AIM:To examine how the individual experiences of sexual assault nurse examiners (SANEs) changed across a 6-month period. METHOD:SANEs from a prior study participated in a 6-month follow-up survey regarding secondary trauma, burnout, support, work-related challenges and training needs. Some also completed the Secondary Traumatic Stress Scale and the Professional Quality of Life Scale. RESULTS:There were a few changes in the feelings of secondary trauma and burnout, with most SANEs reporting little to none. However, there was a decrease in feelings of support. Further, many challenges and training needs remained stable across time. DISCUSSION:While secondary trauma and burnout were both low and stable, it is concerning that SANEs felt less supported over time. In addition, the lack of change in challenges and training needs may suggest that the needs of SANEs are not being addressed.

An estimated half of sexual assault cases involve victims under the influence of alcohol and/or drugs at the time of the assault. In these cases, sexual assault nurse examiners (SANEs) play a crucial role in providing care to victims and collecting forensic evidence. This study surveyed (n = 112) and interviewed (n = 58) SANEs across the United States to collect frequency estimates of patients under the influence, as well as robust qualitative narratives of their experiences, challenges, and needs working with this population. We found that alcohol, marijuana, and methamphetamines were the most common substances encountered in patients seen by SANEs. Qualitative analyses revealed that SANEs lack standardized training and protocols for forensic evidence collection from this vulnerable group, including exam consent and information-gathering guidelines. SANEs reported that intoxicated patients posed unique challenges, particularly in patient interactions and behavior. While SANEs saw themselves as educators throughout the case process, they emphasized the need for more best practice training and clear guidelines to ensure effective care for these patients.

BACKGROUND:Much of the research on sexual assault nurse examiners (SANEs) focuses on program outcomes rather than the individual experiences of SANEs. The present research therefore sought to examine the individual experiences of SANEs regarding trauma, support, training needs, and challenges. METHODS:A national sample of SANEs participated in an online survey. In addition to a series of questions on work-related challenges and training needs, participants also completed the Secondary Traumatic Stress Scale (Bride et al., 2004) and the Professional Quality of Life Scale Stamm, 2009). Written survey responses were analyzed for themes regarding support services and training needs. RESULTS:One hundred twelve SANEs from 24 U.S. states participated in our survey. Of these, 74 SANEs completed the Secondary Traumatic Stress Scale, and 69 SANEs completed the Professional Quality of Life Scale. Overall, SANEs reported little secondary trauma or burnout. Furthermore, SANEs identified key areas in which additional training would be beneficial, including trial preparation, photography, and hands-on training. DISCUSSION:Self-reported trauma and burnout findings are discussed in light of the high use of support services such as therapy, decompressing with other SANEs, and leisure activities. Our findings provide valuable information for supervisors and training providers of SANEs and have important implications for future SANE research.

Background: Vaccine champions are common in primary care, but little is known about which champions are effective. Methods: In 2022, we surveyed 2,144 US primary care professionals (PCPs) who reported working with vaccine champions. Respondents rated the champion with whom they worked most closely on their effectiveness at improving vaccination rates. Results: About half (49 %) of PCPs perceived their closest champion as highly effective. PCPs perceived advanced practice providers and nursing staff as highly effective somewhat more often than physicians (52 % and 58 % vs 43 %, p <.001). Other correlates of perceived effectiveness included being a formally appointed versus informal champion, working extremely versus less closely with PCPs, and using a high (4-5) versus low (0-1) number of implementation strategies to improve vaccination rates (all p <.001). Conclusions: Results suggest vaccine champions may benefit from having formal roles and opportunities to work closely with colleagues to improve vaccination rates using multiple strategies.

ABSTRACT Challenges can often only be overcome with collaboration. In this case report of a Health Resources and Services Administration-funded program for Advancing Nurse Education – Sexual Assault Nurse Examiner, we describe the unique challenges and collaborations that have taken place in rural communities as we continued to train nurses during the COVID-19 pandemic. Geography and lack of availability of sexual assault nurse examiner (SANE) trainees brought many challenges as we prepared them to successfully pass the SANE certification examination and recruit new cohorts to expand SANE education. During the implementation of this program, we found that our process model, community collaboration, and commitment to these rural counties were the keys to our success before and during the COVID-19 pandemic. SANE trainee process and outcome measures were collected through quantitative and qualitative data collection. These data from the first cohort, along with the strategies implemented as all partners navigated the challenges of COVID-19, helped to strengthen our collaboration and expand the program. Details of these strategies and outcomes to date will be discussed.

Challenges can often only be overcome with collaboration. In this case report of a Health Resources and Services Administration-funded program for Advancing Nurse Education - Sexual Assault Nurse Examiner, we describe the unique challenges and collaborations that have taken place in rural communities as we continued to train nurses during the COVID-19 pandemic. Geography and lack of availability of sexual assault nurse examiner (SANE) trainees brought many challenges as we prepared them to successfully pass the SANE certification examination and recruit new cohorts to expand SANE education. During the implementation of this program, we found that our process model, community collaboration, and commitment to these rural counties were the keys to our success before and during the COVID-19 pandemic. SANE trainee process and outcome measures were collected through quantitative and qualitative data collection. These data from the first cohort, along with the strategies implemented as all partners navigated the challenges of COVID-19, helped to strengthen our collaboration and expand the program. Details of these strategies and outcomes to date will be discussed.

Background and objective: In an ever-changing landscape of health care needs and demands, the ability to provide care for rural communities is often overwhelming. Rural health care in a new decade demands targeted programs to improve recruitment, training, and sustained employment of primary care providers. This project served to address rural primary healthcare needs by the development of a project model to recruit, train, educate and evaluate Advanced Practice Registered Nurse students (APRN) students who were rigorously selected for a rural traineeship and practiced in rural counties. The evaluation of preceptors was also done to assist in retention and increased numbers of rural preceptors and clinical sites. This program was designed collaboratively and implemented with rural community partners and rural healthcare leaders.Methods: Graduate nursing students completed both a paper application and in person interviews to be selected for a rigorous 16-week clinical traineeship in the rural communities. Qualitative data were collected during interview and feedback sessions during their traineeship. Quantitative Data were collected on Process and Outcome Measures focused on learning objectives during their rural traineeship. These data were analyzed and evaluated to measure the effectiveness of program goals, outcomes, and sustainability of the program. Results and conclusions: The results support the structured process for selecting graduate students and with an innovative program design focused on rural culture and accessing resources for patients in these same rural areas. Both students and preceptors had improved performance and satisfaction over time. The results provide a road map to recreate programs with high clinical impact and increasing numbers of rural healthcare providers. Current follow-up data with APRN post program completion demonstrated increase in employment within rural areas post-graduation.

Summary: The general shortage of primary care providers in rural areas is well documented in the United States. Our innovative educational model for graduate nursing students implements traineeships in rural areas that integrate theory to practice approaches while measuring process and outcomes to ensure cultural competency and clinical performance.

The long-standing history of low or no reporting of sexual assault in rural areas, creates health disparities and justice inequity for these rural communities. In this brief perspective piece, a rural sexual assault nurse examiner (SANE) program is described in the hopes that dissemination will lead to increased numbers of rural SANEs, increased reporting of sexual assaults in rural and underserved communities, increased prosecution rates of sexual assault perpetrators, and program sustainability through the provision of a nurse-centered approach to training and support.

An exploratory pilot descriptive research study was conducted in the rural counties of Hendry and Glades Florida exploring parental knowledge and hesitancy of HPV vaccination. Participants included parents/caregivers with children ages 9 to 13; using quantitative methods, we evaluated knowledge, feelings, and beliefs toward HPV vaccination including vaccination prevalence and correlates among participating parents/caregivers. Our measures included the Parental HPV Survey with a Cronbach's alpha of .96. Hesitancy-focused results revealed 26% of parents showed caution because of stigma around vaccination while attributing low levels of knowledge about HPV vaccination; 80% had a persistent belief HPV vaccination could leave their child sterile, perpetuating hesitancy. Participants with a high-school education or less (64%) and conservative religious affiliation, e.g., Baptist and Catholic (74%), did not decline HPV vaccination. Results are striking considering research indicating conservative religious views and lack of a college education leads to lower HPV vaccination rates. Numerous interventions to increase HPV vaccination have been studied including strong recommendations for increased provider communication but our data indicates increasing public education with community input and a focus on cultural norms in each specific rural community among parents and providers is needed to increase HPV vaccine knowledge and decrease HPV vaccine hesitancy.

Abstract Antiretroviral therapy (ART) is important in HIV outcomes and HIV prevention. However, ART adherence remains suboptimal in people living with HIV/AIDS (PLWH). This study examined associations among ART adherence and demographic, psychosocial, and religious factors in a sample of 292 PLWH. Average age of participants was 45.1 ± 7.8 years and they had been living with HIV for 10.8 ± 7.0 years, on average. Mean ART adherence scores differed significantly between participants based on age (F = 5.861, p = .016), depressive symptom status (F = 17.61, p < .0001), religious attendance (F = 5.901, p = .016), and prayer (F = 5.791, p = .017). Only age, social support, prayer, and negative religious coping were significant predictors of ART adherence, in a multivariate regression model. Higher ART adherence scores were significantly associated with being older than 50 years (β = .17, p = .014), greater social support satisfaction (β = .15, p = .031), praying daily or more (β = .17, p = .021) and lower negative religious coping scores (β = −.18, p = .014). Clinicians should assess/address these factors during ART treatment counseling.

From 2008 to 2017, the Robert Wood Johnson Foundation Nurse Faculty Scholars Program inspired, developed, and supported cohorts of next generation national leaders in academic nursing through career development awards. With support from mentors, scholars in the program created individual development plans focused on scholarship, teaching, service, and leadership. The curriculum of the scholar development program combined goals and objectives related to leadership development, enhancement of nursing education skills, and focused programs of research and scholarship. In addition, program outcomes emphasized engagement in institutional, university, and professional governance systems. This article describes and recounts findings from the program participants regarding accomplishments, productivity, and facilitators contributing to their achievement of program outcomes.

Purpose: This initiative enhances and improves adolescent health equity in an underserved community through identification, engagement and participation of residents (parent and child) who have little or no access to primary care by utilizing peer health navigators to provide early identification of health problems via screening and linkage to early and continuous treatment of health problems. The initiative is located within Liberty City which has high rates of teen truancy, obesity, HIV/ STDs, infant mortality, low birth weight, and a plethora of acute and chronic health conditions. Goal 1. Establish adolescent health equity and promote primary health care services elevating health, wellness and disease prevention. Goal 2. Create and establish community and school-based health linkage via health care navigators, peer navigators and outreach activities. Exposure is provided via parent and student workshops, church engagement, monthly health fairs and screenings, as well as continuous engagement with students, parents and community leaders. Through multiple outreach events centered at Liberty City's Miami Northwestern Highschool, health navigators will seek to improve adolescent, parent, patient engagement in medical care and therefore increase positive health outcomes by addressing individual barriers to health care.

INTRODUCTION:African American (AA) high school-age girls are more likely to have had sex before age 13 years and have higher rates of all sexually transmitted infections. Cognition and religion/spirituality are associated with adolescent sexuality, therefore, the purpose of this study was to identify cognitive and religious substrates of AA girls' risky sexual behaviors.METHOD:A descriptive study was conducted with 65 AA girls aged 15 to 20 years using computerized questionnaires and cognitive function tasks.RESULTS:Average age was 17.8 ± 1.9 years and average sexual initiation age was 15.5 ± 2.6 years. Overall, 57.6% reported a history of vaginal sex. Girls who reported low/moderate religious importance were significantly younger at vaginal sex initiation than girls for whom religion was very/extremely important. Girls who attended church infrequently reported significantly more sexual partners.IMPLICATIONS:Health care providers can use these findings to deliver culturally congruent health care by assessing and addressing these psychosocial factors in this population.

Optimal adherence to antiretroviral therapy (ART) is associated with favorable HIV outcomes, including higher CD4 cell counts, HIV virus suppression and a lower risk of HIV transmission. However, only 25% of people living with HIV/AIDS (PLWH) in the USA are virally suppressed. Sub-optimal adherence (<90–95%) contributes to antiretroviral resistance and worse medical outcomes, including more rapid progression to AIDS and death. Psychosocial factors and religion/spirituality (R/S) have a significant impact on ART adherence, but the findings are mixed. The purpose of this study was to examine religious and psychosocial correlates and predictors of ≥90% ART adherence in PLWH. A cross-sectional study was conducted with a sample of 292 outpatient PLWH in the Southeastern USA. Participants completed computerized surveys. The mean ART adherence percentage was 80.9% and only about half reported ≥90% adherence. There were statistically significant differences in ART adherence rates based on age, depressive symptom status and frequency of religious attendance and prayer. Praying at least once a day was significantly associated with ≥90% ART adherence (OR = 2.26, 95% CI [1.06–4.79], p < 0.05). Social support satisfaction was also significantly associated with ART adherence (OR = 1.52, 95% CI [1.11–2.08], p < 0.05) and energy/fatigue/vitality (OR = 1.03, 95% CI [1.00–1.05], p < 0.05).

Despite the fact that human papillomavirus (HPV) infection and HPV-related cancers are on the rise in men, male HPV vaccine series completion is less than 10% in many areas. This study examined parental knowledge of the HPV vaccine and intent to vaccinate their sons. A cross-sectional study of 341 parents of boys was conducted in school settings in rural southeastern Georgia. Mothers were 2.07 times more likely than fathers to vaccinate their sons. Future research directions should include strategies to increase HPV vaccination in both genders and focus on parents' perceived severity and vulnerability of their sons to HPV infection.