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

Lesley McMillan, Deborah White

Research output: Contribution to journalArticle

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Abstract

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.
Original languageEnglish
Pages (from-to)36-51
Number of pages16
JournalSociology of Health and Illness
Volume41
Issue number1
Early online date18 Dec 2018
DOIs
Publication statusPublished - Jan 2019

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assault
nurse
Nurses
Physicians
Nurse Practitioners
physician
evidence
England
medical examination
legal process
Mental Competency
examiner
Medicine
Interviews
medicine
expert
Research
Law
interview

Keywords

  • forensic medical examination
  • rape
  • sexual assault
  • boundaries
  • medico-legal
  • doctors
  • nurses
  • gender

Cite this

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abstract = "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.",
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Boundary‐making in the medico‐legal context: examining doctor–nurse dynamics in post‐sexual assault forensic medical intervention. / McMillan, Lesley; White, Deborah.

In: Sociology of Health and Illness, Vol. 41, No. 1, 01.2019, p. 36-51.

Research output: Contribution to journalArticle

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