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Document Type

DNP - University Access Only

Award Date

2020

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Robin Arends

Abstract

Introduction: Utilization of telehealth to provide a trained sexual assault nurse examiner (SANE) to rural facilities during sexual assault examinations (SAEs) has shown documented success increasing healthcare access and cost savings. SANE consult results in better evidence collection, injury identification, and better medical and legal outcomes for patients presenting with complaints of sexual assault (SA).
Methods: Literature searches were conducted in CINAHL, EBSCOhost, and IAFN journal to find evidence supporting telehealth interventions and staff or patient comfort. Twenty articles supported the clinical question. Seven of the articles met high-quality criteria; 11 of the articles were considered good quality with reasonably consistent results. Two articles were graded lower quality due to small sample size. Gaps: There is a need for more concrete and objective exploration of the implications of a TeleSANE program on staff comfort. There are no consistent approaches or validated tools to address staff comfort with SAEs.
Recommendation for practice: SANEs are necessary to obtain the best outcomes for the vulnerable populations affected by SA. Telehealth is pioneering efforts to provide specialized nursing care to patients affected by SA. SANE consults may reduce revictimization, sequelae of trauma in survivors of sexual violence, and improve comfort for all.

Library of Congress Subject Headings

Nurses -- Attitudes.
Rape victims -- Services for.
Rape victims -- Medical examinations.
Nurse and patient.
Forensic nursing.

Format

application/pdf

Number of Pages

73

Publisher

South Dakota State University

Rights

Copyright © 2020 Samantha Konechne

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