Negotiating the challenges of multidisciplinary responses to sexual assault victims: Sexual assault nurse examiner and victim advocacy programs

Cole, Jennifer; Logan, TK

doi:10.1002/nur.20234

Cited by 46 publications

(69 citation statements)

References 29 publications

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“…In a national survey, Cole and Logan (2008) found that 80% of SANE program coordinators reported power struggles between advocates and nurses within their programs. Similarly, SANEs interviewed in four East Coast states reported that the advocates engage in power struggles by overstepping their boundaries.…”

mentioning

confidence: 98%

Interdisciplinary Team Conflicts Among Forensic Nurses and Rape Victim Advocates

Patterson

Pennefather

2014

Affilia

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To address the acute needs of rape survivors, forensic nurses and victim advocates provide integrated holistic care. Research suggests that conflicts between nurses and advocates can be common, but the nature and causes of these conflicts are largely unknown. Utilizing a qualitative case study approach, this study examined how and why an advocate-nurse team experiences conflict. The advocates reported experiences of subordination and disruption of their services, while nurses indicated that the advocates portrayed them negatively and distrusted their professional judgment. Role ambiguity contributed to these conflicts, whereas trust mitigated these conflicts but only existed among experienced nurses and advocates. The findings will be discussed from a feminist organizational lens.

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mentioning

confidence: 98%

Interdisciplinary Team Conflicts Among Forensic Nurses and Rape Victim Advocates

Patterson

Pennefather

2014

Affilia

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“…Advocates may experience the coordination as particularly tenuous and insecure. Previous research has suggested that advocates are at a disadvantage because their role is often not a statutory obligation for communities, and as such advocates are guests in hospitals and police stations (Cole & Logan, 2008; Martin, 2005). Advocates may find that SART offers a more central position in the system response to rape.…”

Section: Discussionmentioning

confidence: 99%

“…Given that research on SARTs and rape response more generally suggests that conflict stems from role negotiation (Cole & Logan, 2008) and differing professional norms (Martin, 2005), this study focused on understanding the kinds of strategies that SART professionals adopt to help them negotiate professional boundaries. In particular, this study sought to answer the following questions: (a) What kinds of conflict management strategies are described by SART professionals?…”

Section: Understanding Team Conflict Management Strategiesmentioning

confidence: 99%

“Catching Flies With Honey”

Moylan

Lindhorst

2014

J Interpers Violence

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Sexual Assault Response Teams (SARTs) are models of service delivery characterized by coordination between rape crisis, health care, and criminal justice sectors. Expanding on research documenting the extent and nature of conflict in SARTs, this study qualitatively explores the strategies used to manage conflict and variations in the use of strategies between professions. Analysis of interviews with SART members (n = 24) revealed five types of strategies: (a) preventative strategies sought to prevent conflict and build capacity for resolving conflict, (b) problem-solving strategies identified and responded directly to conflicts, (c) forcing strategies involved one person attempting to force a perspective or solution on others, (d) unobtrusive strategies covertly worked toward change, and (e) resigned strategies limited direct responses to conflict to protect the coordination. Rape crisis advocates talked the most about conflict management strategies and were almost exclusively responsible for unobtrusive and resignation strategies.

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“…Previous studies have shown that the counselor's beliefs about therapeutic effectiveness can have a significant impact on treatment outcomes (Asay & Lambert, 1999;Austad, 2009;Gladding, 2009;Wampold, 2007). This is especially true in the case of childhood sexual abuse in that counselors (or other helping professionals such as nurses, physicians, law enforcement, and CPS) can have a significant impact on survivor treatment outcomes (Briere & Scott, 2006;Cole & Logan, 2008;Davis, 1984;Ginzberg et al, 2006;Muller et al, 2004). The literature has shown that counselor subtle attitudes and biases regarding childhood sexual abuse may have a deterring effect on survivors' willingness to initially disclose or explore issues of child sexual abuse in the therapeutic environment (Cole & Logan, 2008;Davis, 1984;Day et al, 2003).…”

Section: Impact Of Counseling On the Survivormentioning

confidence: 99%

“…This is especially true in the case of childhood sexual abuse in that counselors (or other helping professionals such as nurses, physicians, law enforcement, and CPS) can have a significant impact on survivor treatment outcomes (Briere & Scott, 2006;Cole & Logan, 2008;Davis, 1984;Ginzberg et al, 2006;Muller et al, 2004). The literature has shown that counselor subtle attitudes and biases regarding childhood sexual abuse may have a deterring effect on survivors' willingness to initially disclose or explore issues of child sexual abuse in the therapeutic environment (Cole & Logan, 2008;Davis, 1984;Day et al, 2003). If the survivor is unable to safely talk to the counselor about their abuse, resolution or therapeutic processing is unlikely to occur.…”

Section: Impact Of Counseling On the Survivormentioning

confidence: 99%

Counselor meaning-making

Viviani¹

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Childhood sexual abuse is a prevalent but taboo topic in society. Conservatively 80,000 new cases are reported each year with many more either unreported or unsubstantiated within the legal system. Survivors of childhood sexual abuse often times seek counseling assistance to manage the variety of short-and long-term emotional issues that may arise as a result of their abuse. Professional counselors listen to the stories of the survivors and attempt to assist survivors in making sense of this horrific act of personal violence. This study examines the meaning-making experience of master's level professional mental health counselors who work with childhood sexual abuse survivors. A phenomenological qualitative research design was utilized to better understand the process that these counselors use to make sense of their work. Fifty participants were selected from a national database of professional mental health counselors who work with survivors. Telephone interviews were conducted with 10 participants. The study revealed that the stories of abuse had a profound impact on the counselors and that there was a significant evolution in how they felt about their work and the survivors they helped. The participants shared that a strong belief system and their theoretical orientation as counselors were essential in their meaning-making process. Other issues such as supervision and mentoring and the development of increased empathy proved to be important to the counselor's meaning-making process.

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Negotiating the challenges of multidisciplinary responses to sexual assault victims: Sexual assault nurse examiner and victim advocacy programs

Cited by 46 publications

References 29 publications

Interdisciplinary Team Conflicts Among Forensic Nurses and Rape Victim Advocates

Interdisciplinary Team Conflicts Among Forensic Nurses and Rape Victim Advocates

“Catching Flies With Honey”

Counselor meaning-making

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