5
Involvement in gross human rights violations
A significant number [21%] of the sample knew of health professionals who had participated in
torture, but this may reflect knowledge of some of the more notorious and public cases rather
than direct personal experience. A majority [83%] felt that any such behaviour should be
professionally censured, whilst a number [16%] felt that there some grounds for falsifying
medical certificates or autopsy reports. Clearly, it will be important for the future to discover, in
respect of the latter, what such grounds might be for nurses.
Preventing and reporting on torture and rape
A majority felt that nurses had an ethical duty to prevent torture and rape, but seemed clear that
this should take place with the established channels. A very small number felt that recourse
should be made to the press.
Ethical duty to prevent
torture & rape
80%
Table 6.
Informing the media
about torture
22%
Informing the media
about rape
20%
A majority [74%] felt that victims should receive special treatment, but only half felt that victims
should have a choice either of their own carer, or women a choice of women examiners. On the
other hand, a large majority felt that examinations should take place in the presence of the
police.
Level of care for
victims
26%
Table 7.
Choice of carer
Presence of
Police during
examination
51%
13%
Female examiners
57%
Only half of the sample felt that dealing with torture victims should be part of the nurse’s role,
but, equally, the majority [89%] had had no training. A majority felt that formal training in
clinical forensic nursing would be useful.
Role of nurses to
include examining &
treating torture
57%
Table 8.
Have you had training in
examining & treating
torture
11%
Formal training in
forensic nursing
80%
Conclusions:
This little survey indicated overall that there is a need for more specific education in human rights
and ethics for nurses. Although nurses generally have a good grasp of the international standards
governing nursing practice - 90% felt that there were at least some universal human rights - but
the numbers who knew either the international or local routes for dealing with human rights
violations was highly variable.
A majority felt that non-adherence to medical ethics negatively affected nurse-patient
relationships.
Half of the sample felt that they would not examine a victim of torture in their clinic, but the
reasons for not doing so were contradictory. 18% felt that they did not deal with medico-legal
Amani Trust
Knowledge, attitudes and experiences of nurses on human rights, their violations and medical ethics in Zimbabwe.