The advanced practice nursing role of change agent, an analysis of implementing change related to childhood sexual abuse sequelae in a family practice clinic

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Clemente, Loredana
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The advanced practice nursing (APN) role of change agent is explored in this practicum in reference to a change related to screening for childhood sexual abuse (CSA) prior to more sensitive physical examinations, i.e., pelvic, breast and rectal examination . Goals of this project were to assess the process of an APN implementing a change in a family practice clinic composed mainly of physicians, and to increase practitioner sensitivity to this issue. The intervention consisted of an educational session to the physicians at the Family Medical Centre addressing issues surrounding the long-term effects of CSA. The evidence supporting the need for survivors of sexual abuse to have these issues addressed was also presented followed by an introduction to my own project asking those attending the session to implement two screening questions, "Is there anything about your past experiences that makes this exam particularly difficult for you?" and "What can I do to make it easier for you?" Those wishing to participate were then asked whether they had made a change in practice based on the intervention. (Abstract shortened by UMI.)