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Client satisfaction with nursing-led sexual assault and domestic violence services in Ontario.

Abstract

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.

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    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.

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    MeSH

    Adolescent
    Adult
    Attitude of Health Personnel
    Child
    Confidentiality
    Domestic Violence
    Emergency Service, Hospital
    Female
    Forensic Nursing
    Health Services Accessibility
    Humans
    Male
    Nurse's Practice Patterns
    Ontario
    Patient Satisfaction
    Program Evaluation
    Questionnaires
    Sex Offenses
    Time Factors
    Wounds and Injuries
    Young Adult

    Pub Type(s)

    Journal Article
    Multicenter Study
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    25144583