Callan Aisling, Corbally Melissa, McElvaney Rosaleen
School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.
School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
J Adv Nurs. 2023 Apr;79(4):e21-e29. doi: 10.1111/jan.15392. Epub 2022 Jul 31.
This commentary elucidates the challenges for nurses in effectively identifying and supporting gay and bisexual men who experience intimate partner violence and offers guidance for education, training and practice to nurses when responding to patients who may be experiencing intimate partner violence.
The commentary highlights issues raised by Callan et al.'s (2020) scoping review, translating the experiences of male sexual minorities undergoing abuse to a nursing context, in particular, issues such as homophobic remarks and heteronormative practices in health care and nursing-led environments militate against the identification of individuals who may be experiencing coerced sexual risk-taking, homophobia and sexual orientation outing.
Intimate partner violence is a widespread issue that permeates across heterosexual and LGBTQ+ communities, while impressing on the everyday realities of nurses. The potential for discrimination against sexual minority patients may be offset by improving training, education and offering recommendations for nurses in how to identify IPV and how to assess risk.
Nurses possess essential training and transferable skills such as empathy, adaptability, active listening and diplomacy and are ideally placed to facilitate disclosure of intimate partner violence. Gaps in knowledge, training and organizational support for nurses may be effectively addressed through drawing on extant research and international best practice guidelines.
Suggestions for research, education and practice to identify gay and bisexual male survivors, intervene appropriately and avoid missed disclosure opportunities are made. We conclude with a table of recommendations with a view to enhancing the essential response of nurses in addressing intimate partner violence in marginalized communities.
本评论阐述了护士在有效识别和支持遭受亲密伴侣暴力的男同性恋者和双性恋者时所面临的挑战,并为护士在应对可能遭受亲密伴侣暴力的患者时提供教育、培训和实践指导。
该评论突出了卡伦等人(2020年)范围审查中提出的问题,将遭受虐待的男性性少数群体的经历转化到护理背景中,特别是医疗保健和护理主导环境中的恐同言论和异性恋规范做法等问题,不利于识别可能正在经历强迫性冒险行为、恐同和性取向暴露的个体。
亲密伴侣暴力是一个普遍存在的问题,渗透到异性恋和 LGBTQ+ 社区,同时给护士的日常工作带来影响。通过改进培训、教育并为护士提供如何识别亲密伴侣暴力以及如何评估风险的建议,可能会抵消对性少数群体患者的歧视可能性。
护士具备诸如同理心、适应能力、积极倾听和外交手腕等基本培训和可转移技能,非常适合促进亲密伴侣暴力的披露。通过借鉴现有研究和国际最佳实践指南,可以有效解决护士在知识、培训和组织支持方面的差距。
提出了关于研究、教育和实践的建议,以识别男同性恋和双性恋男性幸存者,进行适当干预并避免错过披露机会。我们最后列出了一份建议表,以期加强护士在应对边缘化社区亲密伴侣暴力方面的基本应对措施。