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.advisorMartin, Lorna Jen_ZA
dc.contributor.advisorNaido, Navindhraen_ZA
dc.contributor.authorGihwala, Raina Taraen_ZA
dc.date.accessioned2016-08-11T10:17:18Z
dc.date.available2016-08-11T10:17:18Z
dc.date.issued2016en_ZA
dc.description.abstractSouth 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.identifier.apacitationGihwala, 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/11427/21186en_ZA
dc.identifier.chicagocitationGihwala, 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/11427/21186en_ZA
dc.identifier.citationGihwala, 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.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
dc.identifier.urihttp://hdl.handle.net/11427/21186
dc.identifier.vancouvercitationGihwala 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/11427/21186en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDivision of Emergency Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherEmergency Medicineen_ZA
dc.subject.otherRapeen_ZA
dc.subject.otherEmergency Care provideren_ZA
dc.subject.otheremergency medical servicesen_ZA
dc.subject.othersexual assaulten_ZA
dc.subject.otherclinical management guidelinesen_ZA
dc.subject.othercritical theoryen_ZA
dc.titleOut-of-hospital assessment and management of rape survivors by pre-hospital emergency care providers in the Western Capeen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMSc (Med)en_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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