Moore Keri M, Amorin-Woods Deisy, Amorin-Woods Lyndon G, Vindigni Dein, Haworth Navine G
J Chiropr Educ. 2023 Mar 1;37(1):71-81. doi: 10.7899/JCE-21-45.
To explore Australian chiropractors' and final year students' readiness to identify and support patient's experiencing intimate partner violence (IPV).
This cross-sectional study used the Chiro-PREMIS, an adaptation of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) to explore chiropractors' and final year students' readiness. Survey responses were analyzed through a lens of Miller's framework for developing clinical competence and chiropractic graduate competencies.
One hundred forty participants completed the online survey (n = 99 chiropractors and n = 41 students). Reports of practice over the 4 weeks prior to completing the survey showed 21% of chiropractors and 20% of students consulted with patients who had disclosed they were involved in IPV. Thirty-three percent of chiropractors and 27% of students suspected a patient was involved, but that patient did not disclose. Participants report meager training in IPV. Many are unclear about appropriate questioning techniques, documentation, referrals, identifying available resources, and legal literacy. Overall, participants do not "know" about IPV, they do not "know how" to and may not be able to "show how" or "do" when it comes to managing IPV-related clinical scenarios. Further studies are needed to confirm if chiropractors have the appropriate clinical capabilities.
With proper preparation, chiropractors have an opportunity to make a positive contribution to this social problem. We anticipate chiropractic-specific discourse surrounding these escalating growing social concerns will highlight the intent of the chiropractic profession to make a substantial contribution to the health care of the Australian public. More studies are needed.
探讨澳大利亚脊椎按摩师及最后一年的学生识别和支持遭受亲密伴侣暴力（IPV）患者的意愿。
这项横断面研究使用了经改编的《脊椎按摩师管理亲密伴侣暴力准备情况调查》（Chiro-PREMIS），该调查改编自《医生管理亲密伴侣暴力准备情况调查》（PREMIS），以探究脊椎按摩师及最后一年学生的意愿。通过米勒临床能力发展框架和脊椎按摩专业毕业生能力的视角对调查回复进行分析。
140名参与者完成了在线调查（99名脊椎按摩师和41名学生）。完成调查前4周的执业报告显示，21%的脊椎按摩师和20%的学生曾与透露自己遭受亲密伴侣暴力的患者进行过咨询。33%的脊椎按摩师和27%的学生怀疑有患者涉及亲密伴侣暴力，但该患者并未透露。参与者报告称在亲密伴侣暴力方面的培训很少。许多人不清楚适当的询问技巧、记录、转诊、识别可用资源以及法律素养。总体而言，参与者并不“了解”亲密伴侣暴力，他们不“知道如何”应对，在处理与亲密伴侣暴力相关的临床情况时可能无法“展示如何做”或“去做”。需要进一步研究以确认脊椎按摩师是否具备适当的临床能力。
通过适当的准备，脊椎按摩师有机会为这个社会问题做出积极贡献。我们预计围绕这些日益严重的社会问题展开的特定脊椎按摩领域的讨论将凸显脊椎按摩行业为澳大利亚公众的医疗保健做出重大贡献的意图。还需要更多研究。
