Fisher Caroline A, Rudkin Nadine, Withiel Toni D, May Amanda, Barson Elizabeth, Allen Beverley, O'Brien Emma, Willis Karen
Allied Health, The Royal Melbourne Hospital (RMH), Melbourne, VIC, Australia.
The Melbourne Clinic, Melbourne, VIC, Australia.
Womens Health (Lond). 2020 Jan-Dec;16:1745506520926051. doi: 10.1177/1745506520926051.
Family violence is a public health issue. It occurs in many forms, is most commonly directed at woman and children, and contributes significantly to death, disability, and illness. This study was conducted in the clinical staff in a large metropolitan hospital and aimed to determine levels of family violence training, self-perceived knowledge and confidence, specific clinical skills, and barriers to working effectively in the area.
A short, targeted online survey was designed to capture the required information. Descriptive statistics were calculated, and free-text responses were analyzed using qualitative content analysis.
Survey responses were received from 534 staff (242 nurses, 225 allied health, 67 medical). Sixty-five percent had received some form of family violence training, mostly of short duration (1-3 h); 72% reported having little or no confidence working in the area, while 76% indicated that they had little or no knowledge in the area. Longer duration training was associated with an increase in knowledge and confidence ratings. Family violence screening rates and knowledge of several specific family violence clinical skills (how to appropriately ask clients about family violence and family violence risk factors) were also low. Thirty-four percent indicated that they did not know what to do, when a patient disclosed experiencing family violence. The most commonly indicated barriers to working effectively in this area were suspected perpetrators being present, perceived reluctance of patients/clients to disclose when asked, and time limitations.
This research provides a useful snapshot of clinical staff perceptions of their family violence skill levels in a large metropolitan Australian tertiary hospital. It highlights the need for further in-depth training in clinical health professionals in family violence. The research will allow for family violence training to be tailored to the needs of the professional discipline and clinical area.
家庭暴力是一个公共卫生问题。它以多种形式出现，最常见的是针对妇女和儿童，并且在很大程度上导致了死亡、残疾和疾病。本研究在一家大型都市医院的临床工作人员中开展，旨在确定家庭暴力培训水平、自我认知的知识和信心、特定临床技能，以及在该领域有效工作的障碍。
设计了一项简短的针对性在线调查以获取所需信息。计算描述性统计数据，并使用定性内容分析对自由文本回复进行分析。
共收到534名工作人员（242名护士、225名专职医疗人员、67名医生）的调查回复。65%的人接受过某种形式的家庭暴力培训，大多为期较短（1 - 3小时）；72%的人表示在该领域工作信心不足或没有信心，而76%的人表示他们在该领域的知识很少或没有知识。较长时间的培训与知识和信心评分的提高相关。家庭暴力筛查率以及对几种特定家庭暴力临床技能（如何恰当地询问患者有关家庭暴力及家庭暴力风险因素）的了解也很低。34%的人表示当患者透露遭受家庭暴力时，他们不知道该怎么做。在该领域有效工作最常指出的障碍是疑似施暴者在场、认为患者/客户在被询问时不愿透露，以及时间限制。
本研究为澳大利亚一家大型都市三级医院临床工作人员对其家庭暴力技能水平的认知提供了一个有用的概况。它凸显了对临床卫生专业人员进行进一步深入家庭暴力培训的必要性。该研究将使家庭暴力培训能够根据专业学科和临床领域的需求进行量身定制。
