Predicting Attrition in a Statewide Sexual Assault Nurse Examiner (SANE) Training Program

Background: Sexual assault medical forensic examinations are recommended post-assault health care, but there is a national shortage of specially trained sexual assault nurse examiners (SANEs). The goal of this project was to expand the SANE workforce in a Midwestern state by creating and implementing a free, statewide didactic and clinical skills training program. This study evaluated attrition rates throughout the training program. Method: Prospective trainees completed an online application assessing education, professional experience, motivations, perceived barriers to completion, and emotional readiness for forensic practice. Results: Of 497 applicants, 327 were eligible and 254 enrolled; 38% attrited before completing both phases. Attrition was more common during the didactic phase, particularly after the module on assessing physical examination findings. Nurses who perceived unmet SANE service needs in their communities were significantly more likely to complete training. Conclusion: Targeted instructional engagement and peer support during emotionally intensive content may improve SANE training completion.