A Survey of Psychiatric Nurses Regarding Working with Clients who have a History of Sexual Abuse

Abstract

BACKGROUND: There is strong evidence that a history of sexual abuse can have serious psychologic sequelae.

OBJECTIVE: The purpose of the study was to assess the comfort, attitudes, identif ed competencies, and educational needs ofpsychiatric nurses who work with these clients.

STUDY DESIGN: Surveys were mailed to a random sample of 3542 nursing personnel in four Canadian provinces. Measures were used to assess comfort, sexual attitudes, competencies, and educational needs.

RESULTS: A response rate of 48% (1 701 responses) was achieved. Comfort and competency regarding working with clients varied according to educational preparation, gender of the nurse, and a personal history of abuse (p <.001). All participants identified a critical need for more knowledge in all areas related to providing care for these clients.

CONCLUSION: The surveys showed that significant numbers of nurses are working with clients who report a history of sexual abuse. However, most participants do not believe they have adequate knowledge or therapeutic skills to work with these clients. Information from this study should provide directionfor content of sexual abuse education programs.

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