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在急诊科实施亲密伴侣暴力(IPV)筛查——亲密伴侣暴力实践变革推动者所经历的障碍、挑战和促进因素。

Implementing intimate partner violence (IPV) screening within emergency departments - Barriers, challenges and enablers experienced by intimate partner violence practice change champions.

机构信息

Southern Cross University, School of Health and Human Sciences, Lismore, NSW 2480, Australia.

Southern Cross University, School of Health and Human Sciences, Coffs Harbour, NSW 2450, Australia.

出版信息

Int Emerg Nurs. 2023 Jul;69:101311. doi: 10.1016/j.ienj.2023.101311. Epub 2023 Jun 20.

Abstract

AIM

To identify the barriers, challenges, and enablers that clinical champions experience whilst implementing Intimate Partner Violence (IPV) screening within Emergency Departments (EDs).

BACKGROUND

Champions support the introduction of IPV screening within EDs. This paper shares new knowledge about IPV practice change champions: barriers, challenges and enablers they experienced in their efforts.

DESIGN

Between 2017-2019, semi structured qualitative interviews were conducted with 23 individuals who identified as champions, working to introduce routine IPV in two rural tertiary hospital Emergency Departments. An interpretive framework and process of constant comparison was used to thematically analyse data from transcribed interviews.

RESULTS

Champions identified barriers, challenges, and enablers that they experienced. Enablers included: support for the work of champions; champion leadership and collegiality; and training for the champion role. Challenges and Barriers included: resistance to a change in the focus of practice; and workflow and workload.

CONCLUSIONS AND IMPLICATIONS

Nurse champions can effectively support IPV practice change but face certain barriers, challenges and enablers. Nurse managers can use this information to support champions to undertake their role effectively in order to better meet the needs of individuals experiencing IPV.

摘要

目的

确定临床冠军在急诊科实施亲密伴侣暴力(IPV)筛查时所经历的障碍、挑战和促成因素。

背景

冠军支持在急诊科引入 IPV 筛查。本文分享了有关 IPV 实践改变冠军的新知识:他们在努力中所经历的障碍、挑战和促成因素。

设计

在 2017 年至 2019 年期间,对 23 名自称为冠军的人进行了半结构化定性访谈,他们在两家农村三级医院急诊科努力引入常规 IPV。使用解释性框架和不断比较的过程对转录访谈的资料进行主题分析。

结果

冠军们确定了他们所经历的障碍、挑战和促成因素。促成因素包括:对冠军工作的支持;冠军的领导能力和团队精神;以及对冠军角色的培训。挑战和障碍包括:对实践重点改变的抵制;以及工作流程和工作量。

结论和意义

护士冠军可以有效地支持 IPV 实践的改变,但面临着某些障碍、挑战和促成因素。护理管理人员可以利用这些信息来支持冠军有效地履行他们的角色,以便更好地满足遭受 IPV 的个人的需求。

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