The emergency care of patients who have experienced sexual violence: An integrative literature review of global practices and commentary on feasibility for low resources settings

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100873

Dylan Quiroga, Meghan Botes

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引用次数: 0

Abstract

Background

Sexual violence remains a pervasive worldwide issue, and despite noteworthy progress in survivor-oriented care, service delivery in settings with limited resources continues to be unpredictable and inconsistent.

Purpose of the Study

This review aims to consolidate scholarly evidence on the emergency care provided to individuals who have experienced sexual violence and to assess which of the identified advancements could be feasibly implemented in low-resource environments.

Methods

An integrative literature review was conducted, involving an exhaustive search of multiple databases. From an initial pool of 2,142 articles, 47 met the inclusion criteria and were subsequently examined and evaluated.

Results

The analysis produced eight central themes: (1) screening processes for sexual violence, (2) emergency medical interventions, (3) forensic services, (4) mental health provisions, (5) follow-up protocols, (6) technological supports, (7) organizational or structural elements, and (8) the impact on healthcare professionals.

Conclusion

Systematic screening for sexual violence, the introduction of structured quality improvement techniques (e.g., clinical pathways), and strengthened follow-up and psychological interventions achieved through nurse-driven programs and the application of Trauma Informed Care are key strategies for improving care in resource-constrained settings.

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经历过性暴力的病人的紧急护理：对全球实践的综合文献综述和对低资源环境可行性的评论

性暴力仍然是一个普遍存在的全球性问题，尽管在面向幸存者的护理方面取得了显著进展，但在资源有限的情况下，提供的服务仍然是不可预测和不一致的。研究的目的本综述旨在巩固关于向遭受过性暴力的个人提供紧急护理的学术证据，并评估哪些已确定的进步可以在资源匮乏的环境中切实实施。方法对多个数据库进行综合文献检索。从最初的2142篇文章中，47篇符合纳入标准，随后进行了检查和评估。结果分析产生了八个中心主题：(1)性暴力的筛选过程，(2)紧急医疗干预，(3)法医服务，(4)心理健康规定，(5)后续协议，(6)技术支持，(7)组织或结构要素，以及(8)对医疗保健专业人员的影响。结论系统筛查性暴力，引入结构化质量改进技术（如临床路径），通过护士驱动的项目和创伤知情护理的应用加强随访和心理干预是改善资源受限环境下护理的关键策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.