think should be in a national interpersonal violence forensic nursing education program for emergency nurses? (You can choose more than one)

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* 8. Please provide any other content that should be included in a national forensic nursing education program.

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* 9. If staff were to be provided with an online learning program, what requirements do you believe are important for the program to be suitable for your nursing staff? Please consider access, time, and content.

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* 10. Does your department undertake routine screening for domestic violence?

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* 11. If so please describe the policy for domestic violence screening.

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* 12. Please describe any training nurses undertake to provide domestic violence screening.

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* 13. Does your department collect forensic evidence, such as clothing and hair, from patients affected by physical violence?

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* 14. If your department collects evidence, please describe the guidelines, if your department does not collect evidence, please describe why not.

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* 15. Do you think your clinical setting would benefit from utilising forensic evidence collection techniques in cases involving interpersonal violence?

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* 16. Please describe if so why? if not, why not? 

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* 17. Does your department have a forensic evidence collection kit?

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* 18. What items do you believe should be in a forensic kit? (Please tick all that apply)

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* 19. Please outline other items you think should be in a forensic kit?

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* 20. Does your department have access to forensic services for sexual assault?

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* 21. Does your department have access to forensic services for violent related presentations other than sexual assault?

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* 22. Do you believe there is good communication between the emergency care setting and forensic services?

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* 23. Please describe the communication between your health care facility and forensic services if applicable. For example, use of referrals or teleconference.

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* 24. Please provide any further comment you feel is relevant to developing a forensic nursing education package for nurses in an emergency care setting.

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* 25. Thank you for taking part in the survey, your time is appreciated.

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