Williamson Emma, Jones Sue K, Ferrari Giulia, Debbonaire Thangam, Feder Gene, Hester Marianne
1Centre for Gender and Violence Research,University of Bristol,Bristol,UK.
2NIHR School for Primary Care Research,Academic Unit of Primary Care,School of Social and Community Medicine,University of Bristol,Bristol,UK.
Prim Health Care Res Dev. 2015 May;16(3):281-8. doi: 10.1017/S1463423614000358. Epub 2014 Sep 23.
To evaluate a training intervention for general practice-based doctors and nurses in terms of the identification, documentation, and referral of male patients experiencing or perpetrating domestic violence and abuse (DVA) in four general practices in the south west of England.
Research suggests that male victims and perpetrators of DVA present to primary care clinicians to seek support for their experiences. We know that the response of primary care clinicians to women patients experiencing DVA improves from training and the establishment of referral pathways to specialist DVA services.
The intervention consisted of a 2-h practice-based training. Outcome measures included: a pre-post, self-reported survey of staff practice; disclosures of DVA as documented in medical records pre-post (six months) intervention; semi-structured interviews with clinicians; and practice-level contact data collected by DVA specialist agencies.
Results show a significant increase in clinicians' self-reported preparedness to meet the needs of male patients experiencing or perpetrating DVA. There was a small increase in male patients identified within the medical records (6 pre- to 17 post-intervention) but only five of those patients made contact with a specialist DVA agency identified within the referral pathway. The training increased clinicians' confidence in responding to male patients affected by DVA. The increase in recorded identification of DVA male patients experiencing or perpetrating DVA was small and contact of those patients with a specialist DVA support service was negligible. We need to better understand male help seeking in relation to DVA, further develop interventions to increase identification of male patients experiencing or perpetrating DVA behaviours, and facilitate access to support services.
在英格兰西南部的四家全科诊所中，评估一项针对基层医生和护士的培训干预措施，该措施涉及识别、记录和转诊遭受或实施家庭暴力和虐待（DVA）的男性患者。
研究表明，家庭暴力和虐待的男性受害者及实施者会向基层医疗临床医生寻求对其经历的支持。我们知道，通过培训以及建立转介至专门的家庭暴力和虐待服务机构的途径，基层医疗临床医生对遭受家庭暴力和虐待的女性患者的应对能力有所提高。
干预措施包括为期2小时的基于诊所的培训。结果指标包括：工作人员诊所的前后自我报告调查；干预前后（六个月）病历中记录的家庭暴力和虐待事件披露情况；对临床医生的半结构化访谈；以及家庭暴力和虐待专门机构收集的诊所层面的联系数据。
结果显示，临床医生自我报告的满足遭受或实施家庭暴力和虐待的男性患者需求的准备程度显著提高。病历中识别出的男性患者略有增加（干预前6例，干预后17例），但这些患者中只有5人与转诊途径中确定的专门家庭暴力和虐待机构取得了联系。培训提高了临床医生应对受家庭暴力和虐待影响的男性患者的信心。记录在案的遭受或实施家庭暴力和虐待的男性患者识别数量增加幅度较小，这些患者与专门的家庭暴力和虐待支持服务机构的联系可以忽略不计。我们需要更好地了解男性在家庭暴力和虐待方面寻求帮助的情况，进一步制定干预措施以增加对遭受或实施家庭暴力和虐待行为的男性患者的识别，并促进他们获得支持服务。
Zotero 插件