학술논문
Using Telehealth for Sexual Assault Forensic Examinations: A Process Evaluation of a National Pilot Project.
Document Type
Academic Journal
Author
Walsh WA; Author Affiliations: Crimes Against Children Research Center, University of New Hampshire.; Meunier-Sham J; Massachusetts SANE Program, MA Department of Public Health.; Re C; Massachusetts SANE Program, MA Department of Public Health.
Source
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101234500 Publication Model: Print Cited Medium: Internet ISSN: 1939-3938 (Electronic) Linking ISSN: 15563693 NLM ISO Abbreviation: J Forensic Nurs Subsets: MEDLINE
Subject
Language
English
Abstract
Introduction: This project describes the first time live sexual assault nurse examiner (SANE) services were provided via telehealth to support site clinicians conducting sexual assault forensic medical examinations for adult and adolescent patients. It involved six sites in three states, including rural, tribal, military, and community hospitals. The purpose of this process evaluation was to determine the extent to which patients consent to telehealth technology, examine how the technology worked, and explore the types of assistance.
Methods: We reviewed information for sexual assault patients who presented at emergency departments (N = 215) and conducted telephone and online surveys with 178 clinicians who provided or received telehealth services.
Results: Between May 1, 2015, and March 31, 2018, 129 patients and site clinicians received services via telehealth and an additional 86 site clinicians received consultation advice via telehealth. Most patients consented and accepted SANE services via telehealth (86% overall and 97% in non-U.S. Navy sites). No significant technology problems were experienced for most interactions (92%). The assistance provided remotely by SANEs to site clinicians included guiding clinicians through history taking and documentation, forensic examination and evidence collection techniques, identifying and documenting injuries, and guiding clinical practice. Site clinicians reported, on average, a positive impact of the assistance on their confidence in providing an effective examination, their ability to provide their patient with the best care, and their sense of feeling supported.
Implication: Results of this pilot suggest that using live telehealth services for sexual assault forensic examinations is a promising practice.
Methods: We reviewed information for sexual assault patients who presented at emergency departments (N = 215) and conducted telephone and online surveys with 178 clinicians who provided or received telehealth services.
Results: Between May 1, 2015, and March 31, 2018, 129 patients and site clinicians received services via telehealth and an additional 86 site clinicians received consultation advice via telehealth. Most patients consented and accepted SANE services via telehealth (86% overall and 97% in non-U.S. Navy sites). No significant technology problems were experienced for most interactions (92%). The assistance provided remotely by SANEs to site clinicians included guiding clinicians through history taking and documentation, forensic examination and evidence collection techniques, identifying and documenting injuries, and guiding clinical practice. Site clinicians reported, on average, a positive impact of the assistance on their confidence in providing an effective examination, their ability to provide their patient with the best care, and their sense of feeling supported.
Implication: Results of this pilot suggest that using live telehealth services for sexual assault forensic examinations is a promising practice.