Mezey Gill, Bacchus Loraine, Haworth Alison, Bewley Susan
Department of Forensic Psychiatry, St George's Hospital Medical School, Jenner Wing, Ground Floor, Cranmer Terrace, London SW17 0RE, UK.
BJOG. 2003 Aug;110(8):744-52.
To examine midwives' perceptions and experiences of routine enquiry for domestic violence.
Focus groups and semi-structured interviews.
The study was conducted in the maternity services of Guy's and St Thomas' NHS Hospital Trust, an inner London teaching hospital.
Twenty-eight midwives were interviewed.
One hundred and sixteen out of 145 (80%) midwives were trained to screen routinely pregnant women for domestic violence at booking, at 34 weeks of gestation and postpartum. Twenty midwives attended one of four focus groups and eight semi-structured interviews were conducted. Interviews were transcribed and analysed using content analysis.
Midwives' views of routine enquiry for domestic violence.
Midwives felt that domestic violence was an important issue to be addressed. However, practical and personal difficulties were encountered during the study. These included: time constraints, lack of confidential time, safety issues, staff shortages, low staff morale and midwives' personal experiences of domestic violence. The study produced a raised awareness about domestic violence within the maternity unit. There was considerable support for the idea of a specialist domestic violence midwife.
Routine enquiry for domestic violence cannot be implemented effectively without ensuring that in-depth training, resources, staff support and policies to ensure that screening can be conducted safely and confidentially are in place.
探讨助产士对家庭暴力常规询问的看法和经历。
焦点小组和半结构化访谈。
该研究在伦敦市中心一家教学医院——盖伊和圣托马斯国民保健服务医院信托基金的产科服务部门进行。
对28名助产士进行了访谈。
145名助产士中有116名（80%）接受了培训，在孕妇初次产检、妊娠34周和产后时对其进行家庭暴力常规筛查。20名助产士参加了四个焦点小组中的一个，并进行了八次半结构化访谈。访谈内容经转录后采用内容分析法进行分析。
助产士对家庭暴力常规询问的看法。
助产士认为家庭暴力是一个需要解决的重要问题。然而，在研究过程中遇到了实际和个人方面的困难。这些困难包括：时间限制、缺乏保密时间、安全问题、人员短缺、员工士气低落以及助产士个人的家庭暴力经历。该研究提高了产科病房内对家庭暴力的认识。对设立一名专门处理家庭暴力的助产士这一想法有相当多的支持。
如果没有确保提供深入培训、资源、员工支持以及制定能确保安全且保密地进行筛查的政策，就无法有效实施家庭暴力常规询问。
