一项定性研究，探讨服务使用者对社区护士主导的家庭暴力服务对女性获得医疗保健影响的看法。

A qualitative study exploring service users' perspectives of the impact of a community-based nurse-led domestic violence service on women's access to healthcare.

作者信息

Hollingdrake Olivia, Alban Cruz Angelica, Currie Jane

机构信息

School of Nursing, Faculty of Health, Queensland University of Technology, Kelvin Grove Campus, Brisbane, Qld, 4059, Australia.

Centre for Healthcare Transformation, Queensland University of Technology, Kelvin Grove Campus, Brisbane, Qld, 4059, Australia.

出版信息

BMC Nurs. 2025 Jul 10;24(1):897. doi: 10.1186/s12912-025-03397-y.

DOI:10.1186/s12912-025-03397-y

PMID:40640825

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12243220/

Abstract

BACKGROUND

Domestic violence is a public health concern of epidemic proportions in Australia. Women experiencing domestic violence struggle to access the healthcare they need, when they need it. This qualitative longitudinal study explored service users' perspectives on the impact of a nurse-led domestic violence service on their access to healthcare.

METHODS

Study design was guided by the five pillars of best practice from the Research Integrity Framework on Violence and Abuse and informed by social constructionism. Semi-structured interviews were conducted with women at two time points: within two months of using the service and six to 12 months later. Thematic analysis explored how women's interactions with the clinical nurse impacted their access to healthcare and their engagement with mainstream health services.

RESULTS

Fifteen women participated in first round interviews and ten in the second round. All were housed in emergency accommodation following domestic violence incidents. The clinical nurse provided a safe and flexible way for women to access immediate healthcare in a place of safety, that enabled empathy, validation and practical support to address broader health needs. Three identified themes encompassed the ways the nurse-led service impacted women's healthcare access: living in between, partnership-based nursing care and empowering choice and staying connected.

CONCLUSION

The nurse-led service was profoundly successful in enabling women's access to healthcare through outreach and tailored follow up care. Critical to its success was the flexibility of the nurse-led service to meet women in their place of safety and provide an immediate healthcare response. The constellation of the nurse's specialist knowledge and skills, along with person-centred and trauma informed interpersonal skills and attributes, collectively empowered women to transition towards a state of stability in their wellbeing.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

家庭暴力是澳大利亚一个具有流行程度的公共卫生问题。遭受家庭暴力的女性在需要医疗保健时，很难获得所需的医疗服务。这项定性纵向研究探讨了服务使用者对护士主导的家庭暴力服务对其获得医疗保健的影响的看法。

方法

研究设计以暴力与虐待研究诚信框架的最佳实践五大支柱为指导，并以社会建构主义为依据。在两个时间点对女性进行了半结构化访谈：使用该服务后的两个月内以及六个月至十二个月后。主题分析探讨了女性与临床护士的互动如何影响她们获得医疗保健的机会以及她们与主流医疗服务的接触。

结果

15名女性参与了第一轮访谈，10名参与了第二轮访谈。她们均因家庭暴力事件而居住在紧急避难所。临床护士为女性提供了一种安全且灵活的方式，使她们能够在安全的地方立即获得医疗保健，从而能够获得同理心、认可和实际支持，以满足更广泛的健康需求。确定的三个主题涵盖了护士主导的服务影响女性获得医疗保健的方式：处于中间状态、基于伙伴关系的护理以及赋予选择权力并保持联系。

结论

护士主导的服务通过外展服务和量身定制的后续护理，在使女性能够获得医疗保健方面取得了巨大成功。其成功的关键在于护士主导的服务具有灵活性，能够在女性安全的地方与她们见面并提供即时的医疗保健响应。护士的专业知识和技能，以及以患者为中心和具有创伤意识的人际技能和特质，共同使女性能够朝着健康状况稳定的状态转变。