Trauma- and Violence-Informed Empowering Care for Sexual Assault Survivors.
L B Klein, Jessica Melnik, Kimberly Curran and 7 others
PMID 38509039WHAT IT FOUND
Concrete trauma- and violence-informed care behaviors for nurses examining sexual assault survivors include asking patients' name and pronouns, asking how they want genitals named, keeping consent ongoing, and following patient goals.
Key findings
01The TVI-ECM gives forensic nurses behavioral examples organized by five activity domains.
02The model advises nurses to ask patients their name and pronouns, correct staff who misgender them, and ask privately about visitors and what information may be shared.
03The model advises nurses to ask how patients want their genitals named, obtain consent at every exam stage, and ask patients' self-determined goals.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The model was developed with five nurse advisory board members and a research team in one state, so it may not fit other local laws, policies, cultures, or histories. This paper did not test the behavioral examples with patients or report outcomes; validation of vignettes is described in a separate paper. Some nurse advisory board members were also co-authors, so the people who helped create the model also helped write the paper. The authors state that structural violence requires organizational and systemic change beyond individual nurse behaviors.
Declared interests
The authors declared no conflict of interest. Some nurse advisory board members were also co-authors, and their review helped refine the model and manuscript.
The easy way to misread this
Do not read the behavioral examples as proof that this model improves survivor care or reduces disparities; the paper developed and presented the model with a nurse advisory board and did not report patient outcomes.