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Pediatric TeleSANE: A Discussion of the Appropriateness, Feasibility, and Recommendations for Expanding Access to Medical Forensic Care for Prepubescents.

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Valid and Reliable Attitude Scales for Measuring Clinician's Attitudes Towards Telehealth Assisted Sexual Assault Forensic Exams Using a Pre-Post Survey.

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Nurses' Attitudes Toward and Intention to Use TeleSANE Services in Rural and Underserved Communities.

Wah Wah Myint1, Heather R Clark1,2,3, Amy Michael4

  • 1Center for Community Health and Aging, School of Public Health, Texas A&M University, College Station, TX.

Journal of Forensic Nursing
|February 6, 2026
PubMed
Summary

Training nurses on telehealth sexual assault forensic exam services significantly boosted their confidence and willingness to use and promote the Texas Teleforensic Remote Assistance Center (Tex-TRAC). This improves access to care in underserved areas.

Keywords:
TeleSANEemergency departmentnursesrural and underservedsexual assault nurse examinertrauma-informed care

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Area of Science:

  • Forensic Nursing
  • Telehealth Technology
  • Healthcare Access

Background:

  • Sexual assault medical forensic examination facilities and Sexual Assault Nurse Examiners (SANEs) are primarily located in urban areas.
  • Telehealth SANE (TeleSANE) offers a solution to improve access to these critical services in rural regions.

Purpose of the Study:

  • To evaluate nurses' attitudes, confidence, and intention to promote the Texas Teleforensic Remote Assistance Center (Tex-TRAC) services.
  • Assessing the impact of training on nurses' engagement with telehealth forensic services.

Main Methods:

  • Seventy-four nurses underwent Tex-TRAC training, with pre- and post-tests measuring changes in attitudes, confidence, and intent to utilize the platform.
  • Paired assessments and logistic regression analyzed the data to predict nurses' likelihood of promoting Tex-TRAC.

Main Results:

  • Significant improvements were observed in nurses' attitudes toward the Tex-TRAC telehealth platform and its technology.
  • Post-training, nurses reported substantially higher confidence levels and increased likelihood to share information and encourage the use of Tex-TRAC services (all p <.001).

Conclusions:

  • Targeted training on SANE telehealth platforms effectively enhances nurses' positive attitudes and confidence.
  • This positive shift in attitude is crucial for the sustained adoption and accessibility of telehealth services in sexual assault care.