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Kennedy AC, Prock KA, Adams AE, Littwin A, Meier E, Saba J, Vollinger L. Can This Provider Be Trusted? A Review of the Role of Trustworthiness in the Provision of Community-Based Services for Intimate Partner Violence Survivors. TRAUMA, VIOLENCE & ABUSE 2024; 25:982-999. [PMID: 37132638 DOI: 10.1177/15248380231168641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
Abstract
While there is a growing literature on intimate partner violence (IPV) survivors and service providers, it is limited by its largely atheoretical and descriptive nature, and its emphasis on individual-level survivors' help-seeking. We seek to broaden our understanding by shifting the focus onto organizations and service systems and introducing the concept of these providers' trustworthiness toward survivors. Provider trustworthiness in delivering services includes benevolence (locally available and caring), fairness (accessible to all and non-discriminatory), and competence (acceptable and effective in meeting survivors' needs). Guided by this conceptualization, we conducted an integrative review drawing on four databases: PsycINFO, PubMed, Web of Science, and Westlaw. We identified studies for inclusion that were published between January 2005 and March 2022, and we examined the trustworthiness of community-based providers serving adult IPV survivors in the United States, including domestic violence services, health and mental health care, the legal system, and economic support services (N = 114). Major findings include (1) many survivors live in communities with no shelter beds, mental health care, or affordable housing; (2) many services are inaccessible because they lack, for example, bilingual staff, sliding fees, or telehealth options; (3) too many providers are harmful or discriminatory toward survivors, especially those who are, for example, sexual or gender minorities, immigrants or non-English-speaking, poor, or Native, Black, or Latinx; (4) many providers appear to be incompetent, lack evidence-based training, and are ineffective in meeting survivors' needs. We call on researchers, advocates, and providers to examine provider trustworthiness, and we offer an introduction to measuring it.
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Weeks LE, Stilwell C, Rothfus M, Weeks AJ, Macdonald M, Jackson LA, Dupuis-Blanchard S, Carson A, Moody E, Helpard H, Daclan A. A Review of Intimate Partner Violence Interventions Relevant to Women During the COVID-19 Pandemic. Violence Against Women 2024; 30:981-1021. [PMID: 36632707 PMCID: PMC9843156 DOI: 10.1177/10778012221150275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Women have experienced increased rates of intimate partner violence (IPV) since the onset of the COVID-19 global pandemic, and at the same time requirements for physical distancing and/or remote delivery of services have created challenges in accessing services. We synthesized research evidence from 4 systematic reviews and 20 individual studies to address how IPV interventions can be adapted within the context of the pandemic. As many interventions have been delivered via various technologies, access to technology is of particular importance during the pandemic. Our results can inform the provision of services during the remainder of the COVID-19 pandemic including how to support women who have little access to in-person services.
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Affiliation(s)
- Lori E. Weeks
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- Aligning Health Needs and Evidence for Transformative Change (AH-NET-C): A Joanna Briggs Institute Centre of Excellence, Dalhousie University, Halifax, NS, Canada
| | - Christie Stilwell
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- Aligning Health Needs and Evidence for Transformative Change (AH-NET-C): A Joanna Briggs Institute Centre of Excellence, Dalhousie University, Halifax, NS, Canada
- School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada
| | - Melissa Rothfus
- Aligning Health Needs and Evidence for Transformative Change (AH-NET-C): A Joanna Briggs Institute Centre of Excellence, Dalhousie University, Halifax, NS, Canada
- WK Kellogg Library, Dalhousie University, Halifax, NS, Canada
| | - Alyssa J. Weeks
- School of Nursing, Dalhousie University, Halifax, NS, Canada
| | - Marilyn Macdonald
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- Aligning Health Needs and Evidence for Transformative Change (AH-NET-C): A Joanna Briggs Institute Centre of Excellence, Dalhousie University, Halifax, NS, Canada
| | - Lois A. Jackson
- School of Health and Human Performance, Dalhousie University, Halifax, NS, Canada
| | | | - Andrea Carson
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- Aligning Health Needs and Evidence for Transformative Change (AH-NET-C): A Joanna Briggs Institute Centre of Excellence, Dalhousie University, Halifax, NS, Canada
| | - Elaine Moody
- School of Nursing, Dalhousie University, Halifax, NS, Canada
- Aligning Health Needs and Evidence for Transformative Change (AH-NET-C): A Joanna Briggs Institute Centre of Excellence, Dalhousie University, Halifax, NS, Canada
| | - Heather Helpard
- Rankin School of Nursing, St. Francis Xavier University, Antigonish, NS, Canada
| | - Anika Daclan
- School of Nursing, Dalhousie University, Halifax, NS, Canada
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Willie TC, Phillips K, Shah A, Monger MPHM, Nunn A, Kershaw T, Chan PA, Baral SD, Mayer KH, Adimora AA, Mena LA, Stockman JK. Perspectives on HIV pre-exposure prophylaxis (PrEP) implementation in Mississippi among Black women and clinical staff: Recommendations for clinical trauma-informed programs. Prev Med Rep 2023; 36:102490. [PMID: 38116259 PMCID: PMC10728323 DOI: 10.1016/j.pmedr.2023.102490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 10/03/2023] [Accepted: 10/31/2023] [Indexed: 12/21/2023] Open
Abstract
Intimate partner violence (IPV) can constraint Black women's ability to prioritize and access Human Immunodeficiency Virus (HIV) pre-exposure prophylaxis (PrEP) services. Recent research has called for the development of trauma-informed PrEP implementation programs to improve the delivery of PrEP to Black cisgender women; however, many PrEP-prescribing settings do not reflect this recommendation. The current study sought to identify key components to develop a trauma-informed PrEP implementation program for Black cisgender women and clinical staff. We conducted focus groups with PrEP-eligible Black cisgender women (February-June 2019), and semi-structured interviews with clinical staff offering HIV prevention and treatment services (October-November 2020) in community healthcare clinics in Mississippi. Seven themes were identified as needed to facilitate integration of trauma-informed approaches into existing PrEP programs, including defining intimate partner violence (IPV), appropriate IPV screening and response, HIV prevention in abusive relationships, staff training needs, and creating supportive clinic environments. PrEP-eligible Black women and clinical staff generally agreed on how to best operationalize IPV screening and response, the importance of trauma-informed staff training, and the need for Black women-specific informational campaigns. However, Black women highlighted the need for providers to discuss HIV prevention in controlling relationships, and to respond to IPV disclosure. HIV pre-exposure prophylaxis has yet to achieve the potential impact observed in trials. Ultimately, realizing the HIV prevention potential of PrEP in the US necessitates centering the perspectives of Black cisgender women and staff to better integrate trauma-informed approaches.
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Affiliation(s)
- Tiara C Willie
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
| | - Karlye Phillips
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
| | - Aashna Shah
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA
| | - M P H Mauda Monger
- MLM Center for Health Education and Equity Consulting Services, 123-A Hwy 80 East #258 Clinton, MS 39056, USA
| | - Amy Nunn
- School of Public Health, Brown University, 121 S Main St, Providence, RI 02903, USA
| | - Trace Kershaw
- Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, New Haven, CT 06510, USA
| | - Philip A Chan
- Department of Medicine, Brown University, 222 Richmond St, Providence, RI 02903, USA
| | - Stefan D Baral
- Department of Epidemiology, Johns Hopkins School of Public Health, 615 N. Wolfe Street, Baltimore MD, 21205, USA
| | - Kenneth H Mayer
- Harvard Medical School and Harvard T H Chan School of Public Health, Harvard University, 25 Shattuck St, Boston, MA 02115, USA
| | - Adaora A Adimora
- Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, 170 Rosenau Hall, CB#7400, 135 Dauer Drive, Chapel Hill, NC 27599-7400, USA
| | - Leandro A Mena
- Department of Medicine, University of Mississippi Medical Center, 2500 N State St, Jackson, MS 39216, USA
| | - Jamila K Stockman
- Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA
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Rony MKK, Rahman MM, Saki MAA, Parvin MR, Alamgir HM. Coping strategies adopted by frontline nurses in dealing with COVID-19 patients in a developing country during the pandemic: A qualitative study. Nurs Open 2023; 10:3646-3658. [PMID: 36719818 PMCID: PMC10170892 DOI: 10.1002/nop2.1614] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 01/03/2023] [Accepted: 01/10/2023] [Indexed: 02/01/2023] Open
Abstract
AIM This study aimed to explore the coping strategies adopted by frontline nurses in dealing with COVID-19 patients during the pandemic in Bangladesh. DESIGN A qualitative descriptive study. METHODS Purposive sampling was used to recruit seventeen frontline nurses from three COVID-19-specific hospitals in Dhaka City. In-depth online interviews and semi-structured questionnaires were used to collect data through the Google Meet platform. Interview sessions audio-video were recorded, interpreted, analysed, verbatim transcribed and quotes of the participants were verified by member checking. Thematic analysis was used in this research. The study's reporting guidelines were based on the consolidated criteria for reporting qualitative research. RESULTS Seven themes were identified after careful data analysis: (i) A positive attitude in dealing with challenging situation, (ii) Intimate partner's influence, (iii) Self-emotional regulation, (iv) The tendency to avoid negativity, (v) Motivated by professional obligations, (vi) Religious influence, (vii) Recreational activities. NO PATIENT OR PUBLIC CONTRIBUTION This study explored various coping strategies employed by frontline nurses in caring for COVID-19 patients. No patient or public contribution was investigated.
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Affiliation(s)
- Moustaq Karim Khan Rony
- Master of Public HealthBangladesh Open UniversityDhakaBangladesh
- Institute of Social Welfare and ResearchUniversity of DhakaDhakaBangladesh
- Directorate General Nursing and MidwiferyDhakaBangladesh
| | | | | | - Mst. Rina Parvin
- Major at Bangladesh ArmyCombined Military HospitalDhakaBangladesh
| | - Hasnat M. Alamgir
- Professor of Public Health; Chair, Centre for Consultancy and Applied ResearchInternational University of Business Agriculture and TechnologyDhakaBangladesh
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Zuchowski I, McLennan S. A Systematic Review of Social Work in General Practice: Opportunities and Challenges. JOURNAL OF EVIDENCE-BASED SOCIAL WORK (2019) 2023:1-41. [PMID: 37264677 DOI: 10.1080/26408066.2023.2202665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE This study identified the nature of social work practice in primary health care and described the reported patient outcomes, benefits, challenges, and enablers of social work in general practice [GP] settings. METHOD A systematic literature review applying the Prisma framework was conducted. RESULTS A total of 26 studies met the inclusion criteria. Social work practice in GP assists in delivering positive health outcomes for patients, improved patient care, offers value for money, and supports interdisciplinary teams. Identified challenges include funding impediments, organizational barriers, and a lack of understanding of and undervaluing the social work role. DISCUSSION AND CONCLUSIONS The review outlined the benefits of social work practice in GP practices; however, these must be further evidenced. Funding for social workers in primary health care was identified as a challenge when it was lacking, and as an enabler when it was available. Further research to evidence the patient outcomes and overall benefits, the fiscal value of social work and funding pathways in primary health care is recommended.
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Affiliation(s)
- Ines Zuchowski
- Social Work and Human Services, College of Arts, Society and Education, James Cook University, Douglas, Townsville, Queensland, Australia
| | - Simoane McLennan
- Social Work and Human Services, College of Arts, Society and Education, James Cook University, Douglas, Townsville, Queensland, Australia
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6
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Allen KC, Davis A, Krishnamurti T. Indirect Identification of Perinatal Psychosocial Risks from Natural Language. IEEE TRANSACTIONS ON AFFECTIVE COMPUTING 2023; 14:1506-1519. [PMID: 37266391 PMCID: PMC10234606 DOI: 10.1109/taffc.2021.3079282] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
During the perinatal period, psychosocial health risks, including depression and intimate partner violence, are associated with serious adverse health outcomes for birth parents and children. To appropriately intervene, healthcare professionals must first identify those at risk, yet stigma often prevents people from directly disclosing the information needed to prompt an assessment. In this research we use short diary entries to indirectly elicit information that could indicate psychosocial risks, then examine patterns that emerge in the language of those at risk. We find that diary entries exhibit consistent themes, extracted using topic modeling, and emotional perspective, drawn from dictionary-informed sentiment features. Using these features, we use regularized regression to predict screening measures for depression and psychological aggression by an intimate partner. Journal text entries quantified through topic models and sentiment features show promise for depression prediction, corresponding with self-reported screening measures almost as well as closed-form questions. Text-based features are less useful in predicting intimate partner violence, but topic models generate themes that align with known risk correlates. The indirect features uncovered in this research could aid in the detection and analysis of stigmatized risks.
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7
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Pokharel B, Yelland J, Hooker L, Taft A. A Systematic Review of Culturally Competent Family Violence Responses to Women in Primary Care. TRAUMA, VIOLENCE & ABUSE 2023; 24:928-945. [PMID: 34629009 PMCID: PMC10009494 DOI: 10.1177/15248380211046968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Existing culturally competent models of care and guidelines are directing the responses of healthcare providers to culturally diverse populations. However, there is a lack of research into how or if these models and guidelines can be translated into the primary care context of family violence. This systematic review aimed to synthesise published evidence to explore the components of culturally competent primary care response for women experiencing family violence. We define family violence as any form of abuse perpetrated against a woman either by her intimate partner or the partner's family member. We included English language peer-reviewed articles and grey literature items that explored interactions between culturally diverse women experiencing family violence and their primary care clinicians. We refer women of migrant and refugee backgrounds, Indigenous women and women of ethnic minorities collectively as culturally diverse women. We searched eight electronic databases and websites of Australia-based relevant organisations. Following a critical interpretive synthesis of 28 eligible peer-reviewed articles and 16 grey literature items, we generated 11 components of culturally competent family violence related primary care. In the discussion section, we interpreted our findings using an ecological framework to develop a model of care that provides insights into how components at the primary care practice level should coordinate with components at the primary care provider level to enable efficient support to these women experiencing family violence. The review findings are applicable beyond the family violence primary care context.
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Affiliation(s)
- Bijaya Pokharel
- Judith Lumley
Centre, School of Nursing and
Midwifery, La Trobe
University, Bundoora, VIC, Australia
- Bijaya Pokharel, Judith Lumley Centre,
School of Nursing and Midwifery, La Trobe University, Plenty Rd &, Kingsbury
Dr, Bundoora VIC 3086, Australia.
,
| | - Jane Yelland
- Murdoch Children’s Research
Institute, Parkville, VIC,
Australia
| | - Leesa Hooker
- Judith Lumley
Centre, School of Nursing and
Midwifery, La Trobe
University, Bundoora, VIC, Australia
| | - Angela Taft
- Judith Lumley
Centre, School of Nursing and
Midwifery, La Trobe
University, Bundoora, VIC, Australia
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8
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Collins K, Kochuparambil Sebastian S, Franck G. Improving Domestic Violence Screening and Follow-Up in a Community Health Clinic. J Prim Care Community Health 2023; 14:21501319231189074. [PMID: 37503785 PMCID: PMC10387764 DOI: 10.1177/21501319231189074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Revised: 06/02/2023] [Accepted: 06/30/2023] [Indexed: 07/29/2023] Open
Abstract
PURPOSE To implement an improved DV screening and follow-up protocol at a suburban community health clinic that is consistently used by staff with appropriate female patients as well as to assess provider/staff barriers to this. METHODS The project was completed at a community health clinic and included 2 presentations: the first to outline current practices as well as the intervention plan at the pre-intervention time point and then to review results of the intervention and elicit feedback post intervention. Provider/staff barrier surveys were completed at both time points. The intervention consisted of completion of the HITS DV screening tool on all appropriate female patients and a system-level algorithm-based follow-up care plan for positive cases. RESULTS Eligible patient screening increased by 3.1% and patients screening positive increased from 0 to 1 from baseline to intervention. Average scores on the barrier surveys improved for all questions and improved significantly for 3 of the questions. The algorithm implemented was utilized for the positive screening. CONCLUSIONS Use of a DV screening tool, that has shown good concurrent and construct validity in the literature, a system-level algorithm for follow-up care and addressing provider/staff barriers to screening and follow-up are essential components of a successful DV screening and follow-up program.
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Affiliation(s)
| | | | - Gwyneth Franck
- The University of Illinois at Chicago College of Nursing, USA
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9
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Fedina L, Barr E, Ting L, Shah R, Chayhitz M, Goodmark L, Barth RP, Njie-Carr VPS. Intimate Partner Violence Training and Readiness to Respond among Students, Staff, and Faculty in Three Institutions in the United States. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:NP2182-NP2206. [PMID: 35583229 DOI: 10.1177/08862605221099948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Intimate partner violence (IPV) is a significant public health concern; however, limited studies have explored perceptions and experiences towards IPV among students, staff, administrators, and faculty across diverse disciplines at institutions of higher education. The purposes of this study were to (1) assess experiences of IPV among a sample of students, staff/administrators, and faculty and (2) examine the relationship among attitudes, actual and perceived knowledge, awareness, training, readiness, and personal experiences with IPV in this sample. Participants were recruited from an urban university and two university-affiliated medical institutions to participate in an online survey. Bivariate and multivariate associations were assessed. Structural Equation Modeling (SEM) was used to examine direct and indirect effects of perceived and actual knowledge and personal experiences with IPV. Of the 216 respondents, 42.6% reported personally experiencing IPV and 34.3% reported having witnessed IPV. Over 34% of participants never received training on IPV. The sub-sample with training received between one and more than 15 hours of training. Standardized total effect of training on attitudes and awareness was β = 0.42 (95% confidence interval [CI] = 0.30-0.51), the combined indirect effects was β = 0.18 (95% CI = 0.10-0.27) and the direct effects of β=0.23 (95% CI = 0.12-0.34), indicating that hours of training was highly associated with the participants' perceived knowledge and actual knowledge, which improved their attitudes and awareness towards IPV survivors. Our findings suggest the need for campus-wide formal training on IPV to better prepare members in higher education to accurately identify, assess, and intervene to protect victims of abuse. Interprofessional approaches are needed that focus on the multiple and intersecting needs of victims of violence and should also enhance professional self-efficacy and increase readiness to respond to IPV survivors.
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Affiliation(s)
- Lisa Fedina
- 1259University of Michigan School of Social Work, Ann Arbor, MI, USA
| | - Erik Barr
- School of Nursing, 12265University of Maryland, Baltimore, MD, USA
| | - Laura Ting
- 12265University of Maryland, Baltimore, School of Social Work, Baltimore, MD, USA
| | - Roma Shah
- 12265University of Maryland, Baltimore, School of Social Work, Baltimore, MD, USA
| | | | - Leigh Goodmark
- 14701University of Maryland, Baltimore, Francis King Carey School of Law, Baltimore, MD, USA
| | - Richard P Barth
- 12265University of Maryland, Baltimore, School of Social Work, Baltimore, MD, USA
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Mirlashari J, A. Brotto L, Lyons J, Pederson A. The Experiences of Women and Healthcare Providers in Assessing the History of Gender-Based Violence During Perinatal Care. Violence Against Women 2022; 28:3291-3310. [PMID: 35765236 PMCID: PMC9530537 DOI: 10.1177/10778012221077125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Despite its prevalence and consequences, perinatal healthcare providers' identification of gender-based violence (GBV) remains controversial in British Columbia. This study investigated women and healthcare providers' perspectives regarding their experiences with and views of inquiring about GBV during perinatal care. Twelve in-depth interviews were conducted with women with a history of GBV and 16 perinatal healthcare providers. Data were analyzed thematically. Three themes, including "barriers to disclosure," "healthcare providers hesitate to open Pandora's Box," and "how to ask in a culturally safe way," emerged from the data. Study participants support inquiry about GBV during perinatal healthcare.
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Affiliation(s)
- Jila Mirlashari
- Women's Health Research Institute, Department of OBGYN, University of British
Columbia, Vancouver, Canada
- School of Nursing and Midwifery, Tehran University of Medical
Sciences, Tehran, Iran
| | - Lori A. Brotto
- Women's Health Research Institute, Department of OBGYN, University of British
Columbia, Vancouver, Canada
| | - Janet Lyons
- Division of General Gynecology & Obstetrics, BC Women's
Hospital, Provincial Health Services Authority, Vancouver, Canada
| | - Ann Pederson
- School of Population and Public Health, BC Centre of Excellence for
Women's Health, Vancouver, Canada
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11
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Jeffers NK, Zemlak JL, Celius L, Willie TC, Kershaw T, Alexander KA. 'If the Partner Finds Out, then there's Trouble': Provider Perspectives on Safety Planning and Partner Interference When Offering HIV Pre-exposure Prophylaxis (PrEP) to Women Experiencing Intimate Partner Violence (IPV). AIDS Behav 2022; 26:2266-2278. [PMID: 35032282 PMCID: PMC9338767 DOI: 10.1007/s10461-021-03565-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/23/2021] [Indexed: 01/02/2023]
Abstract
Pre-exposure prophylaxis is an effective women-controlled HIV prevention strategy but women experiencing intimate partner violencefear partners' interference and subsequent violence could limit its utility. This study explores provider perceptions of safety planning strategies to prevent escalating violence, mitigate partner interference, and promote daily oral PrEP adherence. We conducted interviews (N = 36) with healthcare providers (n = 18) and IPV service providers (n = 18) in Baltimore and New Haven. Using the Contextualized Assessment for Strategic Safety Planning model we organized data into two categories: the appraisal process and strategic safety planning. Themes revealed during the appraisal process, providers conduct routine IPV screening, facilitate HIV risk perception, and offer PrEP. Strategic safety planning utilizes concealment tactics, informal sources of support, role playing and cover stories. Future interventions to enhance PrEP services among women exposed to IPV should implement safety planning strategies, integrate PrEP care with IPV services, and employ novel PrEP modalities to maximize effectiveness.
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Affiliation(s)
- Noelene K Jeffers
- Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | | | - Lourdes Celius
- Johns Hopkins School of Nursing, 525 N. Wolfe Street, Baltimore, MD, 21205, USA
| | - Tiara C Willie
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Trace Kershaw
- Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA
| | - Kamila A Alexander
- Johns Hopkins School of Nursing, 525 N. Wolfe Street, Baltimore, MD, 21205, USA.
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12
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Messing JT, Campbell J, AbiNader MA, Bolyard R. Accounting for Multiple Nonfatal Strangulation in Intimate Partner Violence Risk Assessment. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP8430-NP8453. [PMID: 33280504 DOI: 10.1177/0886260520975854] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Nonfatal strangulation is a prevalent, underreported, and dangerous form of intimate partner violence (IPV). It is particularly important to assess for strangulation among abused women as this form of violence may not leave visible injury. The most severe negative physical and mental health consequences of strangulation appear to be dose-related, with those strangled multiple times or to the point of altered consciousness at higher risk of negative sequelae. This research examines the relationship between multiple strangulation, loss of consciousness due to strangulation, and risk of future near-fatal violence to modify the Danger Assessment (DA) and the Danger Assessment for Immigrant women (DA-I), IPV risk assessments intended to predict near-fatal and fatal violence in intimate relationships. Data from one study (n = 619) were used to modify the DA to include an item on multiple strangulation or loss of consciousness due to strangulation. Data from an independent validation sample (n = 389) were then used to examine the predictive validity of the updated DA and DA-I. The updated version of the DA predicts near-fatal violence at 7-8 months follow-up significantly better than the original DA. Adding multiple strangulation or loss of consciousness to the DA-I increased the predictive validity slightly, but not significantly. The DA and DA-I are intended to be used as a collaboration between IPV survivors and advocates as tools for education and intervention. Whether or not an IPV survivor has been strangled, she should be educated about the dangerous nature of strangulation and the need for medical intervention should her partner use strangulation against her. This evidence-based adaptation of the DA and DA-I may assist practitioners to assess for and intervene in dangerous IPV cases.
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13
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Campbell KA, Ford-Gilboe M, Stanley M, MacKinnon K. Intimate partner violence and women living with episodic disabilities: a scoping review protocol. Syst Rev 2022; 11:97. [PMID: 35585642 PMCID: PMC9115998 DOI: 10.1186/s13643-022-01972-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 05/02/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Violence towards women with disabilities is most commonly perpetrated by current or former intimate partners and more than half of disabled women experience intimate partner violence in their lifetime. Disabilities differ by presence, type, and complexity, yet are commonly researched collectively. A more nuanced understanding of the relationship between intimate partner violence and episodic disability is required to better support women living with these concurrent challenges. The objective of this scoping review is to investigate and synthesize the literature reporting on intimate partner violence for women living with an episodic disability to identify key concepts and knowledge gaps on this topic. Ultimately, this review aims to improve health services for this stigmatized group of women with episodic disabilities. METHODS This scoping review will consider all studies that focus on women (18 years of age or older) who have experienced intimate partner violence and have an episodic disability. Episodic disabilities will include multiple sclerosis, chronic fatigue syndrome, fibromyalgia, lupus, or rheumatoid arthritis. The broad review question is what is known about intimate partner violence within the context of women living with an episodic disability? Databases to be searched include MEDLINE (OVID), CINAHL, Embase, PsychInfo, and Scopus with no limits on language or time frame. Joanna Briggs Institute methodology will guide this scoping review to address the review questions outlined in the protocol. For papers that meet the inclusion criteria, data will be extracted, and findings will be presented in tables and narrative form. A PRISMA table will be included to enhance the transparency of the process. A descriptive qualitative approach to analysis will be conducted following Braun and Clarke's reflexive thematic analysis. The findings of the scoping review will be presented through a thematic narrative. DISCUSSION Findings from this review will be used to identify important priorities for future research based on knowledge gaps and inform both health care practices and health and social interventions for women living with intimate partner violence and episodic disabilities.
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Affiliation(s)
- Karen A. Campbell
- Arthur Labatt Family School of Nursing, Faculty of Health Science, The University of Western Ontario, 1151 Richmond St, London, Ontario N6A 3K7 Canada
| | - Marilyn Ford-Gilboe
- Arthur Labatt Family School of Nursing, Faculty of Health Science, The University of Western Ontario, 1151 Richmond St, London, Ontario N6A 3K7 Canada
| | - Meagan Stanley
- Allyn & Betty Taylor Library, The University of Western Ontario, 1151 Richmond St, London, Ontario N6A 3K7 Canada
| | - Karen MacKinnon
- School of Nursing, University of Victoria, PO Box 1700 STN CSC, Victoria, British Columbia V8P 2Y2 Canada
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14
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Draughon Moret J, Todd A, Rose L, Pollitt E, Anderson J. Mobile Phone Apps for Intimate Partner and Sexual Violence Prevention and Response: Systematic Search on App Stores. JMIR Form Res 2022; 6:e28959. [PMID: 35133285 PMCID: PMC8864520 DOI: 10.2196/28959] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 10/06/2021] [Accepted: 11/30/2021] [Indexed: 01/17/2023] Open
Abstract
Background Since the 2008 advent of the smartphone, more than 180 billion copies of apps have been downloaded from Apple App Store, with more than 2.6 million apps available for Android and 2.2 million apps available for iOS. Many violence prevention and response apps have been developed as part of this app proliferation. Objective This study aims to evaluate the prevalence and quality of freely available mobile phone apps targeting intimate partner violence (IPV) and sexual violence (SV) prevention and response. Methods We conducted a systematic search of violence prevention and response mobile phone apps freely available in Apple App Store (iOS; March 2016) and Google Play Store (Android; July 2016). Search terms included violence prevention, sexual assault, domestic violence, intimate partner violence, sexual violence, forensic nursing, wife abuse, and rape. Apps were included for review if they were freely available, were available in English, and had a primary purpose of prevention of or response to SV or IPV regardless of app target end users. Results Using the Mobile Application Rating Scale (MARS), we evaluated a total of 132 unique apps. The majority of included apps had a primary purpose of sharing information or resources. Included apps were of low-to-moderate quality, with the overall subjective quality mean for the reviewed apps being 2.65 (95% CI 2.58-2.72). Quality scores for each of the 5 MARS categories ranged from 2.80 (engagement) to 4.75 (functionality). An incidental but important finding of our review was the difficulty in searching for apps and the plethora of nonrelated apps that appear when searching for keywords such as “rape” and “domestic violence” that may be harmful to people seeking help. Conclusions Although there are a variety of mobile apps available designed to provide information or other services related to SV and IPV, they range greatly in quality. They are also challenging to find, given the current infrastructure of app store searches, keyword prioritization, and highlighting based on user rating. It is important for providers to be aware of these resources and be knowledgeable about how to review and recommend mobile phone apps to patients, when appropriate.
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Affiliation(s)
- Jessica Draughon Moret
- Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United States
| | - Angela Todd
- Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA, United States
| | - Lauren Rose
- College of Nursing, Pennsylvania State University, University Park, PA, United States
| | - Erin Pollitt
- District of Columbia Forensic Nurse Examiners, Washington, DC, United States
| | - Jocelyn Anderson
- College of Nursing, Pennsylvania State University, University Park, PA, United States
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15
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Hudspeth N, Cameron J, Baloch S, Tarzia L, Hegarty K. Health practitioners' perceptions of structural barriers to the identification of intimate partner abuse: a qualitative meta-synthesis. BMC Health Serv Res 2022; 22:96. [PMID: 35065630 PMCID: PMC8783157 DOI: 10.1186/s12913-022-07491-8] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2021] [Accepted: 01/04/2022] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Health care practitioners (HCPs) play a critical role in identifying and responding to intimate partner abuse (IPA). Despite this, studies consistently demonstrate a range of barriers that prevent HCPs from effectively identifying and responding to IPA. These barriers can occur at the individual level or at a broader systems or organisational level. In this article, we report the findings of a meta-synthesis of qualitative studies focused on HCPs' perceptions of the structural or organisational barriers to IPA identification. METHODS Seven databases were searched to identify English-language studies published between 2012 and 2020 that used qualitative methods to explore the perspectives of HCPs in relation to structural or organisational barriers to identifying IPA. Two reviewers independently screened the articles. Findings from the included studies were analysed using Thomas and Hardin's method of using a thematic synthesis and critiqued using the Critical Appraisal Skills Program tool for qualitative studies and the methodological component of the GRADE-CERQual. RESULTS Forty-three studies conducted in 22 countries informed the review. Eleven HCP settings were represented. Three themes were developed that described the structural barriers experienced by HCPs: The environment works against us (limited time with patients, lack of privacy); Trying to tackle the problem on my own (lack of management support and a health system that fails to provide adequate training, policies and response protocols and resources), Societal beliefs enable us to blame the victim (normalisation of IPA, only presents in certain types of women, women will lie or are not reliable). CONCLUSION This meta-synthesis highlights the need for structural change to address these barriers. These include changing health systems to enable more time and to improve privacy, training, policies, and referral protocols. On a broader level IPA in health systems is currently not seen as a priority in terms of global burden of disease, mortality and morbidity and community attitudes need to address blaming the victim.
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Affiliation(s)
- Naomi Hudspeth
- Department of General Practice, The University of Melbourne, Carlton, VIC, Australia
| | - Jacqui Cameron
- Department of General Practice, The University of Melbourne, Carlton, VIC, Australia.
- School of Health and Society, University of Wollongong, Wollongong, NSW, Australia.
| | - Surriya Baloch
- Department of General Practice, The University of Melbourne, Carlton, VIC, Australia
| | - Laura Tarzia
- Department of General Practice, The University of Melbourne, Carlton, VIC, Australia
- Centre for Family Violence Prevention, The Royal Women's Hospital, Parkville, VIC, Australia
| | - Kelsey Hegarty
- Department of General Practice, The University of Melbourne, Carlton, VIC, Australia
- Centre for Family Violence Prevention, The Royal Women's Hospital, Parkville, VIC, Australia
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16
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Ali P, McGarry J, Younas A, Inayat S, Watson R. Nurses', midwives' and students' knowledge, attitudes and practices related to domestic violence: A cross-sectional survey. J Nurs Manag 2021; 30:1434-1444. [PMID: 34734662 DOI: 10.1111/jonm.13503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Revised: 10/23/2021] [Accepted: 10/26/2021] [Indexed: 11/30/2022]
Abstract
AIMS To measure registered nurses', registered midwives', and nursing and midwifery students' current levels of knowledge, attitude and practices related to intimate partner violence. BACKGROUND Nurses and midwives whether registered or students need to be confident and competent in identifying and responding to intimate partner violence. DESIGN A cross-sectional survey. METHODS Data were collected through online surveys using the Physician Readiness to Manage Intimate Partner Violence Survey. Descriptive and inferential statistics were used to analyse the data. RESULTS Nursing and midwifery students were less knowledgeable and prepared than nurses and midwives. Midwives had more positive attitudes compared with nurses towards women experiencing intimate partner violence. CONCLUSIONS Heath care institutions and regulatory bodies should provide resources and support to nursing and midwifery professionals. Personal experiences of domestic abuse and professional experience of supporting victims of domestic abuse/intimate partner violence affected practitioner's abilities to identify and manage intimate partner violence. IMPLICATIONS FOR NURSING MANAGEMENT Nurse and midwifery managers can ensure that clinical and organisational policies and protocols are revisited and updated regularly and that interdisciplinary collaboration is promoted and emphasized for prompt identification and management of intimate partner violence.
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Affiliation(s)
- Parveen Ali
- Health Sciences School, University of Sheffield & Doncaster and Bassettlaw Teaching Hospitals, Sheffield, United Kingdom, UK
| | - Julie McGarry
- Health Sciences School, University of Sheffield & Sheffield Teaching Hospitals, Sheffield, United Kingdom, UK
| | - Ahtisham Younas
- Faculty of Nursing, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.,Swat College of Nursing, Qambar, Pakistan
| | - Shahzad Inayat
- Nursing and Health Sciences, Al-Nafees Medical College & Isra College of Nursing, Isra University Islamabad, Islamabad, Pakistan
| | - Roger Watson
- Faculty of Health and Social Care, University of Hull, Hull, UK
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17
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Caplon A, Alexander KA, Kershaw T, Willie TC. Assessing Provider-, Clinic-, and Structural-Level Barriers and Recommendations to Pre-Exposure Prophylaxis (PrEP) Uptake: A Qualitative Investigation Among Women Experiencing Intimate Partner Violence, Intimate Partner Violence Service Providers, and Healthcare Providers. AIDS Behav 2021; 25:3425-3436. [PMID: 33974167 DOI: 10.1007/s10461-021-03297-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/30/2021] [Indexed: 11/30/2022]
Abstract
Intimate partner violence (IPV) relates to HIV susceptibility and acquisition. Existing research examined barriers to pre-exposure prophylaxis (PrEP) uptake among women but few studies assess uptake and delivery among IPV service providers, along with provider-, clinic-, and structural-level barriers. We conducted 34 semi-structured interviews with PrEP-eligible cisgender heterosexual women experiencing IPV, Reproductive Health providers, PrEP providers, and IPV service providers in Northeast US. Systems theory was used to examine barriers from individuals who either work closely with or are part of the population. The framework method was used to draw descriptive and explanatory conclusions. Findings suggest limited knowledge for Reproductive Health and IPV Service Providers. Providers often did not feel equipped to discussed PrEP in visits or focused efforts solely on safety. Expanding PrEP awareness is necessary and marketing should include women. Future research should investigate how providers can work collaboratively across sectors to ensure women receive comprehensive trauma-informed care.
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Affiliation(s)
- Amy Caplon
- Division of Cancer Control and Populations Sciences, National Cancer Institute, 9606 Medical Center Drive, Rockville, MD, 20850, USA.
| | - Kamila A Alexander
- Department of Community - Public Health Nursing, Johns Hopkins School of Nursing, Baltimore, MD, 21205, USA
| | - Trace Kershaw
- Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, 06510, USA
| | - Tiara C Willie
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
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18
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Rexing CJ, Hohl BC, Johnson R, Ramirez M, Carlson KF, Cruz TH. We must do better science: addressing racism to improve health and safety for all people. Inj Prev 2021; 26:502-503. [PMID: 32958566 DOI: 10.1136/injuryprev-2020-043941] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Affiliation(s)
- Christen J Rexing
- Department of Urban Public Health & Nutrition, School of Nursing and Health Sciences, La Salle University, Philadelphia, Pennsylvania, USA
| | - Bernadette C Hohl
- Department of Biostatistics & Epidemiology, School of Public Health, Rutgers The State University of New Jersey, New Brunswick, New Jersey, USA
| | - Renee Johnson
- Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA
| | - Marizen Ramirez
- Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA
| | - Kathleen F Carlson
- School of Public Health, Oregon Health & Science University, Portland, Oregon, USA.,Center to Improve Veteran Involvement in Care, Portland VA Medical Center, Portland, Oregon, USA
| | - Theresa H Cruz
- Department of Pediatrics, School of Medicine, University of New Mexico, Albuquerque, New Mexico, USA
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19
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Debnam KJ, Kumodzi T. Adolescent Perceptions of an Interactive Mobile Application to Respond to Teen Dating Violence. JOURNAL OF INTERPERSONAL VIOLENCE 2021; 36:6821-6837. [PMID: 30600761 DOI: 10.1177/0886260518821455] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Although research and intervention efforts in the United States have aimed to reduce teen dating violence (TDV), 10-year prevalence estimates suggest that TDV persists. Safety planning is an advocated intervention to reduce intimate partner abuse; yet, safety planning services for adolescents have not been systematically developed or tested. Personalized safety planning interventions that reflect teens' immediate risk, priorities, and resources may be a key prevention and empowerment tool. Thus, the current study examined adolescent perceptions of an existing safety planning app, myPlan. A small convenience sample of adolescents participated in focus groups. Focus groups investigated the feasibility of an app for TDV intervention and elicited feedback on how apps can better assist adolescents experiencing dating violence. Qualitative content analysis was used to identify themes and patterns in the data. The following themes emerged: (a) careful and thoughtful inclusion of diverse adolescents, (b) capturing unique safety dilemmas encountered by adolescents, (c) clarifying the signs of an unhealthy and abusive relationship, and (d) resources for immediate help. Adolescents were thoughtful in their consideration of the myPlan app and articulated specific ways in which future applications could be more responsive to their lived experiences and challenges. Mobile app or electronic interventions that are developed with an eye toward empowering adolescents to understand how abusive behaviors may manifest in their relationships, weigh the risk and benefits of intervening, and are informed about local resources available to them for help may be most successful in reducing TDV.
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20
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Taboada A, Ly E, Ramo D, Dillon F, Chang YJ, Hooper C, Yost E, Haritatos J. Implementing Goal Mama: Barriers and Facilitators to Introducing Mobile Health Technology in a Public Health Nurse Home-Visiting Program. Glob Qual Nurs Res 2021; 8:23333936211014497. [PMID: 34017901 PMCID: PMC8114238 DOI: 10.1177/23333936211014497] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 04/13/2021] [Accepted: 04/14/2021] [Indexed: 11/22/2022] Open
Abstract
The present study explores barriers and facilitators experienced by public health nurses introducing a mobile health technology platform (Goal Mama) to the Nurse-Family Partnership home-visiting program. Goal Mama is a HIPAA-compliant goal-coaching and visit preparation platform that clients and nurses use together to set and track goals. Forty-two nurses across five sites, including urban, suburban, and rural communities, piloted the platform with clients for 6 months. The mixed method, QUAL+quan pilot evaluation focused on deeply understanding the implementation process. Data were analyzed via iterative content analysis and multivariate regression analysis, and triangulated to identify salient findings. Over 6 months of use participants identified critical areas for product and implementation improvement, but still viewed the platform favorably. Key opportunities for improving sustained use revolved around supporting the technological and programmatic integration needed to lower key barriers and further facilitate implementation.
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Affiliation(s)
| | | | - Danielle Ramo
- Hopelab, San Francisco, CA, USA.,Weill Institute for Neurosciences, San Francisco, CA, USA
| | | | | | | | - Elly Yost
- Nurse Family Partnership National Service Office, Denver, CO, USA
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21
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Corley A, Sabri B. Exploring African Immigrant Women's Pre- and Post-Migration Exposures to Stress and Violence, Sources of Resilience, and Psychosocial Outcomes. Issues Ment Health Nurs 2021; 42:484-494. [PMID: 32886021 PMCID: PMC7930131 DOI: 10.1080/01612840.2020.1814912] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This qualitative study seeks to identify pre- and post-migration stressors experienced by African women who had immigrated to the United States along with the vulnerability and resilience factors that exacerbate or mitigate the negative health effects of these experiences. Seventeen interviews and six focus groups were conducted with 39 African immigrant women. Participants reported encountering experiences of political instability and armed conflict pre-migration and intimate partner violence pre- and post-migration. Religious faith was an important source of resilience for women. Findings support the design of culturally appropriate interventions to improve the mental health of vulnerable African immigrant women.
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Affiliation(s)
- Andrew Corley
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
| | - Bushra Sabri
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
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22
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Udmuangpia T, Yu M, Bloom T. Intimate partner violence screening intention instrument for Thai nursing students: A principal component analysis. J Clin Nurs 2020; 29:4748-4758. [PMID: 32979288 DOI: 10.1111/jocn.15515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Revised: 07/27/2020] [Accepted: 09/11/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Identifying factors related to intimate partner violence (IPV) screening intentions of future nurses is critical, but no studies specific to this research area exist in Thailand; nor does any validated instrument currently exist to systematically evaluate Thai nursing students' IPV training or measure their readiness to address IPV. The purpose of this study was to develop the Intimate Partner Violence Screening Intention, Nursing Students (IPVSI-NS) for Thai nursing students and identify components explaining their intentions to screen for intimate partner violence (IPV). METHOD We designed a Thai-language, culturally appropriate 36-item instrument based on the theory of planned behavior (TPB), which describes intentions as the precursors of actual behaviour. We then conducted an anonymous cross-sectional online survey of female senior Thai nursing students (N = 594). Principal component analysis with varimax methods was used to examine the component structure of the instrument. The internal consistency reliability and convergent construct validity were evaluated. See Supporting File S1. RESULTS A six-component structure was evident which explained 59.56% of variance and identified: attitudes (advantages and disadvantages of screening), subjective norms (support from important people, and opinions of important people and policy) and perceived behavioural control (training experience, teamwork, facility resources and screening barriers). CONCLUSION The IPVSI-NS, based on the TPB, provides a psychometrically sound, reliable and valid tool for Thai nursing educators and researchers to advance nursing education, practice and research regarding IPV. RELEVANCE TO CLINICAL PRACTICE Provides support for the components of the TPB (attitude, subjective norm and perceived behavioural control) as an excellent fit to predict intention of IPV screening for future clinical nurses. Implications for future research and educational practice are discussed.
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Affiliation(s)
| | - Mansoo Yu
- School of Social Work, Department of Public Health, University of Missouri, Columbia, MO, USA
| | - Tina Bloom
- Sinclair School of Nursing, University of Missouri, Columbia, MO, USA
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23
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Alhalal E. The effects of an intimate partner violence educational intervention on nurses: A quasi-experimental study. Nurse Educ Pract 2020; 47:102854. [DOI: 10.1016/j.nepr.2020.102854] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Revised: 07/06/2020] [Accepted: 08/12/2020] [Indexed: 10/23/2022]
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24
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Kameg BN, Constantino R. Intimate partner violence in adolescents: Preventive strategies for psychiatric-mental health nurse practitioners. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2020; 33:163-168. [PMID: 32657443 DOI: 10.1111/jcap.12286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 06/24/2020] [Accepted: 06/28/2020] [Indexed: 11/28/2022]
Abstract
TOPIC Intimate partner violence (IPV) remains a significant public health problem that is associated with high rates of morbidity and mortality. IPV has become increasingly prevalent in adolescents, with 20% of adolescents between 13 and 18 years reporting physical IPV, and 9% reporting sexual IPV. To assure the best outcomes for adolescents at-risk for or experiencing IPV, it is critical for psychiatric-mental health nurse practitioners (PMHNPs) to implement preventive interventions, spanning from primary to tertiary prevention, to address IPV. PURPOSE The purpose of this paper is to provide an overview of primary, secondary, and tertiary preventative strategies needed to improve outcomes for adolescents experiencing IPV within the context of the socioecologial model. SOURCES USED Utilizing PubMed, CINAHL, and PsycINFO, a literature review was conducted to identify relevant publications spanning from 2015 to present. Reference lists of identified articles were also searched. CONCLUSIONS PMHNPs must be competent in psychoeducation and counseling, screening, and management of comorbidities and safety planning to assure best outcomes for adolescents exposed to IPV.
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Affiliation(s)
- Brayden N Kameg
- Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA
| | - Rose Constantino
- Department of Health and Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA
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25
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Alhalal E. Nurses' knowledge, attitudes and preparedness to manage women with intimate partner violence. Int Nurs Rev 2020; 67:265-274. [PMID: 32301110 DOI: 10.1111/inr.12584] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2019] [Revised: 02/19/2020] [Accepted: 03/12/2020] [Indexed: 12/22/2022]
Abstract
AIM To investigate nurses' knowledge, attitudes and practices related to intimate partner violence among women in Saudi Arabian healthcare settings. BACKGROUND There is a global focus on abuse experiences in clinical settings. However, nurses' practice in managing intimate partner violence patients in Saudi healthcare settings has not yet been examined. INTRODUCTION Intimate partner violence is a health issue that can lead to mortality and morbidity. It has recently received attention in an Arabian context. Thus, scrutinizing nurses' role in responding to intimate partner violence patients is needed to fill a current gap. METHODS A cross-sectional study was conducted with a convenience sample of 114 nurses from two hospitals in Saudi Arabia using a questionnaire. RESULTS Minimal previous intimate partner violence training was reported, as 63% of nurses had not received training related to intimate partner violence, and 52% believed that they did not receive adequate training to respond to intimate partner violence survivors. The results show that nurses had both low perceived knowledge and low preparedness in managing intimate partner violence, and only had basic intimate partner violence knowledge. Results indicated that nurses did not have appropriate attitudes towards intimate partner violence. The majority were not aware about intimate partner violence protocols or policies in their institutions. Only 2.6% had diagnosed intimate partner violence in the last six months. CONCLUSION There were gaps in nurses' perceived preparedness, knowledge, attitudes and behaviours. There was also limited training and preparation for nurses to assess and address intimate partner violence. IMPLICATIONS FOR NURSING AND HEALTH POLICY The study suggests the need for clear institutional health policies related to detecting, responding to, and preventing intimate partner violence. Guidelines about integrating intimate partner violence in nursing curricula and implementing in-service training should be developed and implemented. A multi-level intervention that enables nurses to respond to intimate partner violence is also needed.
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Affiliation(s)
- E Alhalal
- Community and Mental Health Nursing Department, Assistant Vice Dean of Graduate Studies and Scientific Research, Nursing College, King Saud University, Riyadh, Saudi Arabia
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26
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Wadsworth P, Degesie K, Kothari C, Moe A. Intimate Partner Violence During the Perinatal Period. J Nurse Pract 2018. [DOI: 10.1016/j.nurpra.2018.08.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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