"I still feel so lost": experiences of women receiving SANE care during the year after sexual assault.


Journal

Journal of the American College of Emergency Physicians open
ISSN: 2688-1152
Titre abrégé: J Am Coll Emerg Physicians Open
Pays: United States
ID NLM: 101764779

Informations de publication

Date de publication:
Aug 2021
Historique:
received: 23 02 2021
revised: 04 05 2021
accepted: 07 05 2021
entrez: 15 7 2021
pubmed: 16 7 2021
medline: 16 7 2021
Statut: epublish

Résumé

Emergency caregivers provide initial care to women sexual assault (SA) survivors. An improved understanding of the issues facing this population can aide emergency care practitioners in providing high quality care. The goal of this study was to share the experiences of women SA survivors with the emergency care practitioners that care for them. English-speaking adult women (n = 706) who received SA Nurse Examiner (SANE) evaluation within 72 hours of SA at 1 of 13 geographically distributed sites were enrolled in a prospective, longitudinal multi-site observational study. We qualitatively analyzed responses to the open-ended question: "What do you think is most important for researchers to understand about your experience since the assault?" asked 1 week, 6 weeks, 6 months, and 1 year after enrollment. Themes from responses (n = 1434) from 590 women (84% of study sample) fell into 12 broad categories: daily life, justice, medical, and social services, mental health, physical health, prior trauma, recovery, romantic relationships, safety, self, shame, and social interactions. Responses demonstrated that the assault permeates many aspects of assault survivors' daily lives. Qualitative analyses of open-ended responses from a large cohort of women SA survivors receiving SANE care highlight the challenges for survivors and can increase understanding among the emergency care practitioners who care for them. The authors propose a brief acronym to help emergency care practitioners recall important messages for SA survivors.

Identifiants

pubmed: 34263245
doi: 10.1002/emp2.12464
pii: EMP212464
pmc: PMC8254598
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e12464

Subventions

Organisme : NIGMS NIH HHS
ID : T32 GM008719
Pays : United States

Informations de copyright

© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

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Auteurs

Mara Buchbinder (M)

Department of Social Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

Elizabeth R Brassfield (ER)

Department of Social Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

Andrew S Tungate (AS)

Institute for Trauma Recovery University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Departments of Emergency Medicine and Anesthesiology University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

Kristen D Witkemper (KD)

Institute for Trauma Recovery University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Departments of Emergency Medicine and Anesthesiology University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

Teresa D'Anza (T)

Albuquerque SANE Collaborative Albuquerque New Mexico USA.

Megan Lechner (M)

UC Health Memorial Hospital Colorado Springs Colorado USA.

Kathy Bell (K)

Tulsa Forensic Nursing Tulsa Police Department Tulsa Oklahoma USA.

Jenny Black (J)

Austin SAFE Austin Texas USA.

Jennie Buchanan (J)

Department of Emergency Medicine Denver Health Denver Colorado USA.

Rhiannon Reese (R)

Crisis Center of Birmingham Birmingham Alabama USA.

Jeffrey Ho (J)

Department of Emergency Medicine Hennepin Healthcare Minneapolis Minnesota USA.

Gordon Reed (G)

Department of Emergency Medicine ChristianaCare Newark Delaware USA.

Melissa Platt (M)

SAFE Services University of Louisville Louisville Kentucky USA.

Ralph Riviello (R)

UT Health San Antonio San Antonio Texas USA.

Catherine Rossi (C)

Forensic Nursing Cone Health Greensboro North Carolina USA.

Patricia Nouhan (P)

Department of Emergency Medicine Wayne State University Detroit Michigan USA.

Carolyn A Phillips (CA)

MedStar Washington Hospital Center Washington District of Columbia USA.

Sandra L Martin (SL)

Department of Maternal and Child Health Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

Israel Liberzon (I)

Department of Psychiatry Texas A&M University Bryan Texas USA.

Sheila A M Rauch (SAM)

Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta Georgia USA.
Veterans Affairs Atlanta Healthcare System Atlanta Georgia USA.

Kenneth Bollen (K)

Department of Psychology and Neuroscience and Department of Sociology University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

Samuel A McLean (SA)

Institute for Trauma Recovery University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Departments of Emergency Medicine and Anesthesiology University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.

Classifications MeSH