Date(s) - 12/05/2020
1:30 pm - 3:30 pm
Authors/Presenters: Juliana Musse, PhD, MPH, SANE | Rebeca Vieira, RN, GTA
Additional Presenter: Wesley Augusto de Jesus Santos, RN
CE Hours: 2
One sentence presentation summary: This presentation will explore the challenges and successes of setting up the very first GTA program in a region of the world where this methodology is unknown.
Abstract: In May of 2019, the first GTA Program in all of South America was founded at Tiradentes University, in Aracaju, Sergipe, Brazil. This presentation aims to report on the experience of setting up a Forensic Gynecologic Teaching Associate Program in a region where none existed previously and to share viewpoints regarding use of these newly trained GTAs in a training course for nurses on the integral care of victims of sexual violence. Three distinct points of view will be explored; the nurse who first conceived SANE in Brazil; a nursing student who trained as a GTA in this course and now acts as the program’s onsite supervisor; and the translator, also a nursing student, who accompanied the training of the GTAs during the duration of their training.
The founding of the GTA program coincided with the founding of the first training of SANEs in Brazil. The content for the training of SANEs in Brazil reflected the training of SANEs in the United States and included information on Brazilian legislation, protocols of care to victims, anamnesis and physical examination of survivors, collection and preservation of forensic traces, and evaluation and documentation of injuries. The content for the training of the Forensic GTAs also reflected the content of similar training programs in the United States. GTAs were trained on anatomy and on the three main components of the forensic evidence collection kit, the trauma interview, head to toe physical trauma exam focusing on pelvic exam techniques and speculum insertion, and chain of custody so that the GTAs could instruct on the pelvic exam components and provide opportunities for trainees to practice extra speculum insertions. Additionally, the GTAs received training as professional simulated patients so that they could participate in simulations in order to provide SANE trainees opportunities to practice the components of the forensic evidence collection kit.
While both trainings took place simultaneously and each presented its own set of challenges, this presentation will focus on the work of the 13 GTA trainees who were required to learn the entire curriculum and training protocol in a matter of a couple of days to participate in the instruction and simulation that occurred on the last two days of the SANE training. Additional challenges revolved around participation turnover, volunteerism (no pay for training or the work days), learning work entirely new as well as cultural differences between the Brazilian GTA trainees and our United States trainer which included language barriers and cultural differences. We also had numerous successes. Together the presenters will take you on the journey from initial online meetings to our desire today to expand the program to well-patient instruction in Brazil.
Three Anticipated Learning Outcomes: Participants will:
- Gain knowledge and insight into the challenges of including innovative but critical programming at a facility where knowledge of the desired program is non-existent.
- Gain insight into difficulties presented by incorporating a program outside of the cultural norms of the specific place the training is being held.
- Gain knowledge into the difficulties language barriers present to program implementation and methods of effectively meeting and overcoming them
Registrations are closed for this presentation.