This study examines models of SANE service in the ED and quality of care. Nurse managers of all 82 EDs in Virginia were surveyed (RR 76%). Five models emerged: 1) No SANE services (27.4%); 2) Victims transferred off-site for services (14.5%); 3) Partial coverage of services by ED SANEs (16.1%); 4) SANEs called in from off-site (6.5%); and 5) Full-coverage of services by ED SANEs (35.5%). Models 4 and 5 consistently provided a higher quality of care.
Stacey B. Plichta, ScD,is Graduate Program Director, Health Services Research PhD Program, School of Community and Environmental Health, College of Health Sciences, Old Dominion University, Norfolk, VA.
Paul T. Clements, PhD, APRN, BC, DF-IAFN,is Assistant Professor, School of Nursing, College of Health Sciences, Old Dominion University, Norfolk, VA, and Associate Editor, Journal of Forensic Nursing.
Clare Houseman, PhD, APRN, BC,is Department Chair, School of Community and Environmental Health, College of Health Sciences, Old Dominion University, Norfolk, VA.
FundingThe authors would like to thank the Virginia General Assembly for its vision and leadership on behalf of victims of sexual violence. In 2004, the Assembly passed Senate Joint Resolution 131, directing the Virginia Department of Health to develop recommendations for improving services to victims throughout the legal, social service, sexual assault crisis, and medical arenas. Subsequently, this study was funded by the Virginia Department of Health, and the authors would like to express their appreciation for choosing them to engage in this work. The authors would also like to thank the Virginia Sexual and Domestic Violence Action Alliance for the substantial amount of assistance and critical feedback that they provided.