Trauma-Informed Care in Anesthesia for Women with a History of Sexual Assault: Investigating Provider Perceptions

According to the Centers for Disease Control and Prevention, one in four women in the United States has experienced attempted or completed rape, and over half have experienced a form of sexual violence in their lifetime. Despite this prevalence, there is currently no formal position statement regard...

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Bibliographic Details
Published in:AANA journal Vol. 93; no. 4; pp. 283 - 288
Main Authors: Rose Peterson, Scotti, Edward Nguyen, The-Hung, Rollison, Sarah
Format: Journal Article
Language:English
Published: United States AANA Publishing, Inc 01.08.2025
Subjects:
Adult
Anesthesia
Attitude of Health Personnel
Attitudes
Consent
Data collection
Education
Ethics
Female
Females
Health care
Health Knowledge, Attitudes, Practice
Human subjects
Humans
Intervention
Knowledge
Medical personnel
Mental health
Middle Aged
Nurse Anesthetists - education
Nurse Anesthetists - psychology
Patients
Perioperative care
Post traumatic stress disorder
Sex crimes
Sex Offenses
Trauma
United States
United States
United States > US
anesthesiology
sexual assault
trauma-informed care
perioperative care
ISSN:0094-6354, 2162-5239, 2162-5239
Online Access:Get full text
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Summary:According to the Centers for Disease Control and Prevention, one in four women in the United States has experienced attempted or completed rape, and over half have experienced a form of sexual violence in their lifetime. Despite this prevalence, there is currently no formal position statement regarding the role of trauma-informed care (TIC) in anesthesia. This study investigates provider knowledge and attitudes regarding TIC principles and specific applications to perioperative practices during the care of female-identifying patients. Interactive educational presentations were provided to perioperative staff in surgical centers across a large academic medical center in the Mid-Atlantic United States. Pre-post education surveys measured participant knowledge, attitudes, and practices surrounding TIC on a four-point Likert scale. Data were numerically coded and evaluated using independent t-test analysis. Results demonstrate that providers vastly underestimate the prevalence of sexual assault, do not regularly integrate TIC principles, desire additional TIC education, and are individually motivated to modify practices. Integrating universal TIC guidelines into the anesthesia care of this patient population can serve as a bridge to formal protocols, provider education, and practice integration.
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ISSN:0094-6354
2162-5239
2162-5239
DOI:10.70278/AANAJ/.0000001026