Paluzzi P A, Houde-Quimby C
American College of Nurse Midwives, Washington, DC 20006, USA.
J Nurse Midwifery. 1996 Nov-Dec;41(6):430-5. doi: 10.1016/s0091-2182(96)00064-x.
Domestic violence, as well as other forms of violence against women, has received increased attention from many sectors of society in the past two decades. Estimates that one fourth to one half of all women in the United States are victims of some type of violence are startling. There exists today a broad-based recognition of and response to the impact of violence on the workplace, the health care community, and the woman survivor and her children. Public health, corporate, and government initiatives are actively seeking solutions to address this most destructive dynamic. The education of health care providers to assess women appropriately for the potential of abuse-including proper intervention, documentation, and referral-has become an essential component of health care. As a recipient of a 3-year federal grant to educate students and practicing nurse-midwives in the United States about the issue of domestic violence, the Special Projects Section of the American College of Nurse-Midwives (ACNM) has joined the ranks of concerned provider organizations. The primary goal of the project is to promote and enhance universal screening of all women who present for midwifery care. The role of the certified nurse-midwife and other women's health care providers and the role of ACNM in responding to the issue of domestic violence, including future goals and expectations, are discussed.
在过去二十年里，家庭暴力以及其他形式的针对女性的暴力行为，受到了社会诸多部门越来越多的关注。据估计，美国四分之一到二分之一的女性是某种形式暴力行为的受害者，这一数据令人震惊。如今，人们广泛认识到暴力行为对工作场所、医疗保健领域以及女性幸存者及其子女的影响，并对此做出了回应。公共卫生、企业和政府部门都在积极寻求解决这一极具破坏性问题的办法。对医疗保健提供者进行培训，使其能够对女性遭受虐待的可能性进行恰当评估——包括进行适当干预、记录和转诊——已成为医疗保健的重要组成部分。作为一项为期三年的联邦拨款的受助方，美国助产士学院（ACNM）特别项目组致力于在美国对学生和执业助产士进行关于家庭暴力问题的教育，该项目组已加入了关注这一问题的提供者组织行列。该项目的主要目标是促进并加强对所有前来接受助产护理的女性进行普遍筛查。本文讨论了认证助产士及其他女性医疗保健提供者的作用，以及ACNM在应对家庭暴力问题方面的作用，包括未来目标和期望。
