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儿童保健护士询问新妈妈有关亲密伴侣暴力的经历。

Child healthcare nurses' experiences of asking new mothers about intimate partner violence.

机构信息

Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.

Faculty of Health, Science, and Technology, Department of Health Sciences, Nursing, Karlstad University, Karlstad, Sweden.

出版信息

J Clin Nurs. 2018 Jul;27(13-14):2752-2762. doi: 10.1111/jocn.14242. Epub 2018 Jan 30.

Abstract

AIMS AND OBJECTIVES

To investigate child healthcare nurses' experiences of asking mothers of 8-month-old children about intimate partner violence using a two-step questionnaire.

BACKGROUND

Exposure to intimate partner violence is detrimental to women and to their children, and its early detection is vital. Child health care is a promising setting for detecting intimate partner violence.

DESIGN

The overall project had a quasi-experimental design and was employed in 2015 at 12 child healthcare centres in Sweden. The project aimed to test a two-step method for talking about intimate partner violence with mothers (n = 198) at the child healthcare centre. In this article, we disclose the experiences of the intervention from the perspective of the nurses (n = 13) who were educated and involved in the intervention.

METHODS

Data were collected by semi-structured interviews, analysed by thematic analysis.

RESULTS

Five categories emerged: using the two-step questionnaire method, asking about IPV as an important issue, being comfortable in the professional role and with asking about IPV, the importance of time and place in asking about IPV and spillover effects.

CONCLUSIONS

Asking mothers visiting the child health clinic about their experiences of intimate partner violence was seen as an important task. Using a questionnaire could facilitate asking, but the questionnaire must be short and easy to use. Furthermore, the time and place for initiating a talk about this sensitive topic must be carefully chosen.

RELEVANCE TO CLINICAL PRACTICE

The Violence in Families questionnaire was regarded as a useful tool and could thus be implemented in practice. However, it is important to offer education to the nurses prior to implementing a routine of asking about intimate partner violence in the child healthcare setting.

摘要

目的和目标

调查儿童保健护士在使用两步问卷询问 8 个月大儿童的母亲有关亲密伴侣暴力的经验。

背景

接触亲密伴侣暴力对妇女及其子女有害,早期发现至关重要。儿童保健是发现亲密伴侣暴力的一个很有前途的环境。

设计

整个项目采用准实验设计,于 2015 年在瑞典的 12 个儿童保健中心进行。该项目旨在测试在儿童保健中心与母亲(n=198)谈论亲密伴侣暴力的两步方法。在本文中,我们从接受教育并参与干预的护士(n=13)的角度披露干预的经验。

方法

通过半结构化访谈收集数据,采用主题分析进行分析。

结果

出现了五个类别:使用两步问卷方法,将询问亲密伴侣暴力问题视为重要问题,在专业角色和询问亲密伴侣暴力问题方面感到舒适,询问亲密伴侣暴力问题的时间和地点的重要性以及溢出效应。

结论

询问访问儿童健康诊所的母亲有关亲密伴侣暴力的经历被视为一项重要任务。使用问卷可以促进询问,但问卷必须简短易用。此外,必须仔细选择发起有关这一敏感话题的讨论的时间和地点。

临床相关性

《家庭暴力问卷》被认为是一种有用的工具,因此可以在实践中实施。但是,在儿童保健环境中实施常规询问亲密伴侣暴力之前,为护士提供教育非常重要。

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