Availability of Certified Sexual Assault Nurse Examiners in Appalachian States

IF 1.8 4区 医学 Q2 EMERGENCY MEDICINE Journal of Emergency Nursing Pub Date : 2024-07-01 DOI:10.1016/j.jen.2024.04.003
Mary K. Brannock DrPH, MS, Olivia A. Sullivan DrPH(c), MPH, EMT, Kate E. Beatty PhD, MPH
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Abstract

Introduction

Sexual assault nurse examiners are crucial care providers in cases of sexual assault. However, it is not clear whether sexual assault nurse examiner availability differs throughout the 13 states that comprise the Appalachian region of the United States. Therefore, this cross-sectional analysis identified sexual assault nurse examiner availability in 13 states and determined differences in availability by both county-level Appalachian status and county-level rurality status.

Methods

Data were downloaded from 2 public sexual assault nurse examiner registries for the included 13 states. Descriptive statistics of sexual assault nurse examiner certification type and availability by state were calculated. In addition, bivariate analyses of sexual assault nurse examiner availability by rurality and by Appalachian status were performed using 2-sample z-tests for equality of proportions.

Results

State-level sexual assault nurse examiner availability ranged from 0.34 to 0.86 sexual assault nurse examiners per 100,000 residents. Sexual assault nurse examiner availability in these 13 states did not differ by Appalachian status. However, rural areas had significantly lower sexual assault nurse examiner availability than urban areas in these 13 states.

Discussion

These data support previous literature on the need for stronger sexual assault nurse examiner programs in rural areas in the United States. Future research should take sexual assault prevalence into account to determine whether local sexual assault nurse examiner access needs, as well as appropriate support for sexual assault nurse examiners, are being met throughout Appalachian states.

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阿巴拉契亚各州是否有经认证的性侵犯护士检查员。
导言:性侵犯护士检查员是性侵犯案件中至关重要的护理人员。然而,在美国阿巴拉契亚地区的 13 个州中,性侵犯护士检查员的可用性是否存在差异尚不清楚。因此,本横断面分析确定了 13 个州的性侵犯护士检查员可用性,并根据县级阿巴拉契亚地区地位和县级乡村地位确定可用性的差异:从 13 个州的 2 个公共性侵护士检查员登记处下载数据。计算了各州性侵犯护士检查员认证类型和可用性的描述性统计。此外,我们还使用 2 样本 z 检验法对各州性侵犯护士检查员的可用性进行了双变量分析,以确定比例是否相等:结果:州一级的性侵犯护士检查员比例为每 10 万名居民 0.34 至 0.86 名性侵犯护士检查员。在这 13 个州中,性侵犯护士检查员的可用性并不因阿巴拉契亚人的地位而有所不同。然而,在这 13 个州中,农村地区的性侵犯护士检查员可用性明显低于城市地区:这些数据支持了之前关于美国农村地区需要加强性侵犯护士检查项目的文献。未来的研究应将性侵犯的发生率考虑在内,以确定阿巴拉契亚各州是否满足了当地对性侵犯护士检查员的需求,以及对性侵犯护士检查员的适当支持。
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来源期刊
CiteScore
3.10
自引率
11.80%
发文量
132
审稿时长
46 days
期刊介绍: The Journal of Emergency Nursing, the official journal of the Emergency Nurses Association (ENA), is committed to the dissemination of high quality, peer-reviewed manuscripts relevant to all areas of emergency nursing practice across the lifespan. Journal content includes clinical topics, integrative or systematic literature reviews, research, and practice improvement initiatives that provide emergency nurses globally with implications for translation of new knowledge into practice. The Journal also includes focused sections such as case studies, pharmacology/toxicology, injury prevention, trauma, triage, quality and safety, pediatrics and geriatrics. The Journal aims to mirror the goal of ENA to promote: community, governance and leadership, knowledge, quality and safety, and advocacy.
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