Withiel Toni Dianne, Sheridan Simone, Rushan Catherine, Fisher Caroline Anne
Allied Health, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Nursing Education, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.
J Clin Nurs. 2023 Nov;32(21-22):7740-7750. doi: 10.1111/jocn.16827. Epub 2023 Jul 21.
As frontline healthcare workers, there is a growing expectation that nurses should be able to respond to disclosures of family violence. However, the profession and hospital systems have been slow to respond with clear skills, knowledge and confidence deficits identified in existing research. There is limited research which has robustly evaluated the effectiveness of in-depth, multifaceted training on readiness to respond among nurses.
To longitudinally evaluate the effectiveness of an in-depth family violence training intervention on confidence, knowledge and clinical skills of nurses working in a large tertiary adult hospital.
Single-centre, longitudinal intervention study. Strengthening the Reporting of Observational studies in Epidemiology (STROBE) cross-sectional guidelines were used.
One hundred and ten nursing clinicians participated in this study to complete a comprehensive evidence-based model of healthcare workers response for assisting patients experiencing family violence. A mixed methods survey was used to assess change in knowledge, confidence and clinical skills among participants. Outcome assessment was electronically undertaken at baseline, 6-9 months and 12-15 months following intervention.
Statistically significant improvement was seen in self-reported knowledge, confidence and frequency of screening for family violence. Relative to baseline estimates, these improvements were identified 6-9 months and 12-15 months following intervention; albeit with consideration to the visually observed trend of skill reversion at follow-up. Quantitative findings were paralleled by qualitatively identified improvements in the recognition of the intersectional nature of violence, need for patient collaboration in screening and depth in considerations around how family violence is screened for.
Findings provide tentative support for the utility of a multidimensional training approach to improving nurses' readiness to respond to disclosures of family violence.
This study provides preliminary support for multidimensional, evidence-based training to effectively improve nurses' confidence, knowledge and clinical skills required for responding to family violence.
The study complies with the Strengthening the Reporting of Observational Studies in Epidemiology (SQUIRE) Statement: guidelines for reporting observational studies (see Table S1).
Patients were involved in the initial design of the survey tool. This involvement came through the Allied Health Consumer panel and included input on the design and question wording of the survey items.
作为一线医护人员，人们越来越期望护士能够应对家庭暴力披露事件。然而，现有研究表明，该职业和医院系统对此反应迟缓，存在明显的技能、知识和信心不足。对深入、多方面培训对护士应对准备情况有效性进行有力评估的研究有限。
纵向评估深入的家庭暴力培训干预对一家大型三级成人医院护士的信心、知识和临床技能的有效性。
单中心纵向干预研究。采用了加强流行病学观察性研究报告（STROBE）横断面指南。
110名护理临床医生参与本研究，以完成一个全面的基于证据的医护人员应对家庭暴力患者的模型。采用混合方法调查评估参与者知识、信心和临床技能的变化。在干预后的基线、6 - 9个月和12 - 15个月通过电子方式进行结果评估。
自我报告的家庭暴力知识、信心和筛查频率有统计学上的显著改善。相对于基线估计，这些改善在干预后的6 - 9个月和12 - 15个月被发现；尽管考虑到随访时技能恢复的直观观察趋势。定量结果与定性确定的在对暴力交叉性本质的认识、筛查中患者合作的必要性以及围绕如何筛查家庭暴力的考虑深度方面的改善相平行。
研究结果为多维培训方法在提高护士应对家庭暴力披露准备情况方面的效用提供了初步支持。
本研究为多维、基于证据的培训提供了初步支持，以有效提高护士应对家庭暴力所需的信心、知识和临床技能。
本研究符合加强流行病学观察性研究报告（SQUIRE）声明：观察性研究报告指南（见表S1）。
患者参与了调查工具的初始设计。这种参与通过联合健康消费者小组进行，包括对调查项目设计和问题措辞的投入。
