Roberts G L, Raphael B, Lawrence J M, O'Toole B, O'Brien D
Department of Psychiatry, University of Queensland, Brisbane, Australia.
J Emerg Nurs. 1997 Jun;23(3):220-7. doi: 10.1016/s0099-1767(97)90011-8.
To increase the knowledge of nurses and doctors in an emergency department about the topic of domestic violence; to change any negative practices and attitudes toward victims; to increase knowledge of the referral processes for psychosocial aspects of domestic violence; and to increase knowledge of community resources for domestic violence victims.
Identical knowledge, attitude, and practice surveys were conducted with nurses and doctors in an emergency department before and after an educational intervention program about domestic violence. A matched-pair analysis of those respondents who answered both pretest and posttest surveys was conducted to measure the impact of the program on nurses and doctors.
Nurses and doctors had a reasonable knowledge of the topic of domestic violence before the education program (correct answers: nurses, 61.6%; doctors, 63.4%). However, the program had a positive impact on their knowledge (correct answers posttest: nurses, 71.5%; doctors, 72.4%), with more significant changes for nurses than for doctors. The program affected both nurses' and doctors' attitudes (of 10 positive attitudinal statements: pretest, 7.9; posttest, 8.6). On both the pretest and posttest, nurses and doctors did not subscribe to a number of the myths about domestic violence that have been described in the domestic violence literature. These findings should be treated with caution because of the low response rates to the surveys from doctors (28.0%, n = 20) and nurses (53.0%, n = 48).
Further research is needed into the beliefs and practices of nurses and doctors about domestic violence. The impact of this education program highlights the necessity for introducing training programs for health professionals on domestic violence problems.
提高急诊科护士和医生对家庭暴力主题的认识；改变对受害者的任何负面做法和态度；增加对家庭暴力心理社会方面转诊流程的了解；增加对家庭暴力受害者社区资源的了解。
在一项关于家庭暴力的教育干预项目前后，对急诊科的护士和医生进行了相同的知识、态度和实践调查。对同时回答了预测试和后测试调查的受访者进行配对分析，以衡量该项目对护士和医生的影响。
在教育项目之前，护士和医生对家庭暴力主题有一定的了解（正确答案：护士为61.6%；医生为63.4%）。然而，该项目对他们的知识有积极影响（后测试正确答案：护士为71.5%；医生为72.4%），护士的变化比医生更显著。该项目影响了护士和医生的态度（在10项积极态度陈述中：预测试为7.9；后测试为8.6）。在预测试和后测试中，护士和医生都不认同家庭暴力文献中描述的一些关于家庭暴力的错误观念。由于医生（28.0%，n = 20）和护士（53.0%，n = 48）对调查的回复率较低，这些结果应谨慎对待。
需要对护士和医生关于家庭暴力的信念和做法进行进一步研究。该教育项目的影响凸显了为卫生专业人员引入关于家庭暴力问题培训项目的必要性。
