Short Lynn M, Hadley Susan M, Bates Bonnie
Analytic Systems Associates, Inc., Atlanta, GA, USA.
Women Health. 2002;35(2-3):101-19. doi: 10.1300/J013v35n02_07.
The WomanKind program, a non-profit health care based program for for victims of domestic/intimate partner violence (IPV), seeks to enable and motivate health care providers to identify victims of such violence and refer them to WomanKind's in-house services. An evaluation designed to assess client referral to WomanKind services and the impact of health care provider training was carried out.
Data were collected at three intervals over a 2-year period at 3 intervention and 2 comparison hospitals located in Minneapolis, MN. The focus of data collection efforts was to assess the providers' knowledge, attitudes, beliefs, and behaviors (KABB) concerning identification and referral of victims of IPV. Hospital staff and volunteer advocate training programs also were evaluated. Chart reviews were conducted and client referrals assessed.
Providers at WomanKind hospitals demonstrated significantly higher knowledge, attitudes, beliefs and behaviors than those at comparison hospitals throughout the study. During the data collection period, 1719 IPV victims were identified and referred to the WomanKind program, while only 27 IPV victims were referred to trained social workers at the comparison hospitals. Chart reviews indicated that emergency staff at the intervention sites provide documentation of IPV in patient records twice as frequently as emergency staff at the comparison sites.
This research underscores the efficacy of a well-structured, multidisciplinary effort to deliver services to IPV victims. The results demonstrate that specialized training and on-site client services create a significant positive impact on the KABB of health care providers.
“女性关爱”项目是一个针对家庭/亲密伴侣暴力（IPV）受害者的非营利性医疗保健项目，旨在促使并激励医疗保健提供者识别此类暴力行为的受害者，并将他们转介至“女性关爱”的内部服务。开展了一项评估，以评估向“女性关爱”服务机构转介的客户情况以及医疗保健提供者培训的影响。
在明尼苏达州明尼阿波利斯市的3家干预医院和2家对照医院，于2年期间分三个时间段收集数据。数据收集工作的重点是评估提供者在识别和转介IPV受害者方面的知识、态度、信念和行为（KABB）。还对医院工作人员和志愿者倡导者培训项目进行了评估。进行了病历审查并评估了客户转介情况。
在整个研究过程中，“女性关爱”医院的提供者在知识、态度、信念和行为方面表现出明显高于对照医院的水平。在数据收集期间，1719名IPV受害者被识别并转介至“女性关爱”项目，而对照医院仅有27名IPV受害者被转介给受过培训的社会工作者。病历审查表明，干预地点的急诊工作人员在患者记录中提供IPV记录的频率是对照地点急诊工作人员的两倍。
本研究强调了为IPV受害者提供服务的结构化多学科努力的有效性。结果表明，专门培训和现场客户服务对医疗保健提供者的KABB产生了显著的积极影响。
