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女性在医疗保健环境中接受亲密伴侣暴力筛查的体验。

Women's Experiences of Being Screened for Intimate Partner Violence in the Health Care Setting.

出版信息

Nurs Womens Health. 2020 Jun;24(3):185-196. doi: 10.1016/j.nwh.2020.04.002. Epub 2020 May 5.

Abstract

OBJECTIVE

To qualitatively describe experiences of survivors of intimate partner violence (IPV) in being screened for IPV and to identify opportunities to improve screening and response by health care providers.

DESIGN

Qualitative descriptive study.

SETTING/LOCAL PROBLEM: Although it is recommended that nurses and other health care providers screen for IPV, a local needs assessment of IPV screening among health care practices in Houston, Texas, showed inconsistencies in IPV screening practices, a lack of understanding on how to screen for IPV, and low referral rates to IPV agencies.

PARTICIPANTS

Seventeen survivors of IPV from three agencies that provide services to survivors of IPV.

INTERVENTION/MEASUREMENTS: Three focus groups were conducted, and notes were coded and analyzed for content and themes using open coding from the observed data. The constant comparative method was used for the analysis.

RESULTS

Four themes emerged from the focus group data. The first three themes address concepts and dynamics of IPV that affect IPV screening and disclosure of abuse. The final theme addresses screening for IPV in health care settings.

CONCLUSION

Many survivors reported that they were not screened for IPV by health care professionals, and those who were screened were not screened effectively. Compassionate care is needed in these situations, and nurses and other health care providers should be aware that the responses of IPV survivors are dynamic and may change over time.

摘要

目的

定性描述亲密伴侣暴力(IPV)幸存者接受 IPV 筛查的体验,以确定改善医疗保健提供者筛查和应对的机会。

设计

定性描述性研究。

背景/当地问题:尽管建议护士和其他医疗保健提供者对 IPV 进行筛查,但对德克萨斯州休斯顿的医疗保健实践中 IPV 筛查实践的一项当地需求评估显示,IPV 筛查实践存在不一致、对如何筛查 IPV 缺乏了解以及向 IPV 机构的转介率低。

参与者

来自三个为 IPV 幸存者提供服务的机构的 17 名 IPV 幸存者。

干预措施/测量:进行了三次焦点小组讨论,并对笔记进行了编码和分析,使用观察数据中的开放式编码进行内容和主题分析。使用恒定比较法进行分析。

结果

焦点小组数据中出现了四个主题。前三个主题涉及影响 IPV 筛查和虐待披露的 IPV 概念和动态。最后一个主题涉及医疗保健环境中的 IPV 筛查。

结论

许多幸存者报告说,他们没有接受医疗保健专业人员的 IPV 筛查,而那些接受筛查的人则没有得到有效筛查。在这些情况下需要关怀护理,护士和其他医疗保健提供者应意识到 IPV 幸存者的反应是动态的,可能会随时间而变化。

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