Coles Jan, Dartnall Elizabeth, Astbury Jill
Department of General Practice, Monash University, Building 1, 270 Ferntree Gully Road, Notting Hill, VIC 3168, Australia.
Int J Family Med. 2013;2013:198578. doi: 10.1155/2013/198578. Epub 2013 Feb 26.
Primary care professionals (PCPs) are increasingly being expected to identify and respond to family and sexual violence as the chronic nature and severity of the long-term health impacts are increasingly recognized. This discussion paper reports the authors' expert opinion from their experiences running international workshops to prevent trauma among those who work and research sexual violence. It describes the burnout and secondary traumatic stress literature which provides the evidence supporting their work. Implications for practicing basic training in response to trauma and ongoing education are a key area for responding to family violence and preventing professional stress. A professional culture that supports and values caring well for those who have experienced family violence as well as "caring for the carer" is needed. Working in teams and having more support systems in place are likely to protect PCPs from secondary traumatic stress and burnout. Undergraduate and postgraduate training of PCPs to develop trauma knowledge and the skills to ask about and respond to family violence safely are essential. In addition, the healthcare system, workplace, and the individual practitioner support structures need to be in place to enable PCPs to provide safe and effective long-term care and access to other appropriate services for those who have experienced family violence.
随着人们越来越认识到家庭和性暴力对长期健康影响的慢性本质和严重性，初级保健专业人员（PCP）越来越被期望识别并应对此类问题。本讨论文件报告了作者在举办国际研讨会以防止从事性暴力工作和研究的人员遭受创伤方面的专家意见。它描述了职业倦怠和继发性创伤应激的相关文献，这些文献为他们的工作提供了证据支持。应对创伤的基础培训和持续教育的实践意义是应对家庭暴力和预防职业压力的关键领域。需要一种支持并重视为遭受家庭暴力者提供良好护理以及“关爱护理者”的专业文化。团队协作和建立更多支持系统可能会保护初级保健专业人员免受继发性创伤应激和职业倦怠的影响。对初级保健专业人员进行本科和研究生培训，以培养创伤知识以及安全询问和应对家庭暴力的技能至关重要。此外，医疗保健系统、工作场所和个体从业者的支持结构需要到位，以使初级保健专业人员能够为遭受家庭暴力者提供安全有效的长期护理，并帮助他们获得其他适当服务。
