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护理专业学生对基于性别的暴力的论述及其全面医疗应对培训:一项定性研究。

Nursing students' discourses on gender-based violence and their training for a comprehensive healthcare response: A qualitative study.

机构信息

Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Leioa, Spain.

Unit of Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umea University, SE-90187 Umea, Sweden.

出版信息

Nurse Educ Today. 2018 Sep;68:208-212. doi: 10.1016/j.nedt.2018.06.011. Epub 2018 Jun 18.

Abstract

BACKGROUND

Gender-based violence is a worldwide major public health issue with detrimental effects on the health of women. Nurses can play an essential role in its identification, management and prevention. Specific training is essential to be able to successfully address gender-based violence and accordingly, has been incorporated into many university's training programmes for nurses and other health care professionals. Research aimed at exploring attitudes and perceptions of gender-based violence in undergraduate student nurses following these new training programmes is scarce.

OBJECTIVE

The aim of this qualitative study was to explore third- and fourth-year nursing students' perceptions and attitudes toward gender-based violence.

DESIGN

A focus groups based qualitative study.

SETTING

A public University in Spain.

PARTICIPANTS

Purposive sample of 42 nursing students who joined 7 focus groups.

METHODS

Focus groups discussions following a semi-structured interview guide. Discussions were transcribed and analysed following critical discourse analysis to identify interpretative repertoires.

RESULTS

From the analysis, three interpretative repertoires emerged. The first, 'Gender-based violence is something serious', reflected participants' acknowledgment of the social relevance of this type of violence. The second interpretative repertoire, 'Men are defenceless!', related to the perception that national legislation on gender-based violence was discriminatory to men and the perception of a lack of social sensitisation toward intimate partner violence against men. The last one, 'Trained to address gender-based violence but still unprepared' encompassed participants' confidence in their ability to identify gender-based violence but uncertainty as to how to respond to gender-based violence exposed women in terms of professional practice.

CONCLUSIONS

Participants perceived that training has increased their knowledge and self-confidence in identifying cases. However, training should strongly challenge widespread myths about gender-based violence that could negatively affect their performance as nurses.

摘要

背景

基于性别的暴力是一个全球性的主要公共卫生问题,对妇女的健康造成有害影响。护士可以在识别、管理和预防方面发挥重要作用。为了能够成功处理基于性别的暴力,必须进行专门培训,因此,许多大学的护士和其他保健专业人员培训方案都纳入了这一培训。针对这些新的培训方案,在本科护生中探讨基于性别的暴力态度和看法的研究很少。

目的

本定性研究的目的是探讨三、四年级护理学生对基于性别的暴力的看法和态度。

设计

基于焦点小组的定性研究。

地点

西班牙一所公立大学。

参与者

参加 7 个焦点小组的 42 名护理学生的目的性抽样。

方法

采用焦点小组讨论的方式进行半结构式访谈。讨论记录被转录,并采用批判话语分析进行分析,以确定解释性资源。

结果

从分析中得出了三个解释性资源。第一个是“基于性别的暴力是一件严重的事情”,反映了参与者对这种类型的暴力的社会相关性的认识。第二个解释性资源是“男人是无助的!”,与以下观点有关:国家关于基于性别的暴力的立法对男性具有歧视性,以及对针对男性的亲密伴侣暴力缺乏社会敏感性的看法。最后一个是“受过培训以处理基于性别的暴力,但仍准备不足”,包括参与者对自己识别基于性别的暴力的能力的信心,但对如何根据专业实践应对暴露于基于性别的暴力的妇女感到不确定。

结论

参与者认为培训提高了他们在识别案件方面的知识和自信心。然而,培训应该强烈挑战关于基于性别的暴力的普遍误解,这些误解可能会对他们作为护士的表现产生负面影响。

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