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Client Satisfaction With Nursing-led Sexual Assault and Domestic Violence Services in Ontario

Du Mont, Janice EdD1,2; Macdonald, Sheila MN1,3; White, Meghan BA1,3; Turner, Linda PhD3; White, Deborah PhD4; Kaplan, Sarah RN5; Smith, Tanya MN6,7

doi: 10.1097/JFN.0000000000000035
Original Articles

Introduction: There is still little known about survivors’ experiences of and satisfaction with comprehensive nursing-led hospital-based sexual assault and domestic violence treatment programs.

Method: To address this gap, we surveyed and collected information from clients/guardians presenting to 30 of 35 of Ontario’s Sexual Assault/Domestic Violence Treatment Centres across seven domains: presentation characteristics, client characteristics, assailant characteristics, assault characteristics, health consequences, service use, and satisfaction with services.

Results: One thousand four hundred eighty-four clients participated in the study, 96% of whom were women/girls. Most were White (75.3%), 12–44 years old (87.8%), and living with family (69.6%); 97.9% of clients used at least one service. The most commonly used service was assessment and/or documentation of injury (84.8%), followed by on-site follow-up care (73.6%). Almost all clients/guardians reported that they received the care needed (98.6%), rated the overall care as excellent or good (98.8%), and stated that the care had been provided in a sensitive manner (95.4%). Concerns and recommendations to improve care expressed by a small proportion of clients/guardians focused on long wait times, negative emergency department staff attitudes, issues of privacy and confidentiality, and difficulty with accessing services.

Discussion: The high uptake and positive evaluation of services provided by Ontario’s Sexual Assault/Domestic Violence Treatment Centre programs confirms the value of nursing-led, hospital-based care in the aftermath of sexual assault and domestic violence. Ongoing evaluation of such services will ensure the best care possible for this patient population.

Author Affiliations: 1Women’s College Research Institute, Women’s College Hospital; 2Dalla Lana School of Public Health Sciences, University of Toronto; 3Ontario Network of Sexual Assault/Domestic Violence Treatments Centres; 4Trent University; 5Cornwall Community Hospital; 6SickKids, The Hospital for Sick Children; and 7Faculty of Nursing, University of Toronto.

Janice Du Mont is supported in part by the Atkinson Foundation.

The authors declare no conflict of interest.

Janice Du Mont, EdD, Women’s College Research Institute, Women’s College Hospital, 790 Bay Street, 7th Floor, Toronto, Ontario, M5G 1N8, Canada. E-mail: janice.dumont@wchospital.ca.

Received April 14, 2014; accepted for publication June 28, 2014.

© 2014 by the International Association of Forensic Nurses. All rights reserved.
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