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Document Type

DNP - University Access Only

Award Date


Degree Name

Doctor of Nursing Practice (DNP)


Graduate Nursing

First Advisor

Robin Peterson Lund


Sexual assault is a horrendous crime which can lead to emotional and physical scars for victims. The introduction of a sexual assault nurse examiner (SANE) model of care into a rural emergency department (ED) can help to improve staff knowledge, comfort, and anxiety in caring for victims of sexual assault. Implementation of the SANE model of care involved three staff obtaining SANE training, collaboration with a Community Response Team (CRT), development of a SANE protocol, and staff education regarding the protocol. ED staff knowledge, attitudes, and comfort regarding caring for victims of sexual assault was evaluated following staff participation in the educational session. Comparison of staff pretest and posttests using the Wilcoxin Signed-rank test revealed statistically significant differences in responses at α = 0.05. Chart review was completed on sexual assault cases presenting to the ED in the two years prior to implementation of the SANE protocol for comparison with potential cases presenting after implementation of the protocol. The practice innovation project demonstrated improvements in staff knowledge, comfort, and attitudes regarding caring for victims of sexual assault following development and education on the SANE model of care.

Library of Congress Subject Headings

Rape victims -- Services for
Sexual abuse victims -- Services for
Evidence-based nursing


Includes bibliographical references (pages 70-75)



Number of Pages



South Dakota State University


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