Perceived Care Quality Among Women Receiving Sexual Assault Nurse Examiner Care: Results From a 1-Week Postexamination Survey in a Large Multisite Prospective Study.
Megan Lechner, Kathy Bell, Nicole A Short and 13 others
PMID 33516463WHAT IT FOUND
Most women sexual assault patients strongly agreed that SANE nurses took their concerns seriously, showed compassion, explained the exam, and gave follow-up information.
Ratings were high across demographics and pre-assault health status.
Key findings
01In the analysed survey sample of 695 of 706 enrolled women, most patients strongly agreed that SANEs took their needs/concerns seriously, did not act as if the assault was their fault, showed care/compassion, explained the exam, and gave follow-up information.
02Mean item scores ranged from 3.67 to 3.85, and the overall care quality score was 3.79 on a 1 to 4 scale.
03Overall care quality scores did not differ significantly by patient demographic characteristics or pre-assault health status.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The programs studied were not selected to represent all SANE programs in the US. Only adult women who completed follow-up survey data were included, so findings may not apply to male, teen, or ineligible patients. Most sites were urban or suburban, so rural patients may differ. High ratings clustered at the top of the scale, and the authors note possible ceiling effects or social desirability bias. Only pre-assault emotional health and pain symptoms were examined.
The easy way to misread this
Do not read these high ratings as evidence that SANE care causes better health outcomes or that all sexual assault patients are satisfied. The study surveyed only eligible women who completed a follow-up survey, and the authors note possible ceiling effects and social desirability bias.