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Sexual Assault Response Team: overcoming obstacles to program development

K Smith1, J Holmseth, M Macgregor

  • 1Sexual Assault Response Team, Mankato, Minn., USA.

Journal of Emergency Nursing
|November 14, 1998
PubMed
Summary
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The Sexual Assault Response Team (SART) program improved care for sexual assault survivors by integrating forensic examinations into emergency services. This initiative enhanced evidence collection and reduced patient wait times, benefiting survivors and the legal system.

Area of Science:

  • Forensic Nursing
  • Emergency Medicine
  • Victim Advocacy

Background:

  • Sexual assault response requires specialized care and evidence collection.
  • Existing emergency departments faced challenges in providing timely and comprehensive care for sexual assault survivors.
  • The need for an integrated, interagency approach to sexual assault response was identified.

Purpose of the Study:

  • To establish and evaluate a Sexual Assault Response Team (SART) within a hospital setting.
  • To improve the quality of care and evidence collection for sexual assault survivors.
  • To assess the impact of the SART program on patient satisfaction, provider efficiency, and legal outcomes.

Main Methods:

  • Five nurses underwent a 40-hour training program led by Sexual Assault Nurse Examiner (SANE) specialists.

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  • SANE responsibilities were added to the existing on-call duties of emergency department nurses.
  • An interdisciplinary, interagency team, including law enforcement and prosecutors, was formed to support the program.

    • Main Results:

    • Nurses initially experienced apprehension but successfully conducted examinations.
    • Provider and client satisfaction with the program significantly improved over time.
    • Examination completion times decreased, reducing patient wait times for SANE arrival.
    • Law enforcement and prosecutors reported high satisfaction with the quality and chain of custody of collected evidence.
    • The program facilitated kind and compassionate care for sexual assault survivors.

    Conclusions:

    • The established SART program provides a valued community service.
    • The program has successfully improved the care and outcomes for sexual assault survivors.
    • Ongoing interdisciplinary collaboration is crucial for addressing emerging concerns and ensuring program effectiveness.