Center for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Alfred Nobels allé 12, 145 60 Huddinge, Sweden.
BMC Nurs. 2012 Jan 10;11:1. doi: 10.1186/1472-6955-11-1.
Intimate partner violence (IPV) has a deep impact on women's health. Nurses working in primary health care need to be prepared to identify victims and offer appropriate interventions, since IPV is often seen in primary health care. The aim of the study was to assess nurses' preparedness to identify and provide nursing care to women exposed to IPV who attend primary health care.
Data was collected using a questionnaire to nurses at the primary health care centres. The response rate was 69.3%. Logistic regression analysis was used to test relationships among variables.
Shortcomings were found regarding preparedness among nurses. They lacked organisational support e.g. guidelines, collaboration with others and knowledge regarding the extensiveness of IPV. Only half of them always asked women about violence and mostly when a woman was physically injured. They felt difficulties to know how to ask and if they identified violence they mostly offered the women a doctor's appointment. Feeling prepared was connected to obtaining knowledge by themselves and also to identifying women exposed to IPV.
The majority of the nurses were found to be quiet unprepared to provide nursing care to women exposed to IPV. Consequences might be treatment of symptoms but unidentified abuse and more and unnecessary suffering for these women. Improvements are needed on both at the level of the organisation and individual.
亲密伴侣暴力(IPV)对女性健康有深远的影响。在初级保健中工作的护士需要准备好识别受害者并提供适当的干预措施,因为 IPV 经常在初级保健中出现。本研究旨在评估护士对在初级保健中接触 IPV 的妇女进行识别和提供护理的准备情况。
使用问卷对初级保健中心的护士进行数据收集。响应率为 69.3%。使用逻辑回归分析检验变量之间的关系。
发现护士在准备方面存在不足。他们缺乏组织支持,例如指南、与他人合作以及对 IPV 广泛性的了解。只有一半的护士总是询问妇女是否遭受暴力,而且主要是在妇女身体受伤时。他们感到难以知道如何询问,如果他们发现了暴力,他们主要是为妇女预约医生。感到有准备与自己获得知识以及识别接触 IPV 的妇女有关。
大多数护士被发现对接触 IPV 的妇女提供护理准备不足。后果可能是治疗症状,但未识别的虐待以及这些妇女的更多和不必要的痛苦。需要在组织和个人层面上进行改进。