Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia.
BMJ Open. 2022 Jul 14;12(7):e058582. doi: 10.1136/bmjopen-2021-058582.
To explore women's experiences and expectations of intimate partner abuse (IPA) disclosure and identification in healthcare settings, focusing on the process of disclosure/identification rather than the healthcare responses that come afterwards.
Systematic review and meta-synthesis of qualitative studies DATA SOURCES: Relevant studies were sourced by using keywords to search the databases MEDLINE, EMBASE, CINAHL, PsychINFO, SocINDEX and ASSIA in September 2021.
Studies needed to focus on women's views about IPA disclosure and identification in healthcare settings, use qualitative methods and have been published in the last 5 years.
Relevant data were extracted into a customised template. The Critical Appraisal Skills Programme checklist for qualitative research was used to assess the methodological quality of included studies. A thematic synthesis approach was applied to the data, and confidence in the findings was appraised using The Confidence in the Evidence from Reviews of Qualitative research methods.
Thirty-four studies were included from a range of healthcare settings and countries. Three key themes were generated through analysing their data: (1) (2) and (3) . Included papers were rated overall as being of moderate quality, and moderate-high confidence was placed in the review findings.
Women in the included studies articulated a desire to routinely receive information about IPA, lending support to a universal education approach that equips all women with an understanding of IPA and options for assistance, regardless of disclosure. Women's suggestions for how to promote an environment conducive to disclosure and how to enquire about IPA have clear implications for clinical practice.PROSPERO registration numberCRD42018091523.
探讨女性在医疗保健环境中对亲密伴侣虐待（IPA）披露和识别的体验和期望，重点关注披露/识别的过程，而不是之后的医疗保健反应。
对定性研究进行系统回顾和元综合。
2021 年 9 月，使用关键字在 MEDLINE、EMBASE、CINAHL、PsychINFO、SocINDEX 和 ASSIA 数据库中搜索相关研究。
研究需要关注女性在医疗保健环境中对 IPA 披露和识别的看法，使用定性方法，并且在过去 5 年内发表。
将相关数据提取到一个定制模板中。使用定性研究的批判性评估技能计划清单评估纳入研究的方法学质量。应用主题综合方法对数据进行分析，并使用审查定性研究方法的证据的信心评估方法评估研究结果的信心。
从各种医疗保健环境和国家共纳入了 34 项研究。通过分析其数据，生成了三个关键主题：（1） （2） 和 （3） 。纳入的论文总体上被评为中等质量，对审查结果的信心较高。
纳入研究中的女性表达了希望常规获得有关 IPA 的信息，支持普及教育方法，使所有女性都了解 IPA 和援助选择，无论是否披露。女性对如何促进有利于披露的环境以及如何询问 IPA 的建议对临床实践具有明确的意义。
PROSPERO 注册号：CRD42018091523。
