title: Client satisfaction with nursing-led sexual assault and domestic violence services in Ontario.
abstract: BACKGROUND
  There is still little known about survivors' experiences of and satisfaction with comprehensive nursing-led hospital-based sexual assault and domestic violence treatment programs.
  
  
  METHODS
  To address this gap, we surveyed and collected information from clients/guardians presenting to 30 of 35 of Ontario's Sexual Assault/Domestic Violence Treatment Centres across seven domains: presentation characteristics, client characteristics, assailant characteristics, assault characteristics, health consequences, service use, and satisfaction with services.
  
  
  RESULTS
  One thousand four hundred eighty-four clients participated in the study, 96% of whom were women/girls. Most were White (75.3%), 12-44 years old (87.8%), and living with family (69.6%); 97.9% of clients used at least one service. The most commonly used service was assessment and/or documentation of injury (84.8%), followed by on-site follow-up care (73.6%). Almost all clients/guardians reported that they received the care needed (98.6%), rated the overall care as excellent or good (98.8%), and stated that the care had been provided in a sensitive manner (95.4%). Concerns and recommendations to improve care expressed by a small proportion of clients/guardians focused on long wait times, negative emergency department staff attitudes, issues of privacy and confidentiality, and difficulty with accessing services.
  
  
  CONCLUSIONS
  The high uptake and positive evaluation of services provided by Ontario's Sexual Assault/Domestic Violence Treatment Centre programs confirms the value of nursing-led, hospital-based care in the aftermath of sexual assault and domestic violence. Ongoing evaluation of such services will ensure the best care possible for this patient population.
authors.affiliation: Author Affiliations: 1Women's College Research Institute, Women's College Hospital; 2Dalla Lana School of Public Health Sciences, University of Toronto; 3Ontario Network of Sexual Assault/Domestic Violence Treatments Centres; 4Trent University; 5Cornwall Community Hospital; 6SickKids, The Hospital for Sick Children; and 7Faculty of Nursing, University of Toronto.
authors.forename: Janice
authors.initials: J
authors.lastname: Du Mont
authors.forename: Sheila
authors.initials: S
authors.lastname: Macdonald
authors.forename: Meghan
authors.initials: M
authors.lastname: White
authors.forename: Linda
authors.initials: L
authors.lastname: Turner
authors.forename: Deborah
authors.initials: D
authors.lastname: White
authors.forename: Sarah
authors.initials: S
authors.lastname: Kaplan
authors.forename: Tanya
authors.initials: T
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D002648:Child; D003219:Confidentiality; D017579:Domestic Violence / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital; D005260:Female; D053604:Forensic Nursing / Q000458:organization & administration*; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D009864:Ontario / Q000453:epidemiology; D017060:Patient Satisfaction; D057184:Practice Patterns, Nurses'; D015397:Program Evaluation; D012742:Sex Offenses / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013997:Time Factors; D014947:Wounds and Injuries / Q000453:epidemiology / Q000451:nursing; D055815:Young Adult