University of Belgrade, School of Medicine, Institute of Social Medicine, Belgrade, Serbia.
Patient Educ Couns. 2010 Jul;80(1):88-93. doi: 10.1016/j.pec.2009.09.028. Epub 2009 Oct 22.
The aim of this study was to determine the perceptions and attitudes of health professionals toward violence against women in intimate relationships, and to discuss them as opportunities and barriers for improving health professionals' response.
Six focus groups were conducted with 71 health professionals employed in the public primary health care centers in Belgrade (Serbia). The data were analyzed according to the direct approach of the qualitative content analysis.
Findings suggest that the majority of health professionals perceive IPV as an unjustifiable act. They showed an understanding for women; see their role as providing support to women and collaborating with other institutions. They are willing to help, but do not know how. However, some health professionals appeared to be judgmental in terms of what preceded violence, and would insist on extracting a woman's disclosure that violence had occurred. As barriers, they emphasized the lack of training and specific education on IPV, a weak support network, and overall social insecurity.
There is a gap between health professionals' willingness to help and resources needed, along with prejudice and interrogative attitudes. Barriers appeared at individual, organizational and societal levels.
Proper education and protocols are priorities in strengthening health professionals' response to IPV.
本研究旨在确定卫生专业人员对亲密关系中暴力侵害妇女行为的看法和态度,并将其作为改善卫生专业人员应对措施的机会和障碍进行讨论。
在塞尔维亚贝尔格莱德的公立初级保健中心,对 71 名卫生专业人员进行了 6 个焦点小组的讨论。根据定性内容分析的直接方法对数据进行了分析。
研究结果表明,大多数卫生专业人员认为 IPV 是一种不合理的行为。他们表示对妇女的理解;认为他们的角色是为妇女提供支持,并与其他机构合作。他们愿意提供帮助,但不知道如何提供帮助。然而,一些卫生专业人员在暴力发生之前似乎存在评判性,并且坚持要妇女透露暴力已经发生。作为障碍,他们强调缺乏针对 IPV 的培训和特定教育、薄弱的支持网络以及整体社会不安全。
卫生专业人员提供帮助的意愿与所需资源之间存在差距,同时还存在偏见和审问态度。障碍出现在个人、组织和社会层面。
适当的教育和协议是加强卫生专业人员对 IPV 反应的优先事项。