Author Affiliations: Sexual Assault Forensic Examination Telehealth (SAFE-T) Center, Ross and Carol Nese College of Nursing, The Pennsylvania State University.
Center of Excellence in Forensic Nursing, Texas A&M University.
J Forensic Nurs. 2023;19(4):231-239. doi: 10.1097/JFN.0000000000000431. Epub 2023 Mar 13.
There are persistent gaps in access to sexual assault nurse examiners (SANEs) in rural and underserved areas, yielding health and legal disparities for survivors. These inequities prompted federal investment in novel telehealth programs to improve SANE access.
The aim of this study was to examine program case studies from two sexual abuse/assault (SA) telehealth centers, illuminating successes, challenges, and lessons learned.
Two state SA telehealth program directors used a collective instrumental case study approach to understand telehealth SANE (teleSANE) program challenges/lessons learned, outcomes, and recommendations for the field. Cross-program commonalities and differences were examined, pooling experiences to derive recommendations to sustain telehealth to increase SA health equity.
Collectively, the two programs have served 18 remote sites and provided 335 consultations. Both programs provide access to 24/7 teleSANE consultation, quality assurance, and mentoring. Unique to each program were engagement of hospital leadership in advisory boards, use of telehealth technology, training programs, and fiscal sustainability. Both programs identified flexibility, offering a tailored implementation approach, regular site support and communication, and teleSANE mentoring aligned with the Quality Caring Model as essential to success. Critical needs identified to sustain programs included (a) multilevel community and hospital buy-in, (b) sustainable funding specific to local institution needs, and (c) robust processes to oversee clinical and technology support.
Cross-program similarities and differences show the impact telehealth can have on equitable SA care. Program evaluation showed common challenges, lessons learned, and recommendations to advance equitable SA care access in underresourced communities.
在农村和服务不足地区，性侵犯护士检查人员（SANEs）的获得仍然存在持续差距，这导致幸存者在健康和法律方面存在差异。这些不平等促使联邦政府投资于新的远程医疗计划，以改善 SANEs 的获得途径。
本研究旨在研究两个性虐待/侵犯（SA）远程医疗中心的方案案例研究，阐明成功、挑战和经验教训。
两名州性虐待/侵犯远程医疗项目主管使用集体工具案例研究方法来了解远程医疗 SANEs（ telesanes）项目的挑战/经验教训、结果以及对该领域的建议。检查了跨计划的共同性和差异，汇集经验以得出维持远程医疗以增加 SA 健康公平的建议。
两个项目总共为 18 个远程地点提供了 335 次咨询。两个项目都提供 24/7 的 telesane 咨询、质量保证和指导。每个项目都有其独特之处，包括医院领导层参与顾问委员会、远程医疗技术的使用、培训计划和财政可持续性。两个项目都确定了灵活性，提供了量身定制的实施方法、定期的站点支持和沟通，以及与质量关怀模式一致的 telesane 指导，这些都是成功的关键。为了维持项目，确定了一些关键需求，包括（a）多层次的社区和医院认可，（b）符合当地机构需求的可持续资金，以及（c）监督临床和技术支持的强大流程。
跨计划的相似性和差异表明远程医疗对公平的性虐待护理的影响。项目评估显示了共同的挑战、经验教训和建议，以推进资源不足社区的公平性虐待护理获得。
