Goicolea Isabel, Marchal Bruno, Hurtig Anna-Karin, Vives-Cases Carmen, Briones-Vozmediano Erica, San Sebastián Miguel
Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden; Public Health Research Group, Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Alicante University, Alicante, Spain.
Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
Gac Sanit. 2019 Mar-Apr;33(2):169-176. doi: 10.1016/j.gaceta.2017.10.005. Epub 2017 Dec 9.
To analyse how team level conditions influenced health care professionals' responses to intimate partner violence.
We used a multiple embedded case study. The cases were four primary health care teams located in a southern region of Spain; two of them considered "good" and two s "average". The two teams considered good had scored highest in practice issues for intimate partner violence, measured via a questionnaire (PREMIS - Physicians Readiness to Respond to Intimate Partner Violence Survey) applied to professionals working in the four primary health care teams. In each case quantitative and qualitative data were collected using a social network questionnaire, interviews and observations.
The two "good" cases showed dynamics and structures that promoted team working and team learning on intimate partner violence, had committed social workers and an enabling environment for their work, and had put into practice explicit strategies to implement a women-centred approach.
Better individual responses to intimate partner violence were implemented in the teams which: 1) had social workers who were knowledgeable and motivated to engage with others; 2) sustained a structure of regular meetings during which issues of violence were discussed; 3) encouraged a friendly team climate; and 4) implemented concrete actions towards women-centred care.
分析团队层面的条件如何影响医护人员对亲密伴侣暴力的应对。
我们采用了多重嵌入式案例研究。案例为西班牙南部地区的四个初级卫生保健团队；其中两个被认为是“优秀”，两个为“中等”。通过对四个初级卫生保健团队的专业人员进行问卷调查（PREMIS——医生应对亲密伴侣暴力的准备情况调查），在实践问题方面得分最高的两个团队被认为是优秀团队。在每个案例中，使用社交网络问卷、访谈和观察收集定量和定性数据。
两个“优秀”案例展现出促进团队协作以及关于亲密伴侣暴力的团队学习的动态过程和结构，拥有敬业的社会工作者以及有利于其工作的环境，并且实施了明确的策略来落实以女性为中心的方法。
在具备以下条件的团队中，对亲密伴侣暴力有更好的个体应对措施得以实施：1）拥有知识渊博且有动力与他人合作的社会工作者；2）维持定期会议的结构，在会议中讨论暴力问题；3）营造友好的团队氛围；4）实施以女性为中心护理的具体行动。
