Improving provider confidence and knowledge of sexual assault treatment through education and guideline implementation
Tera Sabatino, DNP Candidate, BA, BSN, RN
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Sexual assault is a pervasive public health concern that disproportionately affects women and can have long-term effects in every aspect of a woman’s life (Nathan & Ferrara, 2020). While acute treatment of sexual assault has been standardized, follow up care for victims has not. This project was created to improve OB-GYN provider confidence and competence when treating sexual assault victims in the clinic. Education as well as treatment guidelines and tips were used as an option to fill this care gap. Objectives of the project included improving knowledge of sexual assault and treatment through education as well as improving standardized care through guidelines for providers to use when treating sexual assault victims seeking follow up care. The literature revealed studies where hospitals created training modules to educate and improve provider knowledge of sexual assault (DuMont et al., 2018). Hospitals have also created order sets and treatment guidelines for providers to use to help standardize patient care and serve as a reference for providers when treating this patient population (Britton et al., 2013). Creating treatment guidelines, order sets, and education trainings proved to be effective ways to improve provider confidence and competence to provide safe standardized care. Ensuring quality follow up care can ensure evaluation of medication adherence, pregnancy assessment, immunization status, STI evaluation, mental health, and injury reassessment (Crawford et al., 2017). The plan was to create a presentation on sexual assault and practice guidelines that would be built into the agency’s education platform and participants would be assigned the module to complete. Unfortunately, the module was not able to be built into the education platform, so the presentation was sent to participants to review. Practice guidelines were compiled and disseminated to participants to use in practice. After two months of having guidelines in practice, a questionnaire about guideline and presentation usage was sent to participants to complete. The success of the project was evaluated based on participant responses regarding feeling more confident in their practice, that their knowledge base increased with the education, and that the guidelines were a beneficial tool in their practice. The outcomes of the project were collected with a Likert scale questionnaire and gathered into tables and figures to be analyzed. Results revealed that practice guidelines improved provider confidence, were easy to use, and would continue to be used in practice. The presentation was found to be relevant to the topic, and the timeframe of guidelines in practice limited the chance of usage in the clinic. Recommendations for the future included disseminating education and practice guidelines to other OB-GYN clinics in the project agency as well as family practice clinics. Other recommendations included changing the Likert scale to a numeric form for improved data analysis as well as working with education team to build the module to gain pre/posttest data.
|Type||DNP Capstone Project|
|Review Type||None: Degree-based Submission|
|Research Approach||Pilot/Exploratory Study|
Sexual Assault Treatment;
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