GEORGIA ASSOCIATION OF
2020 ANNUAL CONFERENCE
Richmond Hill City Center|Richmond Hill
February 3-4, 2020
Photo Credit: Lucinda Doyle Shultz
Conference Poster Presentations
In 2017, 208,960 individuals 12 or older were victims of rape/sexual assault. The percentage of rapes or sexual assaults that were reported to police rose from 23% in 2016 to 40% in 2017. The 2016 GOA report indicates that there are not enough trained providers to care for sexual assault victims 24 hours, 7 days a week. With funding through a 3-year HRSA grant, Georgia College is providing evidence-based training to increase the number of sexual assault nurse examiners (SANEs) in rural Georgia. The program consists of a 12-week, self-paced, online didactic course and a 3-day clinical skills training lab. Students will follow up with 300 practical experience hours with qualified preceptors in various settings. The focus of this presentation is on the clinical skills training portion, and its effect on knowledge, competence, and self-efficacy of SANEs.
The design of the training is guided by the International Association of Forensic Nurses (IAFN) 2018 SANE Education Guidelines and the Office on Violence Against Women 2018 National Training Standards. The use of interactive case studies, simulations, and human gynecological teaching assistants is propagated throughout the training.
The first training occurred in June 2019 and showed a significant increase in self-efficacy, with the use of an 8-item tool developed by the principle investigator. A pre-and post-test comparison of Dr. Stacy A. Drake’s Nursing Forensic Science Knowledge exam showed no change in knowledge scores. Additional data will be collected and analyzed from a subsequent training session and presented in full at the conference.
Usability testing of a mobile health intervention to address acute care needs after sexual assault
Sexual assault is common and associated with the development of several mental health disorders. The sexual assault medical forensic exam provides a unique opportunity to prevent the development of post-sexual assault mental health symptoms. The current study discusses the development of a mobile health-based prevention program for individuals who receive a sexual assault medical forensic exam. The aim of the current study was to test the usability of the prevention program (SC-SAFE) targeting post-sexual assault alcohol and drug misuse, suicide prevention, posttraumatic stress symptoms, coping skills, and referral to formal assistance. A total of 13 individuals who received a sexual assault medical forensic exam provided feedback about the usability of SC-SAFE. A total of 25 community providers also provided feedback on SC-SAFE. To analyze the interviews with participants, thematic analyses were completed. In general, participants found SC-SAFE to be user friendly and providers indicated that they would recommend it to survivors of sexual assault. The current prevention program was made for individuals in South Carolina, but could be easily adapted to individuals who experience recent sexual assault within Georgia. Future research should assess the effectiveness of SC-SAFE in reducing mental health symptoms after sexual assault.
Sexual Assault Characteristics and Reporting Status Among Men Receiving a Forensic Medical Examination
Rates of sexual assault within the United States are particularly high, with 5% to 7% of men within the experiencing a sexual assault as an adult. The current study examined characteristics of sexual assault and predictors of legal reporting among men receiving a Sexual Assault Medical Forensic Examination (n=45). We hypothesized that the association between self-reported sexual orientation and legal reporting status would be stronger among heterosexual/cisgendered men in comparison to sexual and gender minority men. It was also hypothesized that the association between alcohol/drug use would be negatively associated with legal reporting. Results indicated several emergent self-report characteristics of sexual assaults among men, including: incarceration/prison, 22.2% (n=10); alcohol/drug use, 20.0% (n=9); sexual minority status, 26.7% (n=12); memory impairment, 28.9% (n=13). Results also indicated that the majority of men formally reported their experience to law enforcement (73.3%; n=33), whereas only 26.7% of this sample chose to remain anonymous (n=12). Discussion of these results will focus on barriers to making a legal report and will inform forensic nurse examiners of key characteristics that may present with male victims of sexual assault.