Paluzzi P, Gaffikin L, Nanda J
Maternal and Child Health Department, Johns Hopkins School of Hygiene, USA.
J Midwifery Womens Health. 2000 Sep-Oct;45(5):384-91. doi: 10.1016/s1526-9523(00)00056-8.
From October 1994 through September 1998, the American College of Nurse Midwives conducted a nationwide Domestic Violence Education Project. The project aimed to encourage universal screening for domestic violence among all women being seen for care. A four-pronged set of objectives was used, including policy, basic education, continuing education, and advocacy/activism. A description of the project and the results of the project evaluation, including replicable features, are presented. Process and outcome evaluations were performed using both quantitative and qualitative data. Surveys, interviews, and site visits formed the basis for the evaluation of the policy reform, education program, and advocacy components. Pretests and posttests of training participants formed the basis of the evaluation of the continuing education component. All project objectives were met. Policy reform occurred as expected. Changes were noted in education programs in both didactic content and clinical exposure. Changes in clinical behavior as assessed by the pretests and posttests look promising, although numbers of respondents at 12 and 24 months after training are small. Participants reported an increase in advocacy and activism. The Domestic Violence Education Project seems to be a successful and somewhat replicable model for changing attitudes about a health topic (among providers) with possible implications for clinical practice.
从1994年10月到1998年9月，美国助产士学院开展了一项全国性的家庭暴力教育项目。该项目旨在鼓励对所有前来就诊的女性进行家庭暴力的普遍筛查。项目采用了一套四管齐下的目标，包括政策、基础教育、继续教育以及宣传/行动主义。本文介绍了该项目及其评估结果，包括可复制的特点。过程评估和结果评估使用了定量和定性数据。调查、访谈和实地考察构成了政策改革、教育项目和宣传部分评估的基础。培训参与者的前测和后测构成了继续教育部分评估的基础。所有项目目标均已实现。政策改革如预期发生。教育项目在教学内容和临床接触方面都有变化。尽管培训后12个月和24个月的受访者数量较少，但从前测和后测评估的临床行为变化看起来很有前景。参与者报告说宣传和行动主义有所增加。家庭暴力教育项目似乎是一个成功且在一定程度上可复制的模式，用于改变（医疗服务提供者中）对一个健康主题的态度，并可能对临床实践产生影响。
