Document Type

DNP - Open Access

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Arends


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.



Number of Pages



South Dakota State University


Copyright © 2020 Samantha Konechne