Bellia Sharne, East Leah, Hutchinson Marie, Jackson Debra
School of Health, University of New England, Armidale, NSW, Australia.
School of Health and Human Sciences, Southern Cross University, Lismore, NSW, Australia.
Contemp Nurse. 2019 Dec;55(6):533-542. doi: 10.1080/10376178.2019.1673667. Epub 2019 Oct 9.
Sexually transmitted infections (STI) and domestic violence (DV) are common healthcare issues experienced worldwide with DV increasing the risk of acquiring STI/s. Although nurses are well-placed to provide care for both issues, little is known about how and whether nurses perceive STI risk within the context of DV and whether this informs nursing care. To explore nurses' perceptions of STI acquisition within the context of DV and whether this informs nursing care. Qualitative exploratory descriptive design. Eight participant narratives were collected from Australian Registered Nurses (RNs), with 1-17 years of clinical practice in varied settings. Participants were required to be registered with the Australian Health Practitioner Regulation Agency (AHPRA) and converse in English. Semi-structured interviews were undertaken via face-to-face, telephone and computer-mediated communication (CMC). Thematic analysis was guided by Braun and Clarke (2006). Three themes emerged from the data: 'Perceptions: , 'Stereotypes: and 'Provision of Care for STIs/DV: . Participants held various perceptions associated with STIs and DV including the covert nature of both issues, the care of STIs within the context of DV, and how the nature of nursing care differed between STIs and DV. Nurses need to recognise the impact that nurse perceptions and stereotyping have on disclosures and provision of care for STIs, particularly in the context of DV. Consideration is also needed in relation to sexual and reproductive autonomy, the impact on disclosure and provision of care.
性传播感染(STI)和家庭暴力(DV)是全球范围内常见的医疗保健问题,家庭暴力会增加感染性传播感染的风险。尽管护士在为这两个问题提供护理方面具有优势,但对于护士如何以及是否在家庭暴力背景下认识到性传播感染风险,以及这是否会影响护理工作,我们知之甚少。为了探讨护士在家庭暴力背景下对感染性传播感染的看法,以及这是否会影响护理工作。采用定性探索性描述设计。从澳大利亚注册护士(RN)那里收集了8份参与者叙述,他们在不同环境中拥有1至17年的临床实践经验。参与者必须在澳大利亚卫生从业人员监管局(AHPRA)注册并能用英语交流。通过面对面、电话和计算机介导的通信(CMC)进行半结构化访谈。主题分析以布劳恩和克拉克(2006年)为指导。数据中出现了三个主题:“认知”、“刻板印象”和“性传播感染/家庭暴力的护理提供”。参与者对性传播感染和家庭暴力持有各种看法,包括这两个问题的隐蔽性质、家庭暴力背景下的性传播感染护理,以及性传播感染和家庭暴力护理性质的差异。护士需要认识到护士的认知和刻板印象对性传播感染信息披露和护理提供的影响,特别是在家庭暴力背景下。还需要考虑性和生殖自主权,以及对信息披露和护理提供的影响。