Author Affiliations:School of Nursing.
School of Medicine, Queen's University.
J Forensic Nurs. 2021;17(4):235-243. doi: 10.1097/JFN.0000000000000338.
Sexual violence is a term describing sexual acts where consent is not freely given. Registered nurses employed as sexual assault nurse examiners (SANEs) provide care to address the medical and legal needs of victims/survivors of sexual violence. Trauma-informed care (TIC) is an approach recommended when caring for individuals who have experienced trauma.
The study purpose was to understand how SANEs incorporate trauma-informed approaches in the care of adult and postpubescent adolescent victims/survivors of sexual violence.
Eight SANEs were purposively recruited to participate in online semistructured interviews. Interview data were analyzed using qualitative interpretive description.
Six themes emerged from the analysis: (a) the importance of understanding the patient's experience; (b) personalized connection: developing a safe nurse-patient relationship; (c) choice: the framework of how we do things; (d) rebuilding strengths and skills to support healing and posttraumatic growth; (e) a wonderful way to practise: facilitators and benefits of trauma-informed practice; and (f) challenges to trauma-informed practice.
These findings indicate the perceived value of TIC and the need for enhanced support of providers who deliver TIC. More research is warranted to strengthen the evidence about trauma-informed practice in SANE programs and across healthcare settings.
性暴力是指在性行为中，同意并非自由给予的一种术语。注册护士作为性侵犯护士检查师（SANEs），提供护理服务，以满足性暴力受害者/幸存者的医疗和法律需求。创伤知情护理（TIC）是一种在照顾经历过创伤的个体时推荐的方法。
本研究旨在了解 SANEs 如何在护理成年和青春期后性暴力受害者/幸存者时融入创伤知情方法。
有 8 名 SANEs 被有目的地招募来参加在线半结构化访谈。使用定性解释描述法对访谈数据进行分析。
分析得出了 6 个主题：（a）了解患者体验的重要性；（b）个性化联系：建立安全的护患关系；（c）选择：我们做事的框架；（d）重建力量和技能，以支持康复和创伤后成长；（e）实践的美妙方式：创伤知情实践的促进因素和益处；（f）创伤知情实践的挑战。
这些发现表明了 TIC 的感知价值，以及需要增强对提供 TIC 的提供者的支持。需要进行更多的研究，以加强关于 SANE 计划和整个医疗保健环境中创伤知情实践的证据。
