Mid West Community Healthcare, Health Service Executive West, Limerick, Ireland.
Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
J Adv Nurs. 2022 Jun;78(6):1601-1617. doi: 10.1111/jan.15213. Epub 2022 Mar 22.
To critically review community nurse-led domestic abuse interventions aimed at identifying and responding to domestic abuse in the postnatal period.
Domestic abuse is a global problem resulting in dire consequences for women and children. Public Health Nurses (PHNs) are ideally placed to give women the opportunity to disclose in a safe and confidential manner; however, community settings present complex challenges.
An integrative review and narrative summary.
Five electronic databases: CINAHL, MEDLINE, PsycINFO, EMBASE and Scopus, and peer-reviewed journals were searched for research papers published between 01 January 2005 and 01 March 2019. Fifteen papers met the inclusion criteria.
An integrative review where qualitative and quantitative data were extracted. Following quality appraisal, data were collated, analysed and themes were identified.
Quantitative outcomes from short-term interventions include an increase in routine enquiry, documentation of alone status and safety planning, however, referrals remained low. There was a reduction in victimization seen in intensive home visiting interventions. One study reported potential harm to mothers experiencing domestic abuse prior to the intervention. Thematic analysis generated three themes: (1) benefits to women and nurses, (2) approaches to domestic abuse identification and response and (3) implementation of community nurse-led interventions.
Community nurse-led domestic abuse interventions have shown to have positive outcomes for women, provided the appropriate supports are in place such as: interagency training; guidelines, referral pathways and safety protocols; collaborative working with domestic abuse services and organizational support.
Professionals such as PHNs are challenged to respond appropriately and compassionately to domestic abuse disclosures, while ensuring the safety of women and children is central to service delivery. This integrative review will inform further development, implementation and the sustainability of community nurse-led domestic abuse initiatives worldwide.
批判性地回顾社区护士主导的针对产后虐待的干预措施，以识别和应对产后虐待。
虐待是一个全球性问题，对妇女和儿童造成严重后果。公共卫生护士（PHN）是最适合让妇女有机会以安全和保密的方式披露虐待行为的人；然而，社区环境带来了复杂的挑战。
综合回顾和叙述性总结。
五个电子数据库：CINAHL、MEDLINE、PsycINFO、EMBASE 和 Scopus，以及同行评议期刊，检索 2005 年 1 月 1 日至 2019 年 3 月 1 日期间发表的研究论文。有 15 篇论文符合纳入标准。
综合回顾，提取定性和定量数据。经过质量评估后，对数据进行整理、分析和主题识别。
短期干预的定量结果包括增加常规询问、单独状态和安全计划的记录，但转诊率仍然较低。密集家访干预减少了受害行为。一项研究报告称，在干预之前，经历过虐待的母亲可能会受到潜在的伤害。主题分析生成了三个主题：（1）对妇女和护士的好处，（2）识别和应对虐待的方法，（3）实施社区护士主导的干预措施。
社区护士主导的虐待干预措施已显示出对妇女的积极结果，但前提是要有适当的支持，如：机构间培训；指南、转诊途径和安全协议；与虐待服务和组织支持的协作工作。
PHN 等专业人员面临着适当和富有同情心地回应虐待行为的挑战，同时确保妇女和儿童的安全是服务提供的核心。这一综合审查将为全球社区护士主导的虐待干预措施的进一步发展、实施和可持续性提供信息。
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