利用远程医疗解决农村社区的性侵犯、护士、审查员获取机会的差异。

IF 1 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
Journal of Forensic Nursing Pub Date : 2023-10-01 Epub Date: 2023-03-13 DOI:10.1097/JFN.0000000000000431
Sheridan Miyamoto, Nancy R Downing
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引用次数: 0

摘要

背景:在农村和服务水平低下的地区,性侵犯护士检查人员(SANEs)的获取一直存在差距,导致幸存者在健康和法律方面存在差距。这些不平等促使联邦政府投资新型远程医疗项目,以改善SANE的使用。目的:本研究的目的是检查两个性虐待/性侵犯(SA)远程医疗中心的项目案例研究,阐明成功、挑战和经验教训。方法:两个州SA远程医疗项目主任使用集体工具性案例研究方法来了解远程医疗SANE (teleSANE)项目的挑战/经验教训、结果和对该领域的建议。跨项目的共性和差异进行了检查,汇集经验,得出建议,以维持远程医疗,以增加SA卫生公平。结果:两个项目共服务了18个偏远地区,提供了335次咨询。这两个项目都提供全天候的teleSANE咨询、质量保证和指导。每个项目的独特之处在于医院领导参与咨询委员会、使用远程医疗技术、培训项目和财政可持续性。这两个项目都确定了灵活性,提供量身定制的实施方法、定期的现场支持和沟通,以及与质量关怀模式相一致的teleSANE指导,这些都是成功的关键。确定的维持项目的关键需求包括(a)多层社区和医院的购买,(b)针对当地机构需求的可持续资金,以及(c)监督临床和技术支持的健全流程。结论:跨项目的相似性和差异表明远程医疗可以对公平的SA护理产生影响。项目评估显示了共同的挑战、经验教训和建议,以促进资源不足社区公平获得辅助医疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Leveraging Telehealth to Address Sexual Assault Nurse Examiner Access Disparities in Rural Communities.

Background: There are persistent gaps in access to sexual assault nurse examiners (SANEs) in rural and underserved areas, yielding health and legal disparities for survivors. These inequities prompted federal investment in novel telehealth programs to improve SANE access.

Purpose: The aim of this study was to examine program case studies from two sexual abuse/assault (SA) telehealth centers, illuminating successes, challenges, and lessons learned.

Methods: Two state SA telehealth program directors used a collective instrumental case study approach to understand telehealth SANE (teleSANE) program challenges/lessons learned, outcomes, and recommendations for the field. Cross-program commonalities and differences were examined, pooling experiences to derive recommendations to sustain telehealth to increase SA health equity.

Results: Collectively, the two programs have served 18 remote sites and provided 335 consultations. Both programs provide access to 24/7 teleSANE consultation, quality assurance, and mentoring. Unique to each program were engagement of hospital leadership in advisory boards, use of telehealth technology, training programs, and fiscal sustainability. Both programs identified flexibility, offering a tailored implementation approach, regular site support and communication, and teleSANE mentoring aligned with the Quality Caring Model as essential to success. Critical needs identified to sustain programs included (a) multilevel community and hospital buy-in, (b) sustainable funding specific to local institution needs, and (c) robust processes to oversee clinical and technology support.

Conclusions: Cross-program similarities and differences show the impact telehealth can have on equitable SA care. Program evaluation showed common challenges, lessons learned, and recommendations to advance equitable SA care access in underresourced communities.

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来源期刊
CiteScore
1.50
自引率
10.00%
发文量
120
期刊介绍: The Journal of Forensic Nursing (JFN) the official journal of the International Association of Forensic Nurses, is a groundbreaking publication that addresses health care issues that transcend health and legal systems by articulating nursing’s response to violence. The journal features empirical studies, review and theoretical articles, methodological and concept papers, and case reports that address the provision of care to victims and perpetrators of violence, trauma, and abuse. Topics include interpersonal violence (sexual assault, abuse, intimate partner violence); death investigation; legal and ethical issues; forensic mental health nursing; correctional nursing; and emergency and trauma nursing.
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