Gear Claire, Koziol-McLain Jane, Eppel Elizabeth
AUT University, Auckland, New Zealand.
Victoria University of Wellington, New Zealand.
Glob Qual Nurs Res. 2021 Feb 23;8:2333393621995164. doi: 10.1177/2333393621995164. eCollection 2021 Jan-Dec.
Complex problems generate uncertainty. The number and diversity of interactions between different health professionals, perspectives, and components of the problem makes predicting an outcome impossible. In effort to reduce the uncertainty of intimate partner violence interventions, health systems have developed standardized guidelines and protocols. This paper presents a secondary analysis of 17 New Zealand primary care professional narratives on intimate partner violence as a health issue. We conducted a complexity-informed content analysis of participant narratives to explore uncertainty in greater depth. This paper describes three ways primary care professionals interact with uncertainty: reducing uncertainty, realizing inherent uncertainty, and engaging with uncertainty. We found dynamic patterns of interaction between context and the experience of uncertainty shape possible response options. Primary care professionals that probed into uncertainty generated new understanding and opportunities to respond to intimate partner violence.
复杂问题会产生不确定性。不同医疗专业人员之间的互动数量和多样性、问题的不同视角及组成部分，使得预测结果成为不可能。为努力降低亲密伴侣暴力干预措施的不确定性，卫生系统已制定了标准化指南和方案。本文对17篇新西兰初级保健专业人员关于亲密伴侣暴力作为一个健康问题的叙述进行了二次分析。我们对参与者的叙述进行了基于复杂性的内容分析，以更深入地探究不确定性。本文描述了初级保健专业人员与不确定性相互作用的三种方式：减少不确定性、认识到内在的不确定性以及应对不确定性。我们发现情境与不确定性体验之间的动态互动模式塑造了可能的应对选项。深入探究不确定性的初级保健专业人员产生了新的理解以及应对亲密伴侣暴力的机会。
