Forensic Nursing Survey for Health Professionals Question Title * 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. Yes No OK Question Title * 2. How long have you been practicing in the health care profession? <5 6-10 11-15 16-20 21-25 26-30 30+ OK Question Title * 3. What state do you practice in? Australian Capital Territory Queensland New South Wales Northern Territory South Australia Tasmania Victoria Western Australia Other (please specify) OK Question Title * 4. What type of facility do you practice in? Metropolitian Remote Rural OK Question Title * 5. What is your role? Registered Nurse Clinical Nurse Clinical Nurse Consultant Nurse Educator Nursing (other than listed) Nursing Management Medical OK Question Title * 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 Abuse of the disabled 0 (never) Abuse of the disabled 1 (Yearly) Abuse of the disabled 2 (every 2-3 months) Abuse of the disabled 3 (monthly) Abuse of the disabled 4 (Weekly) Abuse of the disabled 5 (Daily) Assault and Battery Assault and Battery 0 (never) Assault and Battery 1 (Yearly) Assault and Battery 2 (every 2-3 months) Assault and Battery 3 (monthly) Assault and Battery 4 (Weekly) Assault and Battery 5 (Daily) Intentional Burns>5% Intentional Burns>5% 0 (never) Intentional Burns>5% 1 (Yearly) Intentional Burns>5% 2 (every 2-3 months) Intentional Burns>5% 3 (monthly) Intentional Burns>5% 4 (Weekly) Intentional Burns>5% 5 (Daily) Child abuse and neglect Child abuse and neglect 0 (never) Child abuse and neglect 1 (Yearly) Child abuse and neglect 2 (every 2-3 months) Child abuse and neglect 3 (monthly) Child abuse and neglect 4 (Weekly) Child abuse and neglect 5 (Daily) Domestic Violence Domestic Violence 0 (never) Domestic Violence 1 (Yearly) Domestic Violence 2 (every 2-3 months) Domestic Violence 3 (monthly) Domestic Violence 4 (Weekly) Domestic Violence 5 (Daily) Elder abuse and neglect Elder abuse and neglect 0 (never) Elder abuse and neglect 1 (Yearly) Elder abuse and neglect 2 (every 2-3 months) Elder abuse and neglect 3 (monthly) Elder abuse and neglect 4 (Weekly) Elder abuse and neglect 5 (Daily) Gang violence Gang violence 0 (never) Gang violence 1 (Yearly) Gang violence 2 (every 2-3 months) Gang violence 3 (monthly) Gang violence 4 (Weekly) Gang violence 5 (Daily) Human bites Human bites 0 (never) Human bites 1 (Yearly) Human bites 2 (every 2-3 months) Human bites 3 (monthly) Human bites 4 (Weekly) Human bites 5 (Daily) Sharp force injuries Sharp force injuries 0 (never) Sharp force injuries 1 (Yearly) Sharp force injuries 2 (every 2-3 months) Sharp force injuries 3 (monthly) Sharp force injuries 4 (Weekly) Sharp force injuries 5 (Daily) Firearm Injuries Firearm Injuries 0 (never) Firearm Injuries 1 (Yearly) Firearm Injuries 2 (every 2-3 months) Firearm Injuries 3 (monthly) Firearm Injuries 4 (Weekly) Firearm Injuries 5 (Daily) Victims of terrorist activity Victims of terrorist activity 0 (never) Victims of terrorist activity 1 (Yearly) Victims of terrorist activity 2 (every 2-3 months) Victims of terrorist activity 3 (monthly) Victims of terrorist activity 4 (Weekly) Victims of terrorist activity 5 (Daily) Sexual assualt Sexual assualt 0 (never) Sexual assualt 1 (Yearly) Sexual assualt 2 (every 2-3 months) Sexual assualt 3 (monthly) Sexual assualt 4 (Weekly) Sexual assualt 5 (Daily) OK Question Title * 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) Domestic Violence Screening Initial sexual assault evidence collection, until arrangements are made for a forensic sexual assault examination (e.g. collection of first pass urine) Physical evidence collection (clothes, hair, sheets, fibres) including how to collect them and label them with date/time, patient name, collectors name, and signature Chain of Evidence for collected items Injury documentation Management of an unexpected death Forensic patient identification, and intiating proper resources Management of contraband Other, please see below question 8 OK Question Title * 8. Please provide any other content that should be included in a national forensic nursing education program. OK Question Title * 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. OK Question Title * 10. Does your department undertake routine screening for domestic violence? Yes No N/A OK Question Title * 11. If so please describe the policy for domestic violence screening. OK Question Title * 12. Please describe any training nurses undertake to provide domestic violence screening. OK Question Title * 13. Does your department collect forensic evidence, such as clothing and hair, from patients affected by physical violence? Yes No N/A OK Question Title * 14. If your department collects evidence, please describe the guidelines, if your department does not collect evidence, please describe why not. OK Question Title * 15. Do you think your clinical setting would benefit from utilising forensic evidence collection techniques in cases involving interpersonal violence? Yes No NA OK Question Title * 16. Please describe if so why? if not, why not? OK Question Title * 17. Does your department have a forensic evidence collection kit? Yes No N/A OK Question Title * 18. What items do you believe should be in a forensic kit? (Please tick all that apply) Clothing bags Labels Scissors Sterile containers Rubber tipped forceps Pen Ruler Chain of Custody form Swabs Sterile water Other OK Question Title * 19. Please outline other items you think should be in a forensic kit? OK Question Title * 20. Does your department have access to forensic services for sexual assault? Yes No N/A OK Question Title * 21. Does your department have access to forensic services for violent related presentations other than sexual assault? Yes No N/A OK Question Title * 22. Do you believe there is good communication between the emergency care setting and forensic services? Yes No N/A OK Question Title * 23. Please describe the communication between your health care facility and forensic services if applicable. For example, use of referrals or teleconference. OK Question Title * 24. Please provide any further comment you feel is relevant to developing a forensic nursing education package for nurses in an emergency care setting. OK Question Title * 25. Thank you for taking part in the survey, your time is appreciated. OK DONE