title: "It's not just a job. This is where we live. This is our backyard": the experiences of expert legal and advocate providers with sexually assaulted women in rural areas.
abstract: Sexual assault research has focused almost exclusively on urban areas, and research examining the experiences of expert service providers is nearly nonexistent. The purpose of this study was to add to the understanding of providers' experiences in working with sexually assaulted women in rural communities. Secondary victimization theory suggests that the nature of postassault expert interventions may have an adverse impact on victims. The focus of this hermeneutic phenomenological study was to explore the lived experiences of providers regarding their interactions with sexual assault survivors living in rural communities. Data were gathered from prosecutors, law enforcement, crisis center advocates, social workers, and victim-witness associates. Data analysis led to the identification of five significant themes: (a) rural-specific confidentiality issues, (b) resource needs in a rural setting, (c) the connection between victim blaming and low levels of reporting, (d) negative provider views of the community, and (e) smaller communities provided better victim care. Psychiatric nurses and mental health care systems have many opportunities to intervene with abused women in inpatient, outpatient, and other community settings. In primary and acute care setting, nurses should assess patients for a history of violence using multiple screening questions and should also educate victims and their families about available resources.
authors.affiliation: Department of Nursing, College of Integrated Science and Technology, James Madison University, Harrisonburg, VA 22807, USA. annansl@jmu.edu
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Annan
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015400:Clinical Nursing Research; D003219:Confidentiality / Q000331:legislation & jurisprudence; D003299:Cooperative Behavior; D019548:Crime Victims / Q000331:legislation & jurisprudence / Q000523:psychology; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005260:Female; D053604:Forensic Nursing; D006301:Health Services Needs and Demand / Q000331:legislation & jurisprudence; D006801:Humans; D033183:Interdisciplinary Communication; D010348:Patient Care Team; D011902:Rape / Q000331:legislation & jurisprudence* / Q000523:psychology*; D012424:Rural Population; D012944:Social Support; D014768:Virginia