LaPlante Laura Marie, Gopalan Priya, Glance Jody
University of Washington School of Medicine, Seattle, WA, USA.
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Acad Psychiatry. 2016 Oct;40(5):825-8. doi: 10.1007/s40596-016-0529-8. Epub 2016 Mar 14.
This study aims to assess residents' attitudes, knowledge, practices, and barriers in addressing intimate partner violence and create a curriculum targeting self-identified deficits.
The authors developed and distributed a survey to residents across multiple specialties at a large academic institution. A workshop was developed using obstetrics/gynecology residents' data, with post-intervention data collected to assess for changes.
One hundred forty-seven residents (41 %) completed the survey. Though all identified assessing intimate partner violence as physicians' responsibility, only 40 % reported consistent screening with new female patients, 36 % with pregnant patients, and 18 % with post-partum patients. Half reported inadequate training and felt unprepared to counsel patients regarding intimate partner violence. Post-intervention data suggest gains in knowledge and perceived preparedness.
Although residents appreciate the significance of intimate partner violence assessment, in this particular institution few consistently perform or feel comfortable screening. Development of comprehensive intimate partner violence curricula is therefore critical.
本研究旨在评估住院医师在处理亲密伴侣暴力问题时的态度、知识、实践情况及障碍,并针对自我发现的不足之处制定课程。
作者编制并向一所大型学术机构的多个专业的住院医师发放了调查问卷。利用妇产科住院医师的数据开展了一个工作坊,并收集干预后的数据以评估变化情况。
147名住院医师(41%)完成了调查。尽管所有人都认为评估亲密伴侣暴力是医生的职责,但只有40%的人报告对新的女性患者进行了持续筛查,36%的人对孕妇进行了筛查,18%的人对产后患者进行了筛查。一半的人报告培训不足,并且觉得在为患者提供有关亲密伴侣暴力的咨询方面没有做好准备。干预后的数据表明在知识和自我感觉的准备程度方面有所提高。
尽管住院医师认识到亲密伴侣暴力评估的重要性,但在这个特定机构中,很少有人持续进行或愿意进行筛查。因此,制定全面的亲密伴侣暴力课程至关重要。