title: Development of the Commonwealth of Puerto Rico National Protocol for the Management of Victims of Sexual Violence: Adults/Adolescents.
abstract: Sexual violence is a public health problem in Puerto Rico (PR), with an incidence of 7.4 cases for every 10,000 people during 2005-2006 (Departamento de Salud Secretaría Auxiliar de Salud Familiar y Servicios Integrados, 2007). Findings from the literature review indicated that the traditional model of care provided to the victims of sexual violence in the Emergency Department is incomplete; furthermore, it may cause revictimization because of the attitudes, behaviors, and practices of the community service providers, resulting in additional trauma. Emerging evidence demonstrates that Sexual Assault Nurse Examiner (SANE) programs are providing effective quality care. In PR, SANEs do not intervene in sexual assault cases; nevertheless, the Department of Health of PR has recognized the importance of SANE intervention. Consequently, there is a need for current evidence-based protocols and standards of care to describe the procedures, roles, and responsibilities for the provision of quality care to victims. This project involves the implementation of the Stufflebeam's Context-Input-Process-Product Model in the creation of the Commonwealth of Puerto Rico National Protocol for the Management of Victims of Sexual Violence: Adults/Adolescents.
authors.affiliation: Author Affiliations:1 University of Puerto Rico-Mayagüez, 2University of Virginia, 3University of Miami, and 4University of Puerto Rico-Mayagüez.
authors.forename: Rose Marie
authors.initials: RM
authors.lastname: Méndez
authors.forename: Pamela
authors.initials: P
authors.lastname: Kulbok
authors.forename: Sarah
authors.initials: S
authors.lastname: Lawson
authors.forename: Abigail
authors.initials: A
authors.lastname: Matos
mesh_terms: D000293:Adolescent; D000328:Adult; D002985:Clinical Protocols; D019548:Crime Victims; D053604:Forensic Nursing / Q000458:organization & administration*; D006291:Health Policy; D006801:Humans; D017146:Models, Organizational; D011050:Policy Making; D011647:Puerto Rico; D012742:Sex Offenses