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Background: Within the UK, the complainants of rape and sexual assault are typically referred to regional sexual assault referral centres (SARCs) where their medical and psychological needs are addressed and, if they consent, a forensic medical examination will be conducted, usually by a forensic physician. In the USA, this service is typically nurse-led. Objective: To compare the reliability and efficacy of Sexual Assault Nurse Examiners (SANEs)/Forensic Nurse Examiners (FNEs) with that of non-SANE health professionals in the conduct of the forensic medical examination and the collection of forensic evidence (rape kit) from the complainants of rape and sexual assault. The following outcomes are used to quantify the efficacy of the SANEs: complainant quality of life, conviction and prosecution rates, complainant mortality within 30 days, time from complainant to examination, provision of STI [sexually transmitted infection], pregnancy and HIV prophylaxis, collection and documentation of rape kits and forensic examination, number of rape kits admissible as evidence, and the average cost per case…Conclusion: While there does not appear to be any benefit gained in terms of prosecution and conviction by substituting forensic doctors with forensic nurse examiners (FNEs), the FNEs do seem to be statistically significantly better in the provision of clinical care and are able to provide a cheaper service than that led by physicians. (Author Abstract) |
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