Buchbinder Mara, Brassfield Elizabeth R, Tungate Andrew S, Witkemper Kristen D, D'Anza Teresa, Lechner Megan, Bell Kathy, Black Jenny, Buchanan Jennie, Reese Rhiannon, Ho Jeffrey, Reed Gordon, Platt Melissa, Riviello Ralph, Rossi Catherine, Nouhan Patricia, Phillips Carolyn A, Martin Sandra L, Liberzon Israel, Rauch Sheila A M, Bollen Kenneth, McLean Samuel A
Department of Social Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
Institute for Trauma Recovery University of North Carolina at Chapel Hill Chapel Hill North Carolina USA.
J Am Coll Emerg Physicians Open. 2021 Jul 3;2(4):e12464. doi: 10.1002/emp2.12464. eCollection 2021 Aug.
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.
急诊护理人员为遭受性侵犯（SA）的女性幸存者提供初始护理。更好地了解这一人群所面临的问题有助于急诊护理从业者提供高质量的护理。本研究的目的是与为遭受性侵犯的女性幸存者提供护理的急诊护理从业者分享她们的经历。
在13个地理分布地点之一遭受性侵犯后72小时内接受性侵犯护士检查官（SANE）评估的成年英语女性（n = 706）被纳入一项前瞻性、纵向多地点观察性研究。我们对开放式问题的回答进行了定性分析：“你认为研究人员最需要了解你自遭受侵犯以来的哪些经历？”该问题在入组后1周、6周、6个月和1年时提出。
590名女性（占研究样本的84%）的回答（n = 1434）主题分为12大类：日常生活、司法、医疗和社会服务、心理健康、身体健康、既往创伤、康复、恋爱关系、安全、自我、羞耻和社会互动。回答表明，性侵犯渗透到性侵犯幸存者日常生活的许多方面。
对大量接受SANE护理的女性性侵犯幸存者的开放式回答进行定性分析，突出了幸存者面临的挑战，并可增进为她们提供护理的急诊护理从业者之间的理解。作者提出了一个简短的首字母缩写词，以帮助急诊护理从业者记住给性侵犯幸存者的重要信息。
