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Rural Availability of Sexual Assault Nurse Examiners

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dc.contributor.author Thiede, E., & Miyamoto, S.
dc.date.accessioned 2021-10-14T18:34:50Z
dc.date.available 2021-10-14T18:34:50Z
dc.date.issued 2021
dc.identifier.citation Thiede, E., & Miyamoto, S. (2021). Rural availability of sexual assault nurse examiners (SANEs). The Journal of Rural Health, 37(1), 81-91. en_US
dc.identifier.uri https://onlinelibrary.wiley.com/doi/epdf/10.1111/jrh.12544
dc.identifier.uri http://hdl.handle.net/11212/5233
dc.description.abstract Purpose: Sexual assault care provided by sexual assault nurse examiners (SANEs) is associated with improved health and prosecutorial outcomes. Upon completion of SANE training, nurses can demonstrate their experience and expertise by obtaining SANE certification. Availability of nurses with SANE training or certification is often limited in rural areas, and no studies of rural certified SANEs exist. The purpose of this study is to describe rural SANE availability. Methods: We analyze both county-level and hospital-level data to comprehensively examine SANE availability. We first describe the geographic distribution of certified SANEs across rural and nonrural (ie, urban or suburban) Pennsylvania counties. We then analyze hospital-level data from semistructured interviews with rural hospital emergency department administrators using qualitative content analysis. Findings: We identified 49 certified SANEs across Pennsylvania, with 24.5% (n = 12) located in 8 (16.7%) of Pennsylvania's 48 rural counties. The remaining 37 certified SANEs (75.5%) were located in 13 (68.4%) of Pennsylvania's 19 nonrural counties. Interview data were collected from 63.9% of all eligible rural Pennsylvania hospitals (n = 63) and show that 72.5% (n = 29) have SANEs. Of these, 20.7% (n = 6) have any certified SANE availability. A minority of hospitals (42.5%; n = 17) have continuous SANE coverage. Conclusions: Very few SANEs in rural Pennsylvania have certification, suggesting barriers to certification may exist for rural SANEs. Though a majority of hospitals have SANEs, availability of SANEs was limited by inconsistent coverage. A lack of certified SANEs and inconsistent SANE coverage may place rural sexual assault victims at risk of receiving lower quality sexual assault care. en_US
dc.language.iso en en_US
dc.publisher The Journal of Rural Health en_US
dc.subject sexual assault en_US
dc.subject access to care en_US
dc.subject sexual assault nurse examiners en_US
dc.title Rural Availability of Sexual Assault Nurse Examiners en_US
dc.type Article en_US


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