The Impact of a Sexual Assault/Domestic Violence Program on ED Care

Sampsel, Kari; Szobota, Luke; Joyce, Donna; Graham, Kathryn; Pickett, William

doi:10.1016/j.jen.2008.07.014

Cited by 26 publications

(17 citation statements)

References 14 publications

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“…With an insufficient number of trained SANEs, victims are not treated as high‐priority cases in Emergency Departments and often must wait several hours to receive medical or police attention (Littel, 2001; Thompson, Yarnold, Williams, & Adams, 1996). Research has found that victims treated by SANEs waited less time to be seen than victims treated by regular emergency room doctors (Stermac & Stirpe, 2002; see also Sampsel et al, 2009). In addition, when there are only a few SANEs they are forced to cover all the shifts, possibly contributing to burnout.…”

Section: Discussionmentioning

confidence: 99%

Sexual assault nurse examiners’ perceptions of funding challenges faced by SANE programs: “It stinks”

Maier

2012

Journal of Forensic Nursing

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Even though Sexual Assault Nurse Examiner (SANE) programs began over 30 years ago, and there is currently greater awareness of sexual violence, the question regarding the financial security of SANE prgrams remains a contemporary concern. Data from interviews with 40 SANEs', many of whom were also directors, from programs located in four states indicated that lack of funding continues to present challenges. Most (72%) directors revealed that there are problems with funding. Directors voiced concerns about program sustainability, as well as the ability to provide education in the community and training and continuing education opportunities for SANEs. Even though funding of programs is not the responsibility of SANEs not serving as directors, approximately one-third of regular SANEs were aware of budget cuts or financial struggles faced by their program. These SANEs also expressed concern about the sustainability of programs, the ability to train additional nurses, purchasing their equipment of choice, and lack of compensation. All suggestions for program improvements, directly or indirectly, required more funding.

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Section: Discussionmentioning

confidence: 99%

Sexual assault nurse examiners’ perceptions of funding challenges faced by SANE programs: “It stinks”

Maier

2012

Journal of Forensic Nursing

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“…Much of the existing literature on sexual assault kits has focused on medical practitioners who use the kit, and the settings and effects of sexual assault kit evidence in legal cases of sexual assault. More specifically, this literature has spanned topics that include the development and effectiveness of professional groups associated with sexual assault kits (Campbell et al, 2005; Du Mont and Parnis, 2003; Sievers et al, 2003; Stermac and Stirpe, 2002), institutional settings and practices around forensic sexual assault kit exams (Hatmaker et al, 2002; Rees, 2010; Sampsel et al, 2009), and the effects of sexual assault kits on arrest and conviction rates (Campbell et al, 2009; Feldberg, 1997; Johnson et al, 2012; McGregor et al, 2002). Literature on sexual assault kit backlogs specifically has focused on institutional practices that contribute to kit backlogs (Campbell et al, 2015; Patterson and Campbell, 2012; Telsavaara and Arrigo, 2006), the value of testing backlogged kits (Fallik and Wells, 2015; Wells, 2016), and the consequences of kit backlogs on victims and the criminal justice system (Hansen, 2010; O’Connor, 2003; Peterson et al, 2012; Spohn, 2016).…”

Section: Sexual Assault Kits and Kit Backlogsmentioning

confidence: 99%

Visions of Public Safety, Justice, and Healing: The Making of the Rape Kit Backlog in the United States

Quinlan

2019

Social & Legal Studies

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Large backlogs of untested sexual assault kits have recently come to light in cities across the United States, fueling public controversies over criminal justice responses to sexual assault and sexual assault forensic services. This article examines these controversies to reveal how kit backlogs have come to matter as a political problem. Using a range of textual data, this article traces the history of the sexual assault kit backlog in New York City and contemporary national campaigns around kit backlogs to examine how sexual assault kit backlogs are being defined as threats to public safety, justice, and healing for victims of crime. Drawing on theoretical insights from actor-network theory, institutional ethnography, and feminist technoscience studies, this article examines the implications of the current framing of kit backlogs for sexual assault survivors and their allies, and current dialogues about criminal justice responses to sexual assault.

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“…Specialized teams, including those with SANEs, can improve care. 10,[14][15][16] However, in community hospitals, training forensic nurses and maintaining their competency are often limited by short staffing and lack of funding. 17 If such teams are not feasible, specific clinical pathways may provide an alternative way to improve the medical care of adolescents with sexual assault.…”

Section: Introductionmentioning

confidence: 99%

Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

et al. 2020

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Introduction: Many emergency medicine (EM) physicians have limited training in the care of sexual assault patients. Simulation is an effective means to increase the confidence and knowledge of physicians in such high-stakes, low-frequency clinical scenarios as sexual assault. We sought to develop and implement a sexual assault simulation with a structured debriefing for EM residents and to determine its impact on resident learners' attitudes and knowledge skills in the care of patients with sexual assault. Methods: The simulation blended psychomotor skills (e.g., collecting forensic evidence), cognitive skills (e.g., ordering laboratory studies and medications), and communication skills (e.g., obtaining relevant patient history, responding to psychosocial concerns raised by team members and simulator). Our emergency department checklist was available as a cognitive aid for each step of the evidence collection process. A content expert answered questions in real time during the simulation and provided structured debriefing following the simulation. Trainees completed an anonymous survey within a week after the intervention and a follow-up survey within 8 months. Results: Nineteen EM trainees participated. Presimulation, 39% reported never having received training in the medical care of a patient with sexual assault. The proportion of trainees agreeing or strongly agreeing with the statement "I am comfortable and confident managing a case of sexual assault" increased from 21% to 74% following the simulation (p < .05). Discussion: This intervention was associated with EM trainees' increased confidence with and knowledge of medical and forensic evaluations for an adolescent with sexual assault.

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The Impact of a Sexual Assault/Domestic Violence Program on ED Care

Cited by 26 publications

References 14 publications

Sexual assault nurse examiners’ perceptions of funding challenges faced by SANE programs: “It stinks”

Sexual assault nurse examiners’ perceptions of funding challenges faced by SANE programs: “It stinks”

Visions of Public Safety, Justice, and Healing: The Making of the Rape Kit Backlog in the United States

Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

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