Sawyer Simon, Parekh Vanita, Williams Angela, Williams Brett
Department of Community Emergency Health and Paramedic Practice, Monash University, Victoria, Australia.
Clinical Forensic Medical Services, Australian National University, Canberra, Australia.
J Forensic Leg Med. 2014 Nov;28:32-5. doi: 10.1016/j.jflm.2014.09.008. Epub 2014 Sep 28.
Intimate partner violence (IPV) is a common occurrence in Australian society and has far reaching health, social and economic impacts, particularly for females who are the most common victims. It is theorised that paramedics frequently encounter IPV in the field and in some cases are the only agency which deal with IPV victims in the out-of-hospital setting. Thus paramedics have a unique opportunity to increase discovery, treatment and reporting, however there is little formal training in managing IPV for most Australian paramedics. We evaluated the level of basic knowledge as well as self-reported preparedness and frequency of encountering IPV in a selection of 50 Australian paramedics using a cross-sectional descriptive study design with a paper-based questionnaire. Ninety percent of the paramedics reported encountering at least 1 case of suspected IPV in the last year, with the average number of cases being 3.66. Only 22% reported that they felt confident managing IPV cases. Sixty six percent of participants were unaware there is no mandatory reporting of IPV in their region. The vast majority of participants stated that they felt additional education and training would be most helpful to improving their ability to manage IPV cases. Participants had a poor knowledge and poor preparedness for IPV prior to undertaking a targeted education session. There is an urgent need for additional research of the needs and best methods to educate and train paramedics to appropriately respond to IPV cases.
亲密伴侣暴力（IPV）在澳大利亚社会屡见不鲜，对健康、社会和经济产生了深远影响，尤其是对最常见的受害者女性而言。从理论上讲，护理人员在工作中经常会遇到亲密伴侣暴力事件，在某些情况下，他们是院外环境中唯一处理亲密伴侣暴力受害者的机构。因此，护理人员有独特的机会来提高对该问题的发现、治疗和报告率，然而，大多数澳大利亚护理人员在处理亲密伴侣暴力方面几乎没有接受过正规培训。我们采用基于纸质问卷的横断面描述性研究设计，对50名澳大利亚护理人员进行了评估，以了解他们的基本知识水平、自我报告的应对准备情况以及遇到亲密伴侣暴力事件的频率。90%的护理人员报告称，去年至少遇到过1例疑似亲密伴侣暴力事件，平均病例数为3.66例。只有22%的人表示他们对处理亲密伴侣暴力事件有信心。66%的参与者不知道他们所在地区没有对亲密伴侣暴力事件进行强制报告的规定。绝大多数参与者表示，他们认为额外的教育和培训对提高处理亲密伴侣暴力事件的能力最有帮助。在参加针对性教育课程之前，参与者对亲密伴侣暴力的了解和应对准备都很差。迫切需要进一步研究护理人员的需求以及教育和培训他们以适当应对亲密伴侣暴力事件的最佳方法。
