The Melbourne Clinic, Richmond, Victoria, Australia.
Allied Health, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Int J Ment Health Nurs. 2022 Aug;31(4):952-961. doi: 10.1111/inm.13004. Epub 2022 May 10.
Mental healthcare services have an important role to play in recognizing and responding to domestic and family violence (DFV). This study aimed to evaluate staff knowledge, confidence, and clinical skills in family violence in an Australian private mental healthcare service. The methodology utilized was a cross-sectional, online survey of clinical staff. In total, 93 clinical staff participated (51 nursing, 37 allied health, and 5 medical), with a 29% response rate. Most clinicians reported working with patients who had disclosed experiencing family violence, but the majority of clinicians (63%) had received no training in the area, with nurses reporting the lowest training levels. Less than 20% reported definitive knowledge of important clinical skills including key family violence indicators, asking about family violence, and responding to disclosures. However, qualitative text response data indicated that many clinicians would provide responses that encompassed best-practice recommendations. Overall, the results indicated suboptimal clinician family violence knowledge, with further training needed, particularly in nursing staff. Stronger knowledge and skills in social workers and psychologists, relative to nurses, paralleled existing research in a medical hospital sample. The data from the study will be utilized to inform the implementation of a hospital-wide quality and service improvement project in the area of DFV clinical response.
心理健康服务在识别和应对家庭暴力（DFV）方面发挥着重要作用。本研究旨在评估澳大利亚一家私立精神保健服务机构中员工在家庭暴力方面的知识、信心和临床技能。采用的方法是对临床工作人员进行横断面、在线调查。共有 93 名临床工作人员参与（51 名护士、37 名联合健康专业人员和 5 名医生），回应率为 29%。大多数临床医生报告说与曾披露遭受家庭暴力的患者一起工作，但大多数临床医生（63%）没有接受过该领域的培训，护士报告的培训水平最低。不到 20%的人报告说明确了解包括家庭暴力关键指标、询问家庭暴力问题和对披露做出回应等重要临床技能。然而，定性文本回复数据表明，许多临床医生会提供包含最佳实践建议的回复。总体而言，结果表明临床医生在家庭暴力方面的知识不足，需要进一步培训，特别是在护士中。与护士相比，社工和心理学家的知识和技能更强，这与医疗医院样本中的现有研究相平行。该研究的数据将用于为 DFV 临床反应领域的医院范围的质量和服务改进项目提供信息。
