性侵犯和亲密伴侣暴力的幸存者在寻求/接受医疗保健方面经常面临许多挑战,并且经常无法跟进。
■我们的研究目标是评估可行性,可接受性,以及在加拿大急诊科就诊的性侵犯和亲密伴侣暴力患者中使用远程医疗技术的满意度。
■使用主题方法进行了定性研究。
患者是从加拿大一家大型医院急诊科在2020年4月1日至2022年3月31日期间发现的所有性侵犯和亲密伴侣暴力案件的病例注册表中确定的。对同意的参与者进行了定性的创伤知情访谈。进行了主题定性分析,以调查远程医疗用于后续护理的障碍和驱动因素。
■在研究时间段内看到的1007名性侵犯和亲密伴侣暴力患者中,180人(8%)同意联系未来的研究,10人完成了关于远程医疗后续护理的访谈。所有参与者都是顺性别妇女,5人(50%)经历过性侵犯,6(60%)人身攻击,和3(30%)口头攻击。所有人都知道他们的袭击者,6人(60%)被现任或前任亲密伴侣殴打。作为远程医疗使用的驱动力,出现了三个主题:增加舒适度,增加了便利性,和较少的时间所需的任命。远程医疗使用的三个主题障碍包括缺乏他人的隐私,他们的袭击者缺乏安全感,以及在任命期间平衡竞争任务的压力。
■这项研究表明,用于性侵犯和亲密伴侣暴力后续护理的远程医疗是可行的,可接受,并能提高患者对后续护理的满意度。当提供远程医疗作为幸存者的适当选择时,确保安全和隐私是关键考虑因素。
对性侵犯和亲密伴侣暴力幸存者的远程医疗和虚拟医疗的定性分析为什么要进行这项研究?性侵犯和亲密伴侣暴力是我们社会中普遍存在的问题。自15岁以来,超过3/10的加拿大妇女至少遭受过一次性侵犯,超过4/10的加拿大妇女一生中经历过IPV。在性侵犯和亲密伴侣暴力之后,幸存者在接受护理方面面临许多障碍,并且经常无法跟进。研究人员做了什么?研究人员研究了可接受性,可行性,以及在向加拿大急诊室提交的性侵犯和亲密伴侣暴力幸存者中使用远程医疗技术的满意度。性侵犯和亲密伴侣暴力幸存者分别接受了采访,了解他们通过远程医疗接受后续护理的经历。采访是用创伤知情的方法进行的,我们进行了数据分析,以探索远程医疗用于后续护理的障碍和驱动因素.研究人员发现了什么?采访总数为10,所有参与者都是顺性别的女性。所有人都知道他们的袭击者,六个人遭到现任或前任亲密伴侣的袭击。幸存者发现,远程医疗是进行后续预约的一种可访问的方式,并且对他们的经验大多感到满意。使用远程医疗的三个主要驱动因素包括在自己的空间中增加在家的舒适度,增加了便利,因为他们不必离开家去预约,和较少的时间所需的任命。使用远程医疗的三个主要障碍包括在预约期间缺乏他人的隐私,在约会期间平衡竞争任务的压力,对他们的袭击者缺乏安全感.这些发现意味着什么?这项研究表明,使用远程医疗对性侵犯和亲密伴侣暴力幸存者进行后续护理是可行的,可接受,并能提高患者满意度。然而,在提供远程医疗作为幸存者后续护理的一种选择时,必须考虑个人安全和隐私等因素。
Survivors of sexual assault and intimate partner violence often face many challenges in seeking/receiving healthcare and are often lost to follow up.
Our
study objectives are to evaluate the feasibility, acceptability, and satisfaction of using telemedicine technology among sexual assault and intimate partner violence patients who present to a Canadian Emergency Department.
Qualitative research was conducted using a thematic approach.
Patients were identified from a case registry of all sexual assault and intimate partner violence cases seen between 1 April 2020 and 31 March 2022 from an emergency department of a large Canadian hospital. Qualitative trauma-informed interviews were conducted with consenting participants. Thematic qualitative analyses were performed to investigate barriers and drivers of telemedicine for follow-up care.
Of the 1007 sexual assault and intimate partner violence patients seen during the
study timeframe, 180 (8%) consented to be contacted for future research, and 10 completed an interview regarding telemedicine for follow-up care. All participants were cisgendered women, 5 (50%) experienced sexual assault, 6 (60%) physical assault, and 3 (30%) verbal assault. All knew their assailant, and 6 (60%) were assaulted by a current or former intimate partner. Three themes emerged as drivers of telemedicine use: increased comfort, increased convenience, and less time required for the appointment. Three thematic barriers to telemedicine use included lack of privacy from others, lack of safety from their assailant, and pressure to balance competing tasks during the appointment.
This
study illustrated that telemedicine for sexual assault and intimate partner violence follow-up care is feasible, acceptable, and can improve patient satisfaction with follow-up care. Ensuring safety and privacy are key considerations when offering telemedicine as an appropriate option for survivors.
A qualitative analysis of telemedicine and virtual healthcare for survivors of sexual assault and intimate partner violenceWhy was the
study done? Sexual assault and intimate partner violence are prevalent issues in our society. More than 3/10 Canadian women have been sexually assaulted at least once since the age of 15 years and more than 4/10 Canadian women have experienced IPV in their lifetime. Survivors face many obstacles to receiving care after sexual assault and intimate partner violence and are often lost to follow up.What did the researchers do?The researchers studied the acceptability, feasibility, and satisfaction of using telemedicine technology among sexual assault and intimate partner violence survivors who presented to a Canadian Emergency Department. Sexual assault and intimate partner violence survivors were interviewed individually about their experience receiving follow-up care via telemedicine. The interviews were done using a trauma-informed approach, and data analyses were done to explore the barriers and drivers of telemedicine for follow-up care.What did the researchers find?The total number of interviews was 10, and all participants were cisgendered women. All knew their assailant and six were assaulted by a current or former intimate partner. Survivors found that telemedicine was an accessible way to have a follow-up appointment and were mostly satisfied with their experience. Three major drivers to using telemedicine included increased comfort being at home in their own space, increased convenience as they did not have to leave their house to have the appointment, and less time required for the appointment. Three major barriers to using telemedicine included lack of privacy from others during the appointment, pressure to balance competing tasks during the appointment, and lack of safety from their assailant.What do the findings mean?This
study has shown that follow-up care for sexual assault and intimate partner violence survivors using telemedicine can be feasible, acceptable, and can improve patient satisfaction. However, it is important to consider factors such as safety and privacy on an individual basis when offering telemedicine as an option for follow-up care for survivors.