Boundary-making in the medico-legal context: examining doctor-nurse dynamics in post-sexual assault forensic medical intervention.

Boundary-making in the medico-legal context: examining doctor-nurse dynamics in post-sexual assault forensic medical intervention.
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医疗法律背景下的边界制定:检查性侵犯后法医医疗干预中的医生与护士的动态。

DOI:
10.1111/1467-9566.12807
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发表时间:
2019
影响因子:
2.9
通讯作者:
McMillan L
McMillan L
中科院分区:
医学2区
文献类型:
--
作者:
McMillan L

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对性侵犯的机构反应的一个关键方面是对受害者的身体进行法医检查,目的是记录、收集和证明佐证证据。通过对英格兰一个地区的法医检查员和法医护士从业人员的深入访谈,这项研究解决了现有法医-法律程序研究中的一个空白,并批判性地检查了参与这一干预的医生和护士之间关系的性质和动态。使用基于托马斯·吉林的“边界工作”概念的分析框架,我们探索了在医学和法律影响的背景下,这种历史上的性别二元关系是如何被体验和理解的。我们展示了非常明确的界限:(I)在收集和陈述医学证据方面,医生是专家,护士是非专家,(Ii)医生被等同于技术能力,护士被等同于“照顾”职责。最后,我们提出了这些职业关系对性侵犯证据、专业人员和受害者可能产生的影响。
A key dimension of the institutional response to sexual assault is the forensic medical examination of a victim's body conducted for purpose of documenting, collecting and testifying to corroborative evidence. Drawing upon in‐depth interviews with forensic examiners and forensic nurse practitioners in one region of England, this study addresses a gap in the existing research on medico‐legal processes, and critically examines the nature and dynamics of the relationship between doctors and nurses involved in this intervention. Using an analytic framework based on Thomas Gieryn's notion of ‘boundary‐work’, we explore how this historically gendered dyadic relationship is experienced and understood in a context influenced by both medicine and law. We demonstrate very clear boundaries demarcating (i) physicians as experts and nurses as non‐experts in the collection and representation of medical evidence, and, (ii) physicians as equated with technical competence and nurses with ‘caring’ duties. We conclude by positing implications that may stem from these professional relations with respect to sexual assault evidence, professionals and victims.
DOI: --
发表时间: 2005
期刊:
影响因子: --
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