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Is there a role for paediatric Sexual Assault Nurse Examiners in the management of child sexual assault in Australia?
Child Abuse Negl 2016; 59:13-25CA

Abstract

In Australia, paediatricians and Child Protection Specialists provide the medical and forensic examinations of child victims of sexual assault. There are workforce challenges in the recruitment and retention of doctors to undertake child sexual assault (CSA) work particularly in remote and rural areas. Pediatric Sexual Assault Nurse Examiner (PSANE) programs have existed in the USA and the UK for many years. Using Rapid Evidence Assessment (REA) methodology, a systematic search of the literature was performed to ascertain what is known about SANE programs, to evaluate the evidence for their effectiveness across a number of domains (accessibility, health and legal outcomes and cost effectiveness) and to inform policy on models of care and elements of best practice which may be appropriate for local implementation in Australia. This review showed that despite the limited evidence available and significant gaps in the evidence, SANEs provide a high standard of medical care and are not detrimental to the legal process. By providing recommendations regarding the potential value, effectiveness and feasibility of establishing a PSANE program in Australia, this article may be of interest to other high income countries facing similar workforce challenges in meeting the needs of children with alleged sexual assault.

Authors+Show Affiliations

Sydney Children's Hospitals Network, c/o Department of Community Child Health, Sydney Children's Hospital, Cnr Avoca and Barker Streets, Randwick, NSW 2031, Australia. Electronic address: Sunat2@optusnet.com.au.Sydney Children's Hospitals Network, c/o Department of Community Child Health, Sydney Children's Hospital, Cnr Avoca and Barker Streets, Randwick, NSW 2031, Australia; UNSW School of Women's and Children's Health, c/o Department of Community Child Health, Sydney Children's Hospital, Cnr Avoca and Barker Streets, Randwick, NSW 2031, Australia. Electronic address: Susan.Woolfenden@sesiahs.health.nsw.gov.au.Sydney Children's Hospitals Network, c/o Department of Community Child Health, Sydney Children's Hospital, Cnr Avoca and Barker Streets, Randwick, NSW 2031, Australia; UNSW School of Women's and Children's Health, c/o Department of Community Child Health, Sydney Children's Hospital, Cnr Avoca and Barker Streets, Randwick, NSW 2031, Australia. Electronic address: karen.zwi@health.nsw.gov.au.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

27490516

Citation

Nathanson, Dania, et al. "Is There a Role for Paediatric Sexual Assault Nurse Examiners in the Management of Child Sexual Assault in Australia?" Child Abuse & Neglect, vol. 59, 2016, pp. 13-25.
Nathanson D, Woolfenden S, Zwi K. Is there a role for paediatric Sexual Assault Nurse Examiners in the management of child sexual assault in Australia? Child Abuse Negl. 2016;59:13-25.
Nathanson, D., Woolfenden, S., & Zwi, K. (2016). Is there a role for paediatric Sexual Assault Nurse Examiners in the management of child sexual assault in Australia? Child Abuse & Neglect, 59, pp. 13-25. doi:10.1016/j.chiabu.2016.07.004.
Nathanson D, Woolfenden S, Zwi K. Is There a Role for Paediatric Sexual Assault Nurse Examiners in the Management of Child Sexual Assault in Australia. Child Abuse Negl. 2016;59:13-25. PubMed PMID: 27490516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is there a role for paediatric Sexual Assault Nurse Examiners in the management of child sexual assault in Australia? AU - Nathanson,Dania, AU - Woolfenden,Susan, AU - Zwi,Karen, Y1 - 2016/08/01/ PY - 2015/12/08/received PY - 2016/06/01/revised PY - 2016/07/18/accepted PY - 2016/8/5/entrez PY - 2016/8/5/pubmed PY - 2018/3/3/medline KW - Child sexual assault KW - Sexual Assault Nurse Examiners SP - 13 EP - 25 JF - Child abuse & neglect JO - Child Abuse Negl VL - 59 N2 - In Australia, paediatricians and Child Protection Specialists provide the medical and forensic examinations of child victims of sexual assault. There are workforce challenges in the recruitment and retention of doctors to undertake child sexual assault (CSA) work particularly in remote and rural areas. Pediatric Sexual Assault Nurse Examiner (PSANE) programs have existed in the USA and the UK for many years. Using Rapid Evidence Assessment (REA) methodology, a systematic search of the literature was performed to ascertain what is known about SANE programs, to evaluate the evidence for their effectiveness across a number of domains (accessibility, health and legal outcomes and cost effectiveness) and to inform policy on models of care and elements of best practice which may be appropriate for local implementation in Australia. This review showed that despite the limited evidence available and significant gaps in the evidence, SANEs provide a high standard of medical care and are not detrimental to the legal process. By providing recommendations regarding the potential value, effectiveness and feasibility of establishing a PSANE program in Australia, this article may be of interest to other high income countries facing similar workforce challenges in meeting the needs of children with alleged sexual assault. SN - 1873-7757 UR - https://www.unboundmedicine.com/medline/citation/27490516/Is_there_a_role_for_paediatric_Sexual_Assault_Nurse_Examiners_in_the_management_of_child_sexual_assault_in_Australia L2 - https://linkinghub.elsevier.com/retrieve/pii/S0145-2134(16)30143-0 DB - PRIME DP - Unbound Medicine ER -