Sexual assault policy in ED

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Sexual assault policy


In many health facilities, sexual harassment victims are referred to the emergency department as they are needed to be helped faster. Rape in this case is a form of sexual assault where a person forced to get involved in sexual intercourse without agreeing to it. Sexual assault is thus defined as the sexual activity that one person has not agreed to. Sexual assault may include; sexual intercourse with an underage, exposure of the body to someone else, and someone photographing another in sexual situations (Hanmer, & Itzin 2013). Sexual assault may be committed by a stranger or by a person close to the victim, a situation where a person forces sexual intercourse with his former partner is a sexual assault. This topic looks to the ways of handling victims of sexual assault in hospitals in a more organized way by having to start a sexual assault forensic examiners program.

Characteristics of the evidence

Sexual assault occurs in different ways. It is necessary for the medical doctors’ to know the nature of the assault and in order to handle it well. Knowing the signs of the sexual assault by looking at the patient is the beginning of helping the victim. To know the sexual assault victim especially those who are unable to communicate is to look at their eyes, look at their bodies whether there is a bruise that could be identified; when the victim is found undressed or missing the inner clothes could be suspicion of sexual assault (Barth et al., 2013). Also suspicion of violence related to sexual intercourse between the parties could suggest the possibility of a sexual assault.

Analysis of the situation in the emergency department

In most emergency departments, sexual assault cases referred to them are not handled carefully. Victims of the sexual assault need to be taken care of in a good time and well to help them get out of problem encountered by the act. The program should be well instituted in the emergency department and quality medical attention should be well. Lack of quality examination affects patients in the emergency department as there is no adequate examination to their case to enable adequate treatment. In a situation where there are no quality sexual examiners including this forensic personnel in the department, patients wait for long hour to be taken care of and in most cases, the substantial evidence that could be found becomes hard to retrieve.

How assessment has been done

The program is highly beneficial to the entire health system. Lack of the adequate medical examiners to deal with sexual assault patients has seen it become difficult to help such patients, this victim’s end up suffering from diseases which could have been dealt with at first instance. The high need for forensic examiners in the emergency department is to identify the occurrence of the act and the time it occurred and whether the individual has encountered any physical torture which could affect negatively their health. This program guides the department to deal with the victims adequately without delay to enable them is able to acquire the quality. The situation of lacking quality specialists to deal with the sexual assault in the emergency department is an impediment to solving the problem and helping the victims to get through it, most of the victims are left to suffer for long period which eventually affects them.


When it comes to sexual assault case, several stakeholders take part in it. The stakeholders are the interested party in the case, it is therefore important for these stakeholders to be involved in coming with the program for forensic examiners to be stationed in the emergency department to specifically deal with sexual assault victims. Their involvement helps in enabling the victims to receive quality care. The stakeholders here include; the hospital management, the department personnel, the government authorities, the police, and the general public.

Recipients of the change

Enforcing the program will mean changing the way the cases of sexual assault have been handled previously. The metropolitan emergency department has been operating without a serious sexual assault examiners in place; this means the victims have not been well cared for. Introduction of specialist in sexual assault forensics means change to quality care for the victims. The people to be affected by the change include; the victims as they will experience quality services in the emergency department than before. Other recipients of the change are other personnel in the emergency department, the local authorities, and the general public.

Motivation to change

Change comes with a need towards it. The need to provide better services to the sexual assault victims is the main reason for change to occur with a purpose of improving the quality of service to them. The victims have previously been ignored due to lack of qualified personnel to handle them in the emergency department. The need to help them in good time to avoid occurrence of other associated diseases is the motivating factor to implement the program. As a team, the department together with the authorities and other stakeholders are motivated with the same idea of improving the quality service to sexual assault victims.

Ability to change

Every individual has the desire to be at the center of a positive change. The ability to change in this perspective is availability of the resources to enable implementation of the program. The local authorities and the each individual can provide the necessary resources to ensure proper implementation of the program.

How has this been assessed?

The assessment of the program has relied on the beneficiary derived from it. The main beneficiaries are the patients then others like the local authorities. This program is helping the authorities to solve the cases of sexual assault through forensic investigations, for victims, they are more interested with being helped thus such is their motivating factor.


Knowledge translation involves all steps between creation of new knowledge and its application to the benefits of the entire society (Bowling 2014). In facilitating this program, there is interaction between various groups including the human rights groups who are protecting the lives of the people, the local authorities, health specialists and the general public (Straus et al., 2013). The translation of the research about the experience of the victims leads to the need to implement the program.

Previous facilitation experience

From the experience of the sexual assault victims, the facilitation of the previous knowledge translation process failed. The mechanism put in place shows lack of adequate personnel to handle sexual assault cases in the department thus proving the failure of the previous translation team.

Level of skill and knowledge

The process of implementing the program needs high knowledge and skills. The knowledge and skills by the experts will dictate the success in implementation of the program; all the stakeholders need to be educated by the experts to know the benefits of the program to the victims and to the general public.

How has this been assessed?

Lack of proper experts to deal with sexual related cases shows the failure of the previous facilitation. Knowledge translation can only be said to have been effective considering the success of the facilitation process. The experts should have enough knowledge and skills to facilitate proper translation and facilitation of the program to the required personnel.

Knowledge translation method to be used

In facilitation of the knowledge, there is need to have good methods for proper implementation. The best methods for this program are maximizing knowledge dissemination, communicating evidence to the stakeholders, developing an effective knowledge dissemination plan (Pym 2014). These three methods will be used here as they are the best methods that involve the direct contact with the stakeholders.


Communication is vital for proper implementation of the program in the emergency department. Communication takes place between the patients affected by the sexual health problems, the local authorities in the metropolitan, the management of the emergency department and any other interest party in the program (Bowen, & Graham 2013). Communication should take place at the right time after the process has been researched and proven to be worthy testing. The process of communication should be simple and in a language that every stakeholder whether learned or not could be able to understand easily.


For the program to be implemented there is need to get permission from the relevant authorities. Permission should first come from the NHS to check for the safety and the possibility of the program becoming beneficial to the public (Bowling 2014). This is important to ensure the program does not go against the health standards stated by the NHS.


Hanmer, J. and Itzin, C., 2013. Home Truths About Domestic Violence: Feminist Influences on Policy and Practice-A Reader. Routledge.

Barth, J., Bermetz, L., Heim, E., Trelle, S. and Tonia, T., 2013. The current prevalence of child sexual abuse worldwide: a systematic review and meta-analysis. International journal of public health, 58(3), pp.469-483.

Straus, S., Tetroe, J. and Graham, I.D. eds., 2013. Knowledge translation in health care: moving from evidence to practice. John Wiley & Sons.

Bowen, S. and Graham, I.D., 2013. Integrated knowledge translation. Knowledge translation in health care: Moving from evidence to practice, pp.14-23.

Pym, A., 2014. Method in translation history. Routledge.

Bowling, A., 2014. Research methods in health: investigating health and health services. McGraw-Hill Education (UK).