Baffsky Rachel, Beek Kristen, Wayland Sarah, Shanthosh Janani, Henry Amanda, Cullen Patricia
School of Population Health, UNSW Sydney, Samuels Building, F25, Samuel Terry Ave, Kensington NSW, Sydney, Australia.
Faculty of Medicine and Health, University of New England, Sydney Campus, Sydney, New South Wales, Australia.
BMC Health Serv Res. 2022 Mar 15;22(1):337. doi: 10.1186/s12913-022-07708-w.
In 2020, Australia, like most countries, introduced restrictions related to the global pandemic of coronavirus disease 2019 (COVID-19). Frontline services in the domestic and family violence (DFV) sector had to adapt and innovate to continue supporting clients who were experiencing and/or at risk of DFV. There is a need to understand from the perspective of those on the frontline how DFV service responses in different contexts impacted their working conditions and subsequent wellbeing, and what they want to see continued in 'the new normal' to inform future effective practices. We address this by reporting on findings from in-depth interviews conducted with practitioners and managers from the DFV sector in Australia.
Between July and September 2020 semi-structured interviews were conducted with 51 DFV practitioners and managers from a range of services and specialisations across legal, housing, health and social care services. The data was analysed using iterative thematic analysis.
The most common service adaptations reported were shifting to outreach models of care, introducing infection control procedures and adopting telehealth/digital service delivery. Adjacent to these changes, participants described how these adaptations created implementation challenges including increased workload, maintaining quality and safety, and rising costs. Impacts on practitioners were largely attributed to the shift towards remote working with a collision in their work and home life and increased risk of vicarious trauma. Despite these challenges, most expressed a sense of achievement in how their service was responding to COVID-19, with several adaptations that practitioners and managers wanted to see continued in 'the new normal', including flexible working and wellbeing initiatives.
The pandemic has amplified existing challenges for those experiencing DFV as well as those working on the frontline of DFV. Our findings point to the diversity in workforce experiences and has elucidated valuable lessons to shape future service delivery. Given the continuing impacts of the pandemic on DFV, this study provides timely insight and impetus to strengthen the implementation of remote working and telehealth/digital support across the DFV sector and to inform better supports for DFV workforce wellbeing in Australia and other contexts.
Not a clinical intervention.
2020年，与大多数国家一样，澳大利亚出台了与2019冠状病毒病（COVID-19）全球大流行相关的限制措施。家庭暴力（DFV）领域的一线服务必须进行调整和创新，以继续支持遭受DFV和/或面临DFV风险的客户。有必要从一线人员的角度了解不同背景下的DFV服务应对措施如何影响他们的工作条件和随后的幸福感，以及他们希望在“新常态”下继续看到什么，以为未来的有效实践提供参考。我们通过报告对澳大利亚DFV领域的从业者和管理人员进行的深入访谈结果来解决这个问题。
2020年7月至9月期间，对来自法律、住房、健康和社会护理服务等一系列服务和专业领域的51名DFV从业者和管理人员进行了半结构化访谈。使用迭代主题分析法对数据进行了分析。
报告中最常见的服务调整包括转向外展护理模式、引入感染控制程序以及采用远程医疗/数字服务提供方式。与这些变化相伴的是，参与者描述了这些调整如何带来实施挑战，包括工作量增加、维持质量和安全以及成本上升。对从业者的影响主要归因于向远程工作的转变，这导致他们的工作和家庭生活发生冲突，以及替代性创伤风险增加。尽管存在这些挑战，但大多数人对他们的服务应对COVID-19的方式表示有成就感，从业者和管理人员希望在“新常态”下继续看到一些调整，包括灵活工作和福利举措。
大流行加剧了遭受DFV者以及DFV一线工作人员现有的挑战。我们的研究结果指出了劳动力经历的多样性，并阐明了塑造未来服务提供的宝贵经验教训。鉴于大流行对DFV的持续影响，本研究提供了及时的见解和动力，以加强DFV领域远程工作和远程医疗/数字支持的实施，并为澳大利亚和其他背景下更好地支持DFV工作人员的幸福感提供参考。
非临床干预。
