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Predicting Attrition in a Statewide Sexual Assault Nurse Examiner (SANE) Training Program.

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A new training program aimed to increase sexual assault nurse examiners (SANE). While 38% of trainees did not complete the program, those recognizing community needs were more likely to finish, suggesting areas for improvement.

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Area of Science:

  • Forensic Nursing
  • Healthcare Workforce Development

Background:

  • A national shortage of sexual assault nurse examiners (SANE) impacts post-assault care.
  • Sexual assault medical forensic examinations are crucial healthcare services.
  • A statewide training program was developed to address SANE workforce shortages.

Purpose of the Study:

  • To evaluate attrition rates within a newly implemented SANE training program.
  • To identify factors influencing SANE training completion.

Main Methods:

  • Prospective trainees underwent an online application process.
  • Applications assessed educational background, professional experience, motivations, barriers, and emotional readiness.
  • Attrition was tracked throughout the didactic and clinical phases of the training.

Main Results:

  • Out of 497 applicants, 254 enrolled, with 38% attrition before program completion.
  • Higher attrition occurred during the didactic phase, especially after the physical examination module.
  • Nurses perceiving unmet community SANE needs demonstrated higher completion rates.

Conclusions:

  • Targeted instructional strategies and peer support may enhance SANE training completion.
  • Addressing emotional intensity in training content is crucial.
  • Understanding trainee motivations, like perceived community needs, can inform program design.