Perryman Susan M
Senior Lecturer, School of Health and Social Care Professions, Buckinghamshire New University, Buckinghamshire, UK.
J Res Nurs. 2024 Oct 19:17449871241268438. doi: 10.1177/17449871241268438.
Health visitors have a key role in supporting and protecting adults and children affected by domestic abuse.
The study aimed to examine the experiences and perceptions of student health visitors recognising and responding to domestic abuse in practice placement settings.
Semi-structured interviews were conducted with five student health visitors in the United Kingdom. Interviews were transcribed and analysed using interpretive phenomenological analysis.
Four superordinate themes were identified: 'part and parcel of health visiting practice'; 'challenges in identifying domestic abuse'; 'uncertainty and apprehension'; 'strengthening knowledge and confidence'. All participants had engaged in practice activities related to domestic abuse within SCPHN placements, commonly expressing a sense of disbelief at the scale of the issue in practice. Difficulties and unease regarding identification and management of domestic abuse were reported. Access to support and opportunities to reflect and 'talk things through' were found to be important for students regarding this sphere of practice.
The findings contribute to the body of knowledge about domestic abuse-related practice within nursing. Recommendations made may contribute to practice development and help inform future teaching and educational strategies within SCPHN programmes.
健康访视员在支持和保护受家庭虐待影响的成人及儿童方面发挥着关键作用。
本研究旨在考察实习环境中,学生健康访视员识别和应对家庭虐待的经历与看法。
对英国的五名学生健康访视员进行了半结构化访谈。访谈内容经转录后,采用解释现象学分析方法进行分析。
确定了四个上位主题:“健康访视实践的重要组成部分”;“识别家庭虐待的挑战”;“不确定性与担忧”;“增强知识与信心”。所有参与者在社区公共卫生护理实习期间都参与了与家庭虐待相关的实践活动,普遍对实际问题的规模表示难以置信。报告了在识别和处理家庭虐待方面的困难与不安。对于学生而言,获得支持以及有机会反思和“把事情说清楚”在这一实践领域很重要。
研究结果丰富了护理领域中与家庭虐待相关实践的知识体系。所提出的建议可能有助于实践发展,并为社区公共卫生护理项目未来的教学和教育策略提供参考。