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医学生对亲密伴侣暴力筛查的看法:一项定性研究

Medical Students' Beliefs About Screening for Intimate Partner Violence: A Qualitative Study.

作者信息

Aluko Oluwatoni E, Beck Kenneth H, Howard Donna E

机构信息

University of Maryland, College Park, MD, USA

University of Maryland, College Park, MD, USA.

出版信息

Health Promot Pract. 2015 Jul;16(4):540-9. doi: 10.1177/1524839915571183. Epub 2015 Feb 6.

Abstract

Researchers have found that medical students who have received training on intimate partner violence (IPV) report greater comfort with screening for IPV and improved IPV interviewing skills than their counterparts. However, less is known about medical students' beliefs toward screening female patients for IPV and behavioral intention to screen. Semistructured, qualitative interviews were conducted with medical students to assess their beliefs, using the theory of planned behavior and social cognitive theory as theoretical frameworks for the interview questions. Most students felt that screening for IPV could help identify victims but could also potentially offend patients. Perceived barriers to screening included time and negative patient reactions, while perceived facilitators to screening included receiving IPV training and provision of IPV screening questionnaires while interviewing patients. Interviewees identified physicians as both supporters and nonsupporters of IPV screening. Behavioral intention scores ranged from 17 to 50 out of a possible 11 to 55. Findings from the study can help inform the IPV training needs of medical students.

摘要

研究人员发现,接受过亲密伴侣暴力(IPV)培训的医学生比未接受过培训的同行在筛查IPV时表现得更自在,且IPV访谈技巧也有所提高。然而,对于医学生对筛查女性患者IPV的信念以及筛查的行为意图,我们了解得较少。以计划行为理论和社会认知理论作为访谈问题的理论框架,对医学生进行了半结构化的定性访谈,以评估他们的信念。大多数学生认为,筛查IPV有助于识别受害者,但也可能冒犯患者。筛查的感知障碍包括时间和患者的负面反应,而筛查的感知促进因素包括接受IPV培训以及在问诊时提供IPV筛查问卷。受访者认为医生既有支持IPV筛查的,也有不支持的。行为意图得分在可能的11至55分中,范围为17至50分。该研究结果有助于了解医学生对IPV培训的需求。

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