The University of Wisconsin Madison School of Nursing, USA.
The University of Illinois at Chicago College of Nursing, USA.
J Prim Care Community Health. 2023 Jan-Dec;14:21501319231189074. doi: 10.1177/21501319231189074.
To implement an improved DV screening and follow-up protocol at a suburban community health clinic that is consistently used by staff with appropriate female patients as well as to assess provider/staff barriers to this.
The project was completed at a community health clinic and included 2 presentations: the first to outline current practices as well as the intervention plan at the pre-intervention time point and then to review results of the intervention and elicit feedback post intervention. Provider/staff barrier surveys were completed at both time points. The intervention consisted of completion of the HITS DV screening tool on all appropriate female patients and a system-level algorithm-based follow-up care plan for positive cases.
Eligible patient screening increased by 3.1% and patients screening positive increased from 0 to 1 from baseline to intervention. Average scores on the barrier surveys improved for all questions and improved significantly for 3 of the questions. The algorithm implemented was utilized for the positive screening.
Use of a DV screening tool, that has shown good concurrent and construct validity in the literature, a system-level algorithm for follow-up care and addressing provider/staff barriers to screening and follow-up are essential components of a successful DV screening and follow-up program.
在一家郊区社区健康诊所实施改进后的家庭暴力（DV）筛查和随访方案，该方案由熟悉相关女性患者的工作人员一致使用，并评估其对提供者/工作人员的障碍。
该项目在社区健康诊所完成，包括 2 次演示：第一次在干预前时间点概述当前实践以及干预计划，然后回顾干预结果并在干预后征求反馈意见。在这两个时间点都完成了提供者/工作人员障碍调查。干预措施包括对所有合适的女性患者完成 HITS DV 筛查工具，以及对阳性病例的基于系统级算法的随访护理计划。
符合条件的患者筛查率增加了 3.1%，从基线到干预时，筛查阳性的患者从 0 增加到 1。所有问题的障碍调查平均得分均有所提高，其中 3 个问题的得分显著提高。阳性筛查采用了所实施的算法。
使用文献中显示出良好的同时和结构有效性的 DV 筛查工具、用于随访护理的系统级算法以及解决筛查和随访方面的提供者/工作人员障碍，是成功的 DV 筛查和随访计划的重要组成部分。
