Sawyer Simon, Coles Jan, Williams Angela, Williams Brett
Department of Community Emergency Health and Paramedic Practice, Monash University, Melbourne, Victoria, Australia.
School of Primary Health Care, Department of General Practice, Monash University, Melbourne, Victoria, Australia.
Emerg Med Australas. 2015 Aug;27(4):307-11. doi: 10.1111/1742-6723.12406. Epub 2015 May 4.
Violence against women is pervasive worldwide, and a high proportion of the most damaging violence is perpetrated by male intimate partners. The Australian government is committed to action to prevent such violence; however, strategies require input and collaboration from all agencies engaging patients, including ambulance services. To date no Australian ambulance service has published comprehensive guidelines or strategies to improve health outcomes for intimate partner violence patients in line with national strategies.
To propose key actions for Australian ambulance services to undertake to reduce the impacts of intimate partner violence in line with national strategies.
We reviewed the Australian government's National Plan to reduce violence towards women and its supporting literature, and created key actions for Australian ambulance services.
Our review has yielded four key actions that Australian ambulance services could undertake immediately for the benefit of intimate partner violence patients. Actions include collaboration with external agencies, education, data collection and championing values promoting zero tolerance of violence towards women.
Australian ambulance services are currently underserving intimate partner violence patients and must undertake immediate action. Successful strategies to address knowledge and policy gaps will require significant input and guidance from key organisations, including advocacy groups, police and EDs. It is likely that EDs will need to take the lead in creating comprehensive policies and guidelines from which ambulance services can derive their own policies. Failure to address this practice gap might result in paramedics becoming a barrier for intimate partner patients to receive appropriate care and support.
全球范围内，针对女性的暴力行为普遍存在，且很大一部分最具伤害性的暴力行为是由男性亲密伴侣实施的。澳大利亚政府致力于采取行动预防此类暴力行为；然而，相关策略需要包括救护车服务在内的所有接触患者的机构提供投入并开展协作。迄今为止，澳大利亚尚无救护车服务机构发布全面的指南或策略，以依据国家策略改善亲密伴侣暴力受害者的健康状况。
提出澳大利亚救护车服务机构应采取的关键行动，以依据国家策略减轻亲密伴侣暴力的影响。
我们查阅了澳大利亚政府的《减少对妇女暴力行为国家计划》及其相关文献，并为澳大利亚救护车服务机构制定了关键行动。
我们的审查得出了四项关键行动，澳大利亚救护车服务机构可立即采取这些行动，以造福亲密伴侣暴力受害者。这些行动包括与外部机构协作、开展教育、收集数据以及倡导对暴力侵害妇女行为零容忍的价值观。
澳大利亚救护车服务机构目前未充分服务于亲密伴侣暴力受害者，必须立即采取行动。要成功填补知识和政策空白，需要包括倡导团体、警方和急诊科在内的关键组织提供大量投入和指导。急诊科可能需要率先制定全面的政策和指南，救护车服务机构可据此制定自身政策。未能填补这一实践空白可能导致护理人员成为亲密伴侣暴力受害者获得适当护理和支持的障碍。
