Theses and Dissertations at Montana State University (MSU)
Permanent URI for this communityhttps://scholarworks.montana.edu/handle/1/732
Browse
2 results
Search Results
Item The use of sexual assault nurse examiners in the emergency department(Montana State University - Bozeman, College of Nursing, 2021) Gassman, Gina Rashelle; Chairperson, Graduate Committee: Casey ColeThe statistics are staggering for SA victims. Rape is the fastest growing and most under reported crime. The significance of the problem resides in a lack of trained SANE within the emergency department (ED). The strong evidence presented is multifaceted and the literature supports the importance for a full time (FT) SANE program. For this QI project, the aim was to measure how many SA cases came in the ED between November 18, 2020 and December 31, 2020. Patients 14 years and older who presented to the ED during this time period were included in the data collection. A specific tool for the local hospital was created to track whether each SANE case was completed by a SANE or non-SANE, and whether they were pulled from the ED floor or they were on-call for SA exams. This data was successfully collected and one out of three, or 33% of SA cases were completed by a non-SANE, and one out of three cases required pulling a nurse from the ED floor. The end goal of the quality improvement (QI) project is to implement a policy change within the ED to create a functional SANE Program as part of the ED. The current model at the local hospital does not provide the gold standard of care for victims of SA in the community. The outcomes of the QI project along with the strong literature support the need to have a SANE completing all SA exams. The data collected during this QI project will be presented to stakeholders at the local hospital Summer 2021.Item Self-compassion, unwanted sexual experiences, and revictimization among college students(Montana State University - Bozeman, College of Letters & Science, 2017) Gameon, Julie Ann; Chairperson, Graduate Committee: Monica SkewesSexual assault is a common problem on college campuses and women between the ages of 18 and 24 are at greatest risk, with 20-25% of female college students experiencing a sexual assault in any given year, compared to 5-6% of male college students. When conducting sexual assault research among college students, it is important to consider risk factors that contribute to revictimization and protective factors that buffer against negative outcomes. Although research has shown the effect of self-compassion on many of the negative outcomes associated with sexual victimization, little work has been conducted with a population of sexual assault survivors. In Study 1, participants with a history of unwanted sexual experiences (N = 16) completed a packet of surveys and a semi-structured interview about coping with and healing from their experience. The interview transcripts reflected many of the key domains of self-compassion, suggesting the need for additional research to understand the association between self-compassion and healing from unwanted sexual experiences. In Study 2, introduction to psychology students (N = 231) completed a battery of measurements to assess their sexual victimization history and associated negative outcomes, as well as protective factors including self-compassion. Analyses tested the hypothesis that greater self-compassion would predict less sexual revictimization among those who reported an unwanted sexual experience earlier in life. Although previous unwanted sexual experiences were positively associated with recent unwanted sexual experiences, there was neither a direct nor indirect effect through self-compassion. Findings from Study 1 suggest that different facets of self-compassion represent factors that both help and hinder coping and healing following an unwanted sexual experience. Although Study 2 failed to find a significant relationship between self-compassion and revictimization, self-compassion was associated with other variables previously shown to predict sexual assault and revictimization. More research is needed to understand the role of self-compassion in healing from sexual trauma and preventing revictimization.