SciELO - Scientific Electronic Library Online

 
vol.14 issue1 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • On index processSimilars in Google

Share


Health SA Gesondheid (Online)

On-line version ISSN 2071-9736
Print version ISSN 1025-9848

Health SA Gesondheid (Online) vol.14 n.1 Cape Town  2009

 

ORIGINAL RESEARCH

 

Experiences of health care providers managing sexual assault victims in the emergency unit

 

 

Rebecca M. SkhosanaI; Mmapheko D. PeuII

IDepartment of Health, Mpumalanga Province, South Africa
IIDepartment of Nursing Science, University of Pretoria

Correspondence

 

 


ABSTRACT

The objective of this study was to explore and describe the experiences of health care providers managing sexual assault victims in the emergency unit of a community hospital in the Nkangala district in the Mpumalanga Province. A qualitative, phenomenological design was applied. Purposeful sampling was used to select participants from health care providers who were working in the emergency unit and had managed more than four sexual assault victims. Data were collected by means of individual interviews and analysed according to the Tesch method of data analysis by the researcher and the independent co-coder. Main categories, subcategories and themes were identified. Participants expressed their emotions, challenges and police attitudes and behaviours, as well as inconsistencies in guidelines and needs identification. It was recommended that members of the multidisciplinary team engage in community activities and that the community participate in matters pertaining to sexual assault. Government should develop clear guidelines that are applicable to rural and urban South Africa. Health care sciences should aim to train more forensic nurses. All relevant departments should work together to alleviate the complications caused by sexual assault incidents.

Keywords: patient-carer relationship; sexual assault; victims; health care providers; emergency unit


OPSOMMING

Die doel van hierdie studie was om die ervaringe van gesondheidsorgverskaffers wat slagoffers van seksuele aanranding in die ongevalle-eenheid van 'n gemeenskapshospitaal in die Nkangala-distrik in die provinsie van Mpumalanga hanteer, te ontgin en te beskryf. 'n Kwalitatiewe fenomenologiese ontwerp is toegepas. Doelbewuste steekproefneming is gebruik om deelnemers te selekteer uit die groep gesondheidsorgverskaffers wat in die ongevalle-eenheid werksaam was en meer as vier slagoffers van seksuele aanranding hanteer het. Data is by wyse van individuele onderhoude ingesamel en volgens die Tesch-metode van data-analise deur die navorser en die onafhanklike medekodeerder geanaliseer. Hoofkategorieë, subkategorieë en temas is geïdentifiseer. Deelnemers het uitdrukking gegee aan hulle emosies, uitdagings, die houding en gedrag van polisiebeamptes, teenstrydighede in riglyne en behoefte-identifikasie. Aanbevelings is dat multidissiplinêre spanlede betrokke moet wees by gemeenskapsaktiwiteite en dat die gemeenskap moet deelneem aan sake wat verband hou met seksuele aanranding. Die regering moet duidelike riglyne ontwikkel wat op landelike en stedelike Suid-Afrika van toepassing is. Gesondheidsorgwetenskappe moet daarop gerig wees om meer forensiese verpleegkundiges op te lei. Alle toepaslike departemente moet saamwerk om die komplikasies te verlig wat deur voorvalle van seksuele aanranding veroorsaak word.


 

 

“Full text available only in PDF format”

 

 

References

Brouwer, I.J., 2005, 'Training and development needs of medical practitioners involved in the medico-legal examination of survivors of sexual assault', South African Medical Journal 99(11), 837-838.         [ Links ]

Chasson, S. & Russell, A., 2002, 'Do SANE examinations satisfy the EMTALA requirement for "medical screening"?' Journal of Emergency Nursing 28, 593-595.         [ Links ]

Ciancone, A.C., Wilson, C., Collete, R. & Gerson, L.W., 2000, 'Sexual assault nurse examiner programs in United States', Annals of Emergency Medicine 35(4), 353-357        [ Links ]

Department of Health, 2004, National management guidelines for sexual assault care, Government Printers, Pretoria.         [ Links ]

Du Mont, J. & Parris, D., 2004, 'The doctor's dilemma: Care giving and medico-legal evidence collection' Journal of Medicine and Law 23, 515-529.         [ Links ]

Esposito, N., 2006, 'Women with history of sexual assault: Healthcare visit can be a reminder of a sexual assault', Advanced Journal of Nursing 106(3), 69-73.         [ Links ]

Feldhaus, K.M., Houry, D. & Kaminsky, R., 2000, 'Life sexual assault prevalence rates and reporting in an emergency department population', Annals of Emergency Medicine 36(1), 23-27.         [ Links ]

Goldenring, J. & Alfred, G., 2001, 'Post-rape care in hospital emergency rooms', American Journal of Public Health 36(3), 1169-1170.         [ Links ]

Hutson, L.A., 2002, 'Development of sexual assault nurse examiner programs', Emergency Nursing 37(1), 79-88.         [ Links ]

King, G., Flisher, A.J., Noubary, F., Reece, R., Marais, A. & Lombard, C., 2004, 'Substance abuse and behavioural correlates of sexual assault among South African adolescents', Journal of Child Abuse and Neglect 28, 683-689.         [ Links ]

Koss, M.P., 2005, 'Empirical enhanced reflections on 20 years of rape research', Journal of Interpersonal Violence 20(1), 100-107        [ Links ]

Lehana, T.V. & Rhyn, L., 2003, 'Phenomenological investigation of experiences of pregnancy by unmarried adolescents in Maseru', Health SA Gesondheid 18(1), 26-37.         [ Links ]

Martin, L.J., 2002, 'Forensic evidence collection: South African perspective', International Journal of Gynaecology and Obstetrics 78 (suppl. 1), 105-110.         [ Links ]

Odentaal, H.I., Schaetzing, A.E. & Kruger, T.F., 2001, Clinical gynaecology, 2nd edn., Juta, Pretoria.         [ Links ]

Smugar, S.S., Spina, B.J. & Merz., F.E., 2000, 'Informed concern for emergency contraceptives variability in hospital care of rape', American Journal of Public Health 9, 1372-1575.         [ Links ]

Usdin, S., Scheepers, E., Goldstein, S. & Japhet, G., 2005, 'Achieving social change on gender based violence: A report on the impact evaluation of Soul City's fourth series', Social Science and Medicine 61, 2434-2445.         [ Links ]

Wood, K., 2005, 'Contextualizing group rape in post-apartheid South Africa', Culture, Health and Sexuality 7(4), 303-317.         [ Links ]

 

 

Correspondence:
Mmapheko D. Peu
PO Box 667
School of Health Care Sciences
University of Pretoria
Pretoria 0001, South Africa
E-mail: doriccah.peu@up.ac.za

Received: 05 Nov. 2008
Accepted: 21 July 2009
Published: 17 Sept. 2009

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License