Front-line health professionals' recognition and responses to nonfatal strangulation events: An integrative review.

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dc.citation.issue4
dc.citation.volume79
dc.contributor.authorDonaldson AE
dc.contributor.authorHurren E
dc.contributor.authorHarvey C
dc.contributor.authorBaldwin A
dc.contributor.authorSolomon B
dc.coverage.spatialEngland
dc.date.accessioned2023-08-21T21:21:47Z
dc.date.accessioned2023-09-04T01:41:40Z
dc.date.available2023-02-22
dc.date.available2023-08-21T21:21:47Z
dc.date.available2023-09-04T01:41:40Z
dc.date.issued2023-04
dc.date.updated2023-08-21T08:34:18Z
dc.description.abstractAIM: The aim of this study was to determine how front-line health professionals identify and manage nonfatal strangulation events. DESIGN: Integrative review with narrative synthesis was conducted. DATA SOURCES: A comprehensive database search was conducted in six electronic databases (CINAHL, Wed of Science, DISCOVER, SCOPUS, PubMed and Scholar) resulting in 49 potentially eligible full texts, reduced to 10 articles for inclusion after exclusion criteria were applied. REVIEW METHODS: An integrative review was undertaken in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement guidelines. Data were extracted, and a narrative synthesis using Whittemore and Knafl (2005) framework was undertaken to determine how front-line health professionals identify and manage nonfatal strangulation events. RESULTS: The findings identified three main themes: an overall failure by health professionals to recognize nonfatal strangulation, a failure to report the event and a failure to follow up on victims after the event. Stigma and predetermined beliefs around nonfatal strangulation, along with a lack of knowledge about signs and symptoms, were the salient features in the literature. CONCLUSION: Lack of training and fear of not knowing what to do next are barriers to providing care to victims of strangulation. Failure to detect, manage and support victims will continue the cycle of harm through the long-term health effects of strangulation. Early detection and management of strangulation are essential to prevent health complications, particularly when the victims are exposed to such behaviours repeatedly. IMPACT: This review appears to be the first to explore how health professionals identify and manage nonfatal strangulation. It identified the significant need for education and robust and consistent screening and discharge policies to assist health providers of services where victims of nonfatal strangulation attend. NO PATIENT OR PUBLIC CONTRIBUTION: This review contains no patient or public contribution since it was examining health professionals' knowledge of identifying nonfatal strangulation and the screening and assessment tools used in clinical practice.
dc.format.extent1290-1302
dc.identifierhttps://www.ncbi.nlm.nih.gov/pubmed/36811201
dc.identifier.citationDonaldson AE, Hurren E, Harvey C, Baldwin A, Solomon B. (2023). Front-line health professionals' recognition and responses to nonfatal strangulation events: An integrative review.. J Adv Nurs. 79. 4. (pp. 1290-1302).
dc.identifier.doi10.1111/jan.15601
dc.identifier.eissn1365-2648
dc.identifier.elements-typejournal-article
dc.identifier.harvestedMassey_Dark
dc.identifier.issn0309-2402
dc.identifier.urihttp://hdl.handle.net/10179/20000
dc.languageeng
dc.relation.isPartOfJ Adv Nurs
dc.rightsCC BY-NC 4.0en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/en_US
dc.subjectchoking
dc.subjectintegrated review
dc.subjectintimate partner violence
dc.subjectnonfatal strangulation
dc.subjectnurse
dc.subjectnursing
dc.subjectprofessional dangerousness
dc.subjectHumans
dc.subjectHealth Personnel
dc.subjectAsphyxia
dc.titleFront-line health professionals' recognition and responses to nonfatal strangulation events: An integrative review.
dc.typeJournal article
pubs.elements-id459993
pubs.organisational-groupCollege of Health
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