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受虐妇女对初级保健识别和转介干预的体验:案例研究分析。

Abused women's experiences of a primary care identification and referral intervention: a case study analysis.

机构信息

School of Nursing, Institute of Clinical Sciences, University of Birmingham, Birmingham, B15 2TT, UK.

Birmingham Children's Hospital NHS Foundation Trust, Birmingham, B4 6NH, UK.

出版信息

J Adv Nurs. 2017 Dec;73(12):3189-3199. doi: 10.1111/jan.13250. Epub 2017 Feb 17.

Abstract

AIMS

The aim of this study was to report the findings of a qualitative case study that investigated abused women's experiences of an identification and referral intervention and to discuss the implications for nurses, specifically those working in primary and community care.

BACKGROUND

Domestic violence and abuse is a significant public health issue globally but it is a hidden problem that is under-reported. In the UK, Identification and Referral to Improve Safety is a primary care-based intervention that has been found to increase referral rates of abused women to support and safety services. This paper reports on the findings of an evaluation study of two sites in England.

DESIGN

Qualitative study with a case study design.

METHODS

In line with case study design, the entire evaluation study employed multiple data collection methods. We report on the qualitative interviews with women referred through the programme. The aim was to elicit their experiences of the three aspects of the intervention: identification; referral; safety. Data collection took place March 2016.

FINDINGS

Ten women took part. Eight had exited the abusive relationship but two remained with the partner who had perpetrated the abuse. Women were overwhelmingly positive about the programme and irrespective of whether they had remained or exited the relationship all reported perceptions of increased safety and improved health.

CONCLUSION

Nurses have an important role to play in identifying domestic violence and abuse and in referral and safety planning. As part of a portfolio of domestic violence and abuse interventions, those that empower women to take control of their safety (such as Identification and Referral to Improve Safety) are important.

摘要

目的

本研究旨在报告一项定性案例研究的结果,该研究调查了受虐待妇女对识别和转介干预的体验,并讨论了对护士的影响,特别是那些在初级和社区护理中工作的护士。

背景

家庭暴力和虐待是一个全球性的重大公共卫生问题,但它是一个被低估的隐藏问题。在英国,识别和转介以提高安全性是一项基于初级保健的干预措施,已被发现可提高受虐待妇女向支持和安全服务转介的比率。本文报告了对英格兰两个地点的评估研究的结果。

设计

定性研究采用案例研究设计。

方法

根据案例研究设计,整个评估研究采用了多种数据收集方法。我们报告了对通过该计划转介的妇女进行的定性访谈。目的是了解她们对干预的三个方面的体验:识别、转介、安全。数据收集于 2016 年 3 月进行。

结果

有 10 名妇女参加了研究。其中 8 人已经脱离了虐待关系,但仍有 2 人与施虐伴侣在一起。女性对该计划非常积极,无论她们是否已经脱离关系,所有女性都报告说安全感增强了,健康状况也有所改善。

结论

护士在识别家庭暴力和虐待以及转介和安全规划方面发挥着重要作用。作为家庭暴力和虐待干预措施组合的一部分,那些使妇女能够控制自己安全的措施(如识别和转介以提高安全性)非常重要。

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