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遭受亲密伴侣暴力的女性:对南非急诊护士认知的福柯式话语分析

Women exposed to intimate partner violence: a Foucauldian discourse analysis of South African emergency nurses' perceptions.

作者信息

van der Wath Anna

机构信息

Nursing Science Department, Prinshof Campus, University of Pretoria, Private bag X20, Hatfield, Pretoria, Gauteng 0028, South Africa.

出版信息

Afr Health Sci. 2019 Jun;19(2):1849-1857. doi: 10.4314/ahs.v19i2.7.

Abstract

BACKGROUND

Emergency nurses' understanding and interpretation of intimate partner violence influence the care they provide to women exposed to intimate partner violence.

OBJECTIVES

The aim of this study was to uncover discourses that may help understand emergency nurses' responses towards women exposed to intimate partner violence.

MATERIALS AND METHODS

This study used a qualitative design to explore emergency nurses' discourses. Purposive sampling was used to select 15 participants working at an emergency unit in a public hospital in South Africa. Data were collected through three focus group discussions comprised of five emergency nurses each. Foucauldian discourse analysis was used to analyse the transcribed data.

RESULTS

Four themes emerged from the focus group discussions: (1) strong women subject themselves to societal expectations and endure intimate partner violence, (2) women are vulnerable and powerless against intimate partner violence, (3) intimate partner violence is a private and secret phenomenon, and (4) emergency nurses have limited scope to intervene when they encounter women exposed to intimate partner violence.

CONCLUSION

Emergency nurses are in a position to intervene in intimate partner violence through portraying a non-judgmental approach that lay the foundation for disclosure, supporting women to change their intimate partner violence (IPV) situations, documentation, referral and safety planning.

摘要

背景

急诊护士对亲密伴侣暴力的理解和解读会影响他们为遭受亲密伴侣暴力的女性提供的护理。

目的

本研究的目的是揭示有助于理解急诊护士对遭受亲密伴侣暴力的女性的反应的话语。

材料与方法

本研究采用定性设计来探索急诊护士的话语。采用目的抽样法,选取了南非一家公立医院急诊科的15名参与者。通过三次焦点小组讨论收集数据,每次讨论由五名急诊护士组成。采用福柯话语分析法对转录数据进行分析。

结果

焦点小组讨论中出现了四个主题:(1)坚强的女性屈从于社会期望并忍受亲密伴侣暴力,(2)女性在亲密伴侣暴力面前脆弱无力,(3)亲密伴侣暴力是一种私密和秘密的现象,(4)急诊护士在遇到遭受亲密伴侣暴力的女性时进行干预的范围有限。

结论

急诊护士能够通过采取非评判性的方法来干预亲密伴侣暴力,这种方法为披露信息奠定基础,支持女性改变其亲密伴侣暴力(IPV)状况、记录、转诊和安全规划。

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