Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape

 

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dc.contributor.advisor Martin, Lorna J en_ZA
dc.contributor.advisor Naido, Navindhra en_ZA
dc.contributor.author Gihwala, Raina Tara en_ZA
dc.date.accessioned 2016-08-11T10:17:18Z
dc.date.available 2016-08-11T10:17:18Z
dc.date.issued 2016 en_ZA
dc.identifier.citation Gihwala, R. 2016. Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/21186
dc.description.abstract South African incidence of rape ranks amongst the highest worldwide. No direct policy exists for the emergency care provider management of rape victims in the pre-hospital setting. The pre-hospital exposure to rape cases is unknown as its health information system is not gender-based violence sensitive. In the absence of a clearly defined protocol, indiscretion in the emergency care treatment of rape victims remains undocumented. As a particularly vulnerable group globally, victims of rape are deserving of focused intervention. A qualitative, descriptive approach guided the research in which nine semi-structured voluntary interviews were held with emergency care providers, forensic medical practitioners and emergency consultants. Through a critical theory lens thematic content analysis was employed. University of Cape Town ethics approval was attained. The study found that pre-hospital providers lack knowledge and skills of rape victim identification and management but are desirous of evidence-informed guidelines for treatment and referral in a multidisciplinary approach. Educational and policy deficiencies are documented. The recommendations support a community of practice that is mutually inclusive of specialist rape-care centres, emergency department and pre-hospital providers in the interest of forensic emergency medicine. Due regard must be had for needs of practitioners at risk of vicarious traumatization from sexual assault management. Transformative curricula and responsive clinical guidelines are likely to redress any complicity of the health sector non-response to rape/sexual assault. This study is likely to benefit emergency care regulators, educators and researchers whose professional interest is to promote responsivity of the health system to rape. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Emergency Medicine en_ZA
dc.subject.other Rape en_ZA
dc.subject.other Emergency Care provider en_ZA
dc.subject.other emergency medical services en_ZA
dc.subject.other sexual assault en_ZA
dc.subject.other clinical management guidelines en_ZA
dc.subject.other critical theory en_ZA
dc.title Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Emergency Medicine en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MSc (Med) en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Gihwala, R. T. (2016). <i>Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine. Retrieved from http://hdl.handle.net/11427/21186 en_ZA
dc.identifier.chicagocitation Gihwala, Raina Tara. <i>"Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2016. http://hdl.handle.net/11427/21186 en_ZA
dc.identifier.vancouvercitation Gihwala RT. Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Division of Emergency Medicine, 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/21186 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Gihwala, Raina Tara AB - South African incidence of rape ranks amongst the highest worldwide. No direct policy exists for the emergency care provider management of rape victims in the pre-hospital setting. The pre-hospital exposure to rape cases is unknown as its health information system is not gender-based violence sensitive. In the absence of a clearly defined protocol, indiscretion in the emergency care treatment of rape victims remains undocumented. As a particularly vulnerable group globally, victims of rape are deserving of focused intervention. A qualitative, descriptive approach guided the research in which nine semi-structured voluntary interviews were held with emergency care providers, forensic medical practitioners and emergency consultants. Through a critical theory lens thematic content analysis was employed. University of Cape Town ethics approval was attained. The study found that pre-hospital providers lack knowledge and skills of rape victim identification and management but are desirous of evidence-informed guidelines for treatment and referral in a multidisciplinary approach. Educational and policy deficiencies are documented. The recommendations support a community of practice that is mutually inclusive of specialist rape-care centres, emergency department and pre-hospital providers in the interest of forensic emergency medicine. Due regard must be had for needs of practitioners at risk of vicarious traumatization from sexual assault management. Transformative curricula and responsive clinical guidelines are likely to redress any complicity of the health sector non-response to rape/sexual assault. This study is likely to benefit emergency care regulators, educators and researchers whose professional interest is to promote responsivity of the health system to rape. DA - 2016 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape TI - Out-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Cape UR - http://hdl.handle.net/11427/21186 ER - en_ZA


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