Saberi Elham, Eather Nicole, Pascoe Sharene, McFadzean Mary-Louise, Doran Frances, Hutchinson Marie
Northern New South Wales Local Health District, PO Box 498, Lismore, NSW, 2480, Australia.
Northern New South Wales Local Health District, PO Box 498, Lismore, NSW, 2480, Australia.
Australas Emerg Nurs J. 2017 May;20(2):82-86. doi: 10.1016/j.aenj.2017.02.001. Epub 2017 Mar 6.
Domestic violence (DV) has significant health impacts for victims and their families. Despite evidence that routine screening increases the identification of DV and opportunities for support; routine screening is uncommon in Australian emergency departments (EDs). This study explored ED clinicians' level of support for DV screening; current screening practices; and perceived barriers and readiness to screen prior to a pilot intervention.
Census survey of 76 ED clinicians. A number of questionnaire items were generated through a review of the literature, with readiness to screen for DV assessed through the short version of the Domestic Violence Healthcare Provider Scale [1]. The confidential and anonymous online survey was hosted on the Qualtrics platform. Descriptive and comparative statistical analysis was performed using IBM SPSS version 22.
Most clinicians supported screening for DV in the ED. In the absence of protocols, 72.3% (n=55) of clinicians reported currently engaging in case-based screening, which preferenced women with physical injury. The majority did not always feel comfortable screening for DV (79.7% n=59) and reported they had received insufficient training for this role (88.7% n=55). Lower perceived self-efficacy and fear of offending were statistically associated with discomfort or negative beliefs about DV enquiry (p=<0.05).
Emergency department clinicians reported feeling ill-equipped and under-prepared to inquire about and respond to DV. These findings provide valuable insight about the training and support needs of ED clinicians prior to the commencement of routine screening in EDs.
家庭暴力对受害者及其家人的健康有重大影响。尽管有证据表明常规筛查能增加对家庭暴力的识别以及获得支持的机会，但在澳大利亚急诊科，常规筛查并不常见。本研究探讨了急诊科临床医生对家庭暴力筛查的支持程度、当前的筛查做法以及在试点干预之前对筛查的感知障碍和准备情况。
对76名急诊科临床医生进行普查。通过文献回顾生成了一些问卷项目，使用家庭暴力医疗服务提供者量表简版评估筛查家庭暴力的准备情况[1]。保密且匿名的在线调查在Qualtrics平台上进行。使用IBM SPSS 22版进行描述性和比较性统计分析。
大多数临床医生支持在急诊科进行家庭暴力筛查。在没有相关规程的情况下，72.3%（n = 55）的临床医生报告目前正在进行基于个案的筛查，这种筛查更倾向于身体受伤的女性。大多数人在筛查家庭暴力时并不总是感到自在（79.7%，n = 59），并报告他们在这个角色上接受的培训不足（88.7%，n = 55）。较低的自我效能感和害怕冒犯与对家庭暴力询问的不适感或负面信念在统计学上相关（p =<0.05）。
急诊科临床医生报告称，他们在询问和应对家庭暴力方面感到准备不足。这些发现为急诊科开始常规筛查之前临床医生的培训和支持需求提供了有价值的见解。
