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本科医疗保健专业课程中纳入亲密伴侣暴力相关内容:关于学者态度和信念的混合方法研究

Inclusion of intimate partner violence-related content within undergraduate health care professional curriculum: mixed methods study of academics' attitudes and beliefs.

作者信息

Lovi Renee, Hutchinson Marie, Hurley John

机构信息

a School of Health and Human Sciences , Southern Cross University , Gold Coast Campus, Southern Cross Drive, Bilinga , QLD , Australia.

b School of Health and Human Sciences , Southern Cross University , Hogbin Drive, Coffs Harbour , NSW 2450 , Australia.

出版信息

Contemp Nurse. 2018 Dec;54(6):592-602. doi: 10.1080/10376178.2018.1530946. Epub 2018 Oct 10.

DOI:10.1080/10376178.2018.1530946
PMID:30303044
Abstract

BACKGROUND

Undergraduate preparation is important in ensuring health care professionals are prepared to identify and respond to intimate partner violence (IPV). Previous studies confirm this education is highly variable and IPV-related content remains marginalised in undergraduate nursing, midwifery and paramedicine curricula.

AIM

To investigate frontline academics' attitudes and beliefs in relation to the inclusion of IPV-related content in the aforementioned degrees.

DESIGN

A large multi-phase mixed methods Australian case study of Australian undergraduate nursing, midwifery and paramedicine degrees. In this paper, components of the survey and interviews from this study will be reported on.

METHODS

Quantitative comparative analysis of a 51-item on-line survey and qualitative thematic analysis of guided conversational interviews.

RESULTS

Across Australian universities IPV remains poorly embedded in nursing, midwifery and paramedicine programmes. Academics report a range of barriers to such inclusion, including an already overcrowded curriculum, a lack of confident and competent academics to teach this content area and a lack of support for this content inclusion. One factor statistically significant in its association with non-inclusion of IPV-related content was academic attitudes of professional role resistance. Gender was also identified as a significant factor associated with non-inclusion and resistant professional attitudes. Qualitative interviews revealed that only six of the 18 participants identified IPV-related care as within their scope of practice, with professional role resistance a common theme identified.

CONCLUSION

Though professional organisation and policy makers now advocate for the inclusion of IPV-related content in the undergraduate preparation of nurses and midwives, work remains to address gendered and resistant attitudes amongst academics.

摘要

背景

本科阶段的教育对于确保医护专业人员有能力识别并应对亲密伴侣暴力(IPV)至关重要。先前的研究证实,此类教育存在很大差异,与IPV相关的内容在本科护理、助产和辅助医疗课程中仍处于边缘地位。

目的

调查一线学者对于在上述学位课程中纳入与IPV相关内容的态度和看法。

设计

一项针对澳大利亚本科护理、助产和辅助医疗学位的大型多阶段混合方法案例研究。本文将报告该研究中调查和访谈的部分内容。

方法

对一项包含51个项目的在线调查进行定量比较分析,并对引导式访谈进行定性主题分析。

结果

在澳大利亚各所大学中,IPV相关内容在护理、助产和辅助医疗课程中的融入情况仍然不佳。学者们报告了一系列阻碍纳入此类内容的因素,包括课程已经过于拥挤、缺乏有信心和能力教授该内容领域的学者,以及对此类内容纳入缺乏支持。与未纳入IPV相关内容在统计学上显著相关的一个因素是学者对专业角色的抵触态度。性别也被确定为与未纳入以及抵触的专业态度相关的一个重要因素。定性访谈显示,18名参与者中只有6人认为与IPV相关的护理属于其执业范围,专业角色抵触是一个常见的主题。

结论

尽管专业组织和政策制定者现在主张在护士和助产士的本科教育中纳入与IPV相关的内容,但仍需努力解决学者中存在的性别化和抵触态度。

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