Webster Fiona, Bouck Michelle Sangster, Wright Bonnie Lynn, Dietrich Pam
London Health Sciences Centre, Ontario, Canada.
Can J Nurs Res. 2006 Dec;38(4):136-53.
The purpose of this study was to describe the experiences of public health nurses (PHNs) who screen for woman abuse within their clinical practice. Semi-structured, in-depth interviews were conducted with 11 PHNs. There was a great deal of variability in participants' level of experience in working with abused women. The results reveal that nurse readiness is an important factor in screening for woman abuse. The authors describe a number of steps participants appeared to grapple with in order to become comfortable working with abused women, including coming to terms with abuse, asking the question, bearing witness, and "walking with" the client. As the PHN became increasingly comfortable working with abused women, she came to redefine success. Her client's personal growth over time, rather than the single act of leaving an abusive relationship, now defined a successful client interaction. The authors also discuss implications for practice that arise from these accounts.
本研究的目的是描述在临床实践中筛查妇女受虐情况的公共卫生护士（PHN）的经历。对11名公共卫生护士进行了半结构化的深入访谈。参与者在与受虐妇女合作方面的经验水平存在很大差异。结果表明，护士的准备情况是筛查妇女受虐情况的一个重要因素。作者描述了参与者为了能够自如地与受虐妇女合作而似乎要努力应对的一些步骤，包括接受虐待问题、提出问题、见证以及陪伴客户。随着公共卫生护士在与受虐妇女合作时越来越自如，她开始重新定义成功。现在，客户随时间推移的个人成长，而非离开虐待关系这一单一行为，定义了一次成功的客户互动。作者还讨论了这些描述对实践的启示。
