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Examining the Implementation of the National Protocol for Sexual Assault Medical Forensic Examinations

Examining the Implementation of the National Protocol for Sexual Assault Medical Forensic... ABSTRACT The National Protocol for Sexual Assault Medical Forensic Examinations, Adult/Adolescent, 2nd edition, or SAFE Protocol, is a voluntary guide that assists local and state jurisdictions with their responses to sexual assault by institutionalizing best practices around survivor care and evidence collection, particularly for sexual assault nurse examiners (SANEs) completing medical forensic examinations. We examined the uptake of the SAFE Protocol in communities across the United States by analyzing data from a set of national surveys of forensic nursing programs and victim advocates within the same communities. We studied four implementation outcomes: the acceptability, adoption, reach, and sustainability of the SAFE Protocol. SANEs and advocates reported that stakeholders responding to sexual assault—including forensic nurses, advocates, law enforcement, and prosecutors—have high implementation of the Protocol, which indicates how important individual stakeholder engagement is in actively facilitating the adoption of it. However, when information from SANEs and advocates from the same community are compared, the extent to which the SAFE Protocol is reported to be implemented with fidelity across U.S. jurisdictions is mixed. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Forensic Nursing Wolters Kluwer Health

Examining the Implementation of the National Protocol for Sexual Assault Medical Forensic Examinations

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Publisher
Wolters Kluwer Health
Copyright
Copyright © 2022 International Association of Forensic Nurses
ISSN
1556-3693
eISSN
1939-3938
DOI
10.1097/jfn.0000000000000369
Publisher site
See Article on Publisher Site

Abstract

ABSTRACT The National Protocol for Sexual Assault Medical Forensic Examinations, Adult/Adolescent, 2nd edition, or SAFE Protocol, is a voluntary guide that assists local and state jurisdictions with their responses to sexual assault by institutionalizing best practices around survivor care and evidence collection, particularly for sexual assault nurse examiners (SANEs) completing medical forensic examinations. We examined the uptake of the SAFE Protocol in communities across the United States by analyzing data from a set of national surveys of forensic nursing programs and victim advocates within the same communities. We studied four implementation outcomes: the acceptability, adoption, reach, and sustainability of the SAFE Protocol. SANEs and advocates reported that stakeholders responding to sexual assault—including forensic nurses, advocates, law enforcement, and prosecutors—have high implementation of the Protocol, which indicates how important individual stakeholder engagement is in actively facilitating the adoption of it. However, when information from SANEs and advocates from the same community are compared, the extent to which the SAFE Protocol is reported to be implemented with fidelity across U.S. jurisdictions is mixed.

Journal

Journal of Forensic NursingWolters Kluwer Health

Published: Apr 16, 2022

References