The SAFE CARE model

Ferguson, Christopher J.; Faugno, Diana K.

doi:10.1111/j.1939-3938.2009.01042.x

Cited by 17 publications

(7 citation statements)

References 6 publications

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“…Training forensic nurses and maintaining their competency in these small community hospitals are unattainable due to funding constraints and short staff composition. 17 To bridge the gap in knowledge and skills among non-SANE providers, several investigators have focused on the medical, but not the forensic, evaluation of sexual assault. Sheets and Bretl developed the SA Pocket Tool to help support providers who evaluate children for sexual abuse.…”

Section: Introductionmentioning

confidence: 99%

“… 10 , 14 – 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. 18 However, for sexual assault victims who seek forensic evaluation, there exists no similar specialized clinical pathway to assist ED providers in the collection of forensic evidence.…”

Section: Introductionmentioning

confidence: 99%

“…Training forensic nurses and maintaining their competency in these small community hospitals are unattainable due to funding constraints and short staff composition. 17 …”

Section: Introductionmentioning

confidence: 99%

“…Although high-fidelity simulation-based training interventions have been used to maintain competencies among SANE nurses, 17 , 23 the previous studies of training interventions targeted to ED residents/physicians have been low fidelity. 23 – 26 McLaughlin, Monahan, Doezema, and Crandall described the effectiveness of implementing an 8-hour-long training program for EM trainees, which included a combination of lectures, role-plays, and skill laboratories based on national guidelines for managing patients with sexual assault, including forensic evaluations.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Training forensic nurses and maintaining their competency in these small community hospitals are unattainable due to funding constraints and short staff composition. 17 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2020

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“…Programs that pair online learning with simulation show promising results in terms of reducing cost, increasing access to SANE/SAFE education, and increasing both competency and confidence students (Patterson et al, 2014; Patterson & Resko, 2015a, 2015b; Scannell et al, 2015; Ferguson & Faugno, 2009). Although inferences from parallel literature in education can be made, the only articles analyzing live classroom experiences were those with condensed training mechanisms targeting the education of emergency department providers rather than SANE nurses (Auten et al, 2014; Nathan & Ferrara, 2020; Ferguson & Faugno, 2009). As a result, comparative analysis between online and live SANE education is limited in the existing literature.…”

Section: Limitations and Gaps In Existing Literaturementioning

confidence: 99%

Sexual Assault Nurse Examiner Training: A Review of Literature and Implication for Nursing Education and Service to Rural Communities

Sheeran¹,

Kiser

Williams-Gilbert

et al. 2022

Journal of Forensic Nursing

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Sexual assault nurse examiners (SANEs) play a critical role in providing quality care to patients who have experienced sexual violence. Recent national legislative initiatives have been launched both to better explore statespecific needs in regard to training SANE nurses as well as pilot programs that will establish evidence-based methods of expanding SANE training to remote, rural, and underserved communities. A scoping literature review was conducted to identify best practices in SANE training as well as implications for delivering this education to rural and underserved communities. This review analyzed the scientific strengths and weaknesses of existing research, provided an overview of findings within the literature, and identified areas where further research could be directed to inform local, state, and national strategy on SANE education. Blended learning programs that pair online education with simulated clinical experiences are promising alternatives to the traditional classroom experience; however, more research is needed to know how to enhance retention and engagement of nurses utilizing these methods to obtain preliminary SANE training.

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