Mental Health and Psychiatric Nursing Department, Kocaeli Health and Technology University, Kocaeli, Turkey.
Midwife Department, Kocaeli University, Kocaeli, Turkey.
Aust J Prim Health. 2024 Nov;30. doi: 10.1071/PY24007.
Background Violence against women is a global public health problem. Primary healthcare services and health workers play an important role in managing this problem. The aim was to identify barriers and facilitators to the identification and management of intimate partner violence (IPV) among women presenting to primary healthcare services from the perspective of nurses/midwives, and to identify the challenges and needs to improve practices. Methods This was a qualitative descriptive study, in which semistructured interviews were conducted with 19 nurses/midwives working in primary healthcare services. The interviews were analysed using a thematic analysis approach through an inductive process. The Consolidated Criteria for Reporting Qualitative Research was used to ensure comprehensive reporting of the protocol for this qualitative study. Results Four main themes were identified: (1) detection of intimate partner violence, (2) nurses'/midwives' current practices, (3) barriers to identification and management, and (4) needs. Conclusions Primary care nurses/midwives in this study perceived that they were not responsible for the detection and management of intimate partner violence, and a majority reported they did not want to take an active role. However, those who were willing to engage in the detection and management of IPV required sufficient time for patient consultations, a reduced workload and a separate room with suitable physical conditions. It is recommended that nurses/midwives be provided with training on IPV detection and management at specific intervals, and studies be conducted to evaluate the outcomes of such training, and initiate the professional decision-making process of nurses/midwives to effectively identify, respond to and support individuals affected by IPV.
针对妇女的暴力行为是一个全球性的公共卫生问题。初级医疗保健服务和卫生工作者在处理这一问题方面发挥着重要作用。本研究旨在从护士/助产士的角度确定初级保健服务中针对妇女的亲密伴侣暴力（IPV）识别和管理的障碍和促进因素，并确定改进实践的挑战和需求。
这是一项定性描述性研究，对 19 名在初级医疗保健服务中工作的护士/助产士进行了半结构化访谈。通过归纳过程，采用主题分析方法对访谈进行分析。使用综合定性研究报告标准来确保对本定性研究方案的全面报告。
确定了四个主要主题：（1）亲密伴侣暴力的检测，（2）护士/助产士的当前做法，（3）识别和管理障碍，以及（4）需求。
本研究中的初级保健护士/助产士认为他们对亲密伴侣暴力的检测和管理不承担责任，大多数人报告说他们不想发挥积极作用。然而，那些愿意参与亲密伴侣暴力的检测和管理的人需要足够的患者咨询时间、减轻工作量和一个具有适当物理条件的单独房间。建议定期为护士/助产士提供关于亲密伴侣暴力检测和管理的培训，并进行研究以评估此类培训的效果，并启动护士/助产士的专业决策过程，以有效识别、应对和支持受亲密伴侣暴力影响的个人。
