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A Practical Guide to Prevention for Forensic Nursing

Trujillo, Angelia C. DNP, MS, RN, SANE-A, SANE-P; Delapp, Tina D. EdD, RN, FAAN; Hendrix, Thomas J. PhD, RN

doi: 10.1097/JFN.0000000000000018
Original Articles

ABSTRACT Interpersonal violence (IPV) is a pervasive issue across the United States, affecting one in five women and costing the nation up to $750 billion per year in additional healthcare spending. Prevention of IPV by forensic nurses may be an underrecognized and underutilized activity as forensic nursing emphasizes collection of evidence and provision of acute care to victims of violence. The “Upstream Adage” parable has been used to identify activities that can be applied to the care of victims. Forensic nurses can expand their practice activities into an “upstream” focus by targeting communities and individuals at different levels of risk and participating in key interventions before violence occurs. The role for forensic nurses to inform, participate, and implement primary, secondary, and tertiary prevention activities can have positive influences on the problem of IPV that extends well beyond the provision of direct care.

Author Affiliation: University of Alaska Anchorage.

The authors declare no conflict of interest.

Correspondence: Angelia C. Trujillo, DNP, MS, RN, SANE-A, SANE-P, University of Alaska Anchorage, 3211 Providence Dr., HSB 317, Anchorage, AK 99508. E-mail:

Received September 18th; accepted for publication December 4, 2013.

© 2014 by the International Association of Forensic Nurses. All rights reserved.