我们能做到！通过自我效能感改善亲密伴侣暴力的医学筛查。
Yes we can! Improving medical screening for intimate partner violence through self-efficacy.
作者信息
Chapin John R, Coleman Grace, Varner Erin
机构信息
Pennsylvania State University, USA.
出版信息
J Inj Violence Res. 2011 Jan;3(1):19-23. doi: 10.5249/jivr.v3i1.62.
BACKGROUND
Because individual practitioner's commitment to routine screening for IPV is the greatest predictor that women will be screened and referred for services, it is vital that screeners are dedicated, knowledgeable, and confident in their ability to recognize and assist victims of violence. Self-efficacy has been consistently linked in the literature with successful outcomes.
OBJECTIVES
Intimate partner violence (IPV) constitutes a major public health problem. In the absence of Federal or State regulation, individual hospitals and systems are left to develop their own policies and procedures. This paper describes the policies and procedures developed by an American domestic violence counseling and resource center.
DESIGN
Post test surveys were used.
SETTINGS
Hospitals, medical offices, and medical schools surrounding an urban area in Pennsylvania participated.
PARTICIPANTS
320 nurses and medical students participated in training provided by a domestic violence center.
METHODS
Post test surveys measured self-efficacy, the perceived usefulness of screening the accessibility of victim services, understanding of obstacles faced by victims, and knowledge-level regarding local IPV services. Participants also self-reported their gender, age, race, and position with the hospital system.
RESULTS
Nurses and medical interns exhibit a wide range of self-efficacy regarding their ability to screen victims of intimate partner violence. Intimate partner violence (IPV) training yielded participants who were better informed about IPV services and the obstacles faced by victims.
CONCLUSIONS
In the absence of uniform screening guidelines, hospitals, systems, and individual practitioners must be vigilant in screening procedures. Partnerships with women's centers may provide valuable resources and training that may ultimately improve patient care.
背景
由于个体从业者对亲密伴侣暴力常规筛查的投入是女性接受筛查并获得服务转介的最大预测因素，因此筛查人员具备敬业精神、专业知识并对自身识别和协助暴力受害者的能力充满信心至关重要。自我效能在文献中一直与成功结果相关联。
目的
亲密伴侣暴力（IPV）是一个重大的公共卫生问题。在缺乏联邦或州法规的情况下，各医院和医疗系统只能自行制定自身的政策和程序。本文描述了一家美国家庭暴力咨询与资源中心制定的政策和程序。
设计
采用测试后调查。
地点
宾夕法尼亚州一个市区周边的医院、诊所和医学院参与了调查。
参与者
320名护士和医学生参加了家庭暴力中心提供的培训。
方法
测试后调查测量了自我效能、对筛查的感知有用性、受害者服务的可及性、对受害者面临障碍的理解以及关于当地亲密伴侣暴力服务的知识水平。参与者还自行报告了他们的性别、年龄、种族以及在医院系统中的职位。
结果
护士和医学实习生在筛查亲密伴侣暴力受害者的能力方面表现出广泛的自我效能差异。亲密伴侣暴力（IPV）培训使参与者对IPV服务以及受害者面临的障碍有了更深入的了解。
结论
在缺乏统一筛查指南的情况下，医院、医疗系统和个体从业者在筛查程序上必须保持警惕。与妇女中心建立伙伴关系可能会提供宝贵的资源和培训，最终改善患者护理。
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