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临床医生的家庭暴力个人史与其对患者的临床护理相关吗:一项横断面研究。

Is a clinician's personal history of domestic violence associated with their clinical care of patients: a cross-sectional study.

机构信息

Department of General Practice, University of Melbourne, Melbourne, Victoria, Australia.

The Royal Women's Hospital, Melbourne, Victoria, Australia.

出版信息

BMJ Open. 2019 Jul 31;9(7):e029276. doi: 10.1136/bmjopen-2019-029276.

Abstract

OBJECTIVE

To investigate whether domestic violence (DV) impacts on health professionals' clinical care of DV survivor patients.

DESIGN, SETTING: Descriptive, cross-sectional study at an Australian tertiary maternity hospital.

PARTICIPANTS

471 participating female health professionals (45.0% response rate).

OUTCOME MEASURES

Using logistic and linear regression, we examined whether health professionals' exposure to lifetime DV was associated with their clinical care on specific measures of training, attitudes, identification and intervention.

RESULTS

DV survivor health professionals report greater preparedness to intervene with survivor patients in a way that is consistent with ideal clinical care. This indicates that personal DV experience is not a barrier, and may be a facilitator, to clinical care of survivor patients.

CONCLUSIONS

Health professionals are at the front line of identifying and responding to patients who have experienced DV. These findings provide evidence that survivor health professionals may be a strength to the healthcare organisations in which they work since among the participants in this study, they appear to be doing more of the work seen as better clinical care of survivor patients. We discuss the need for greater workplace supports aimed at promoting safety and recovery from violence and strengthening clinical practice with patients.

摘要

目的

调查家庭暴力(DV)是否会影响医疗保健专业人员对 DV 幸存者患者的临床护理。

设计、地点:澳大利亚一家三级妇产医院的描述性、横断面研究。

参与者

471 名参与的女性医疗保健专业人员(45.0%的回复率)。

结局指标

使用逻辑回归和线性回归,我们研究了医疗保健专业人员是否曾接触过一生中的 DV 是否与他们对特定培训、态度、识别和干预措施的临床护理相关。

结果

有过 DV 幸存者经历的卫生专业人员报告说,他们更愿意以符合理想临床护理的方式干预幸存者患者。这表明个人的 DV 经历不是临床护理幸存者患者的障碍,而可能是一个促进因素。

结论

卫生专业人员处于识别和回应经历过 DV 的患者的第一线。这些发现提供了证据,表明幸存者卫生专业人员可能是他们所在工作场所的医疗保健组织的优势,因为在这项研究的参与者中,他们似乎在为患者提供更好的临床护理方面做了更多的工作。我们讨论了需要更多的工作场所支持,旨在促进安全和从暴力中恢复,并加强与患者的临床实践。

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