This qualitative study examined what medical advocates do that is helpful and unhelpful in their interactions with sexual assault survivors from the perspective of nurses. Data were N = 22 semistructured interviews with sexual assault nurse examiners (SANEs) and non-SANEs. Inductive thematic analysis was used. Helpful ways advocates worked with survivors included providing emotional support, caring for tangible needs, providing information, supporting patient choice, staying with and focusing on the patient, and facilitating follow-up care. Unhelpful ways advocates worked with survivors included poor patient service and not respecting patient wishes. SANE training did not influence nurses’ perceptions of advocate helpfulness.
AdamsP.HultonL. (2016). The sexual assault nurse examiner’s interactions within the sexual assault response team: A systematic review. Advanced Emergency Nursing Journal, 38(3), 213–227. https://doi.org/10.1097/TME.0000000000000112
2.
BachM. H.HansenN. B.AhrensC. E.NielsenC. R.WalsheC.HansenM. (2021). Underserved survivors of sexual assault: A systematic scoping review. European Journal of Psychotraumatology, 12(1). https://doi.org/10.1080/20008198.2021.1895516
CampbellR. (2006). Rape survivors’ experiences with the legal and medical systems do rape victim advocates make a difference?Violence Against Women, 12(1), 30–45. https://doi.org/10.1177/1077801205277539
5.
CampbellR. (2008). The psychological impact of rape victims’ experiences with the legal, medical, and mental health systems. American Psychologist, 63(8), 702–717. https://doi.org/10.1037/0003-066X.63.8.702
6.
CampbellR.BybeeD.KelleyK. D.DworkinE. R.PattersonD. (2012). The impact of sexual assault nurse examiner (SANE) program services on law enforcement investigational practices: A mediational analysis. Criminal Justice and Behavior, 39(2), 169–184. https://doi.org/10.1177/0093854811428038
7.
CampbellR.Goodman-WilliamsR.JavorkaM. (2019). A trauma-informed approach to sexual violence research ethics and open science. Journal of Interpersonal Violence, 34(23–24), 4765–4793. https://doi.org/10.1177/0886260519871
8.
CampbellR.JavorkaM.HetfieldM.GregoryK.VollingerL.MaW. (2022). Developing trauma-informed research methods: Using proxy respondents to assess sexual assault survivors’ experiences seeking medical forensic exams. Violence and Victims, 36(6), 793–807. https://doi.org/10.1891/VV-D-20-00221
9.
CampbellR.PattersonD.LichtyL. F. (2005). The effectiveness of sexual assault nurse examiner (SANE) programs: A review of psychological, medical, legal, and community outcomes. Trauma, Violence, & Abuse, 6(4), 313–329. https://doi.org/10.1177/1524838005280328
10.
CampbellR.PierceS. J.SharmaD. B.FeeneyH.Fehler‐CabralG. (2016). Should Rape Kit Testing Be Prioritized by Victim–Offender Relationship?. Criminology & Public Policy, 15(2), 555–583. https://doi.org/10.1111/capp.2016.15.issue-2
11.
DelgadilloD. C. (2017). When there is no sexual assault nurse examiner: Emergency nursing care for female adult sexual assault patients. Journal of Emergency Nursing, 43(4), 308–315. https://doi.org/10.1016/J.JEN.2016.11.006
12.
DowningN. R.MackinM. L. (2012). The perception of role conflict in sexual assault nursing and its effects on care delivery. Journal of Forensic Nursing, 8(2), 53–60. https://doi.org/10.1111/j.1939-3938.2012.01135.x
13.
GreesonM. R.CampbellR. (2011). Rape survivors’ agency within the legal and medical systems. Psychology of Women Quarterly, 35(4), 582–595. https://doi.org/10.1177/0361684311418078
14.
GreesonM. R.Watling NealJ.CampbellR. (2019). Using social network analysis to identify successful relationship patterns within sexual assault response teams (SARTs). Violence Against Women, 25(8), 968–998. https://doi.org/10.1177/1077801218801115
15.
HoffmanE. E.WegrzynA.GreesonM. R.ZinterK. E.TullP.BalataM. (2023). Nurses’ perceptions of helpful and unhelpful communication with rape victim advocates. Psychology of Violence, 13(2), 107–116. https://doi.org/10.1037/vio0000449
16.
KolbK. H. (2011). Sympathy work: Identity and emotion management among victim-advocates and counselors. Qualitative Sociology, 34, 101–119. https://doi.org/10.1007/s11133-010-9177-6
17.
MaierS. L. (2012). Sexual assault nurse examiners’ perceptions of their relationship with doctors, rape victim advocates, police, and prosecutors. Journal of Interpersonal Violence, 27(7), 1314–1340. https://doi.org/10.1177/0886260511425242
18.
MorrowS. L. (2007). Qualitative research in counseling psychology: Conceptual foundations. The Counseling Psychologist, 35(2), 209–235. https://doi.org/10.1177/0011000006286990
19.
PattersonD. (2014). Interdisciplinary team communication among forensic nurses and rape victim advocates. Social Work in Health Care, 53(4), 382–397. https://doi.org/10.1080/00981389.2014.884040
20.
PattersonD.CampbellR. (2010). Why rape survivors participate in the criminal justice system. Journal of Community Psychology, 38(2), 191–205. https://doi.org/10.1002/jcop.20359
21.
PattersonD.PennefatherM. (2015). Interdisciplinary team conflicts among forensic nurses and rape victim advocates. Affilia – Feminist Inquiry in Social Work, 30(1), 40–53. https://doi.org/10.1177/0886109914531955
22.
PattersonD.TringaliB. (2015). Understanding how advocates can affect sexual assault victim engagement in the criminal justice system. Journal of Interpersonal Violence, 30(12), 1987–1997. https://doi.org/10.1177/0886260514552273
23.
ShawJ.CampbellR. (2011). Rape crisis centers: Serving survivors and their communities. In Bryant-DavisT. (Ed.), Surviving sexual violence: A guide to recovery and empowerment (pp. 112–128). Rowman & Littlefield Publishers, Inc.
24.
SuenL.-J. W.HuangH.-M.LeeH.-H. (2014). A comparison of convenience sampling and purposive sampling. Hu Li Za Zhi, 61(3), 105–111. https://doi.org/10.6224/JN.61.3.105
25.
Voth SchragR. J.WoodL. G.WachterK.KulkarniS. (2022). Compassion fatigue among the intimate partner violence and sexual assault workforce: Enhancing organizational practice. Violence Against Women, 28(1), 277–297. https://doi.org/10.1177/1077801220988351
26.
WascoS. M.CampbellR.HowardA.MasonG. E.StaggsS. L.ScheweP. A.RigerS. (2004). A statewide evaluation of services provided to rape survivors. Journal of Interpersonal Violence, 19(2), 252–263. https://doi.org/10.1177/0886260503260246
27.
WegrzynA.GreesonM. R.MihelicovaM. (2021). A qualitative examination of collaborative infrastructure within sexual assault response teams. American Journal of Community Psychology, 68(1–2), 154–166. https://doi.org/10.1002/AJCP.12502
ZinterK. E.TullP.GreesonM. R.HoffmanE. E.WegrzynA. (2023). The working relationship between emergency room nurses and medical rape victim advocates: A qualitative examination of nurses’ perceptions of the influence of nurse training and experience on nurse–advocate interactions. Violence Against Women, 29(14), 2891–2914. https://doi.org/10.1177/10778012231196058
