Gerber Megan R, Tan André K W
Women's Health, VA Boston Healthcare System, Boston, MA, USA.
BMC Res Notes. 2009 Sep 23;2:191. doi: 10.1186/1756-0500-2-191.
Intimate partner violence (IPV) is a widespread public health problem and training of health professions students has become common. Understanding students' prior knowledge, attitudes and personal exposure to IPV will aid educators in designing more effective curriculum. As interprofessional educational efforts proliferate, understanding differences across disciplines will be critical.
Students in the schools of Medicine, Nursing and Rehabilitation at a university in Ontario attend an annual daylong interprofessional IPV training. To measure perceived role and comfort with IPV and prior personal exposure, we administered a brief Likert scale survey to a convenience sample of students over three years. 552 students completed the survey; the overall response rate was 73%. The majority (82%) agreed that it was their role to intervene in cases of IPV; however Rehabilitation students expressed lower overall comfort levels than did their peers in other schools (p < .0001). Gender, age and prior training on the subject were not significant predictors of comfort. Seven percent reported lifetime IPV and one-fifth had witnessed IPV, but these exposures did not predict comfort in adjusted logistic regression models.
While the majority of professional students believe it is their role to address IPV in clinical practice, comfort level varied significantly by field of study. More than one fifth of the students reported some personal exposure to IPV. However this did not impact their level of comfort in addressing this issue. Educators need to take students' preexisting attitudes and personal exposure into account when planning curriculum initiatives in this area.
亲密伴侣暴力(IPV)是一个普遍存在的公共卫生问题,对卫生专业学生的培训已变得很常见。了解学生对IPV的先验知识、态度和个人经历,将有助于教育工作者设计更有效的课程。随着跨专业教育努力的增加,了解各学科之间的差异至关重要。
安大略省一所大学的医学院、护理学院和康复学院的学生参加为期一天的年度跨专业IPV培训。为了衡量对IPV的感知角色和舒适度以及先前的个人经历,我们在三年时间里对一个便利样本的学生进行了一项简短的李克特量表调查。552名学生完成了调查;总体回复率为73%。大多数(82%)人同意干预IPV事件是他们的职责;然而,康复专业的学生总体舒适度低于其他学院的同龄人(p < 0.0001)。性别、年龄和该主题的先前培训不是舒适度的显著预测因素。7%的人报告有过终身IPV经历,五分之一的人目睹过IPV,但在调整后的逻辑回归模型中,这些经历并不能预测舒适度。
虽然大多数专业学生认为在临床实践中处理IPV是他们的职责,但舒适度因学习领域而异。超过五分之一的学生报告有过一些个人IPV经历。然而,这并没有影响他们处理这个问题的舒适度。教育工作者在规划该领域的课程倡议时,需要考虑学生已有的态度和个人经历。