FAMILY VIOLENCE INTERVENTION WITHIN AN EMERGENCY DEPARTMENT: ACHIEVING CHANGE REQUIRES MULTIFACETED PROCESSES TO MAXIMIZE SAFETY

被引:12
作者
Ritchie, Miranda [1 ]
Nelson, Katherine [2 ]
Wills, Russell
机构
[1] Hawkes Bay Dist Hlth Board, Dist Hlth Boards, Hastings, New Zealand
[2] Victoria Univ Wellington, Grad Sch Nursing, Wellington, New Zealand
关键词
Family violence; Screening; Qualitative method; INTIMATE PARTNER VIOLENCE; DOMESTIC VIOLENCE; WOMEN; HEALTH; ABUSE; PREVALENCE; PREGNANCY; INJURIES; PROTOCOL; VICTIMS;
D O I
10.1016/j.jen.2008.05.004
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: Family violence is common with significant long-term negative health effects. Health professionals are recognised as key providers of family violence intervention. In 2002, the Hawke's Bay District Health Board launched a Family Violence Intervention Programme in its emergency department. The intervention programme involved staff training, the development of resources and routine questioning for partner abuse within the social history for all women 16 years and over. The aim was to identify the barriers and enablers to routine questioning one year after the programme was launched to inform programme improvements. Methods: Evaluation research using semi-structured interviews,eleven staff participated in either a single or a group interview. Content and thematic analysis, with triangulation of findings was used. Results: The interviews revealed that routine questioning for partner abuse is difficult in the emergency department. Some staff screened routinely while others only offered intervention when overt abuse was identified. Barriers, enablers and solutions revealed by participants were either personal or organisational; all had the common theme of safety. Discussion: Routine questioning for partner abuse is challenging and its introduction into practice requires a systems approach to achieve change. Barriers to questioning exist and by simultaneously addressing these and implementing enablers, at an organisational and personal level, barriers are eliminated or at least minimised. A link was evident between nurses' level of comfort and their rate of questioning. A multifaceted approach focusing on safety of all concerned can support change resulting in implementation of family violence intervention in the health sector.
引用
收藏
页码:97 / 104
页数:8
相关论文
共 44 条
  • [1] DOMESTIC VIOLENCE AGAINST WOMEN - INCIDENCE AND PREVALENCE IN AN EMERGENCY DEPARTMENT POPULATION
    ABBOTT, J
    JOHNSON, R
    KOZIOLMCLAIN, J
    LOWENSTEIN, SR
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (22): : 1763 - 1767
  • [2] [Anonymous], 1997, NURSING RES PRINCIPL
  • [3] [Anonymous], 1999, EFFECTIVE HLTH CARE, V5, P1
  • [4] The impact of domestic violence on individuals
    Astbury, J
    Atkinson, J
    Duke, JE
    Easteal, PL
    Kurrle, SE
    Tait, PR
    Turner, J
    [J]. MEDICAL JOURNAL OF AUSTRALIA, 2000, 173 (08) : 427 - 431
  • [5] Bryman A., 1989, RES METHODS ORG STUD
  • [6] CAMPBELL J, 1994, J EMERG NURS, V4, P280
  • [7] Health consequences of intimate partner violence
    Campbell, JC
    [J]. LANCET, 2002, 359 (9314) : 1331 - 1336
  • [8] An evaluation of a system-change training model to improve emergency department response to battered women
    Campbell, JC
    Coben, JH
    McLoughlin, E
    Dearwater, S
    Nah, G
    Glass, N
    Lee, D
    Durborow, N
    [J]. ACADEMIC EMERGENCY MEDICINE, 2001, 8 (02) : 131 - 138
  • [9] Champion J D, 1998, Issues Ment Health Nurs, V19, P463
  • [10] Health care interventions for intimate partner violence: What women want
    Chang, JC
    Ranieri, L
    Hawker, L
    Buranosky, R
    Dado, D
    McNeil, M
    Scholle, SH
    [J]. WOMENS HEALTH ISSUES, 2005, 15 (01) : 21 - 30