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Abdelnabi SJ, Munro-Kramer ML, Moyer CA, Williams JE, Lori JR. Ghanaian women's experience of intimate partner violence (IPV) during group antenatal care: a brief report from a cluster randomised controlled trial. Glob Health Action 2024; 17:2325250. [PMID: 38577830 PMCID: PMC11000608 DOI: 10.1080/16549716.2024.2325250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 02/27/2024] [Indexed: 04/06/2024] Open
Abstract
Intimate partner violence (IPV) impacts women of reproductive age globally and can lead to significant negative consequences during pregnancy. This study describes an exploratory aim of a cluster randomised controlled trial designed to assess the outcomes of Group Antenatal Care (ANC) in Ghana. The purpose was to understand the effect of a healthy relationship Group ANC module on experiences of IPV and safety planning as well as to explore the relationship between self-efficacy on the experiences of IPV and safety planning. Data were collected at baseline and at 11-14 months postpartum (post). Survey measures captured reported experiences of violence, self-efficacy, and safety. The chi-square test was used to compare baseline and post scores, and a logistic regression was performed to ascertain the effects of self-efficacy on the experiences of IPV in both groups. The sample included 1,751 participants, of whom 27.9% reported IPV at baseline. Between baseline and postpartum, there was a small increase in reported emotional (6.2% vs. 4.6%) and sexual (5.4% vs. 3.2%) violence in the intervention group compared to the control group. Logistic regression demonstrated that an increasing self-efficacy score was associated with an increased likelihood of experiencing IPV. There were no changes in safety knowledge. This study found higher rates of reported sexual and emotional violence post-intervention among the intervention group. Group ANC may be just one part of a portfolio of interventions needed to address IPV at all socio-ecological levels.Paper ContextMain findings: There was no reduction in experiences of intimate partner violence or increases in safety planning among Ghanaian pregnant women participating in a Group Antenatal Care session focused on healthy relationships and safety planning.Added knowledge: Group Antenatal Care has been identified as an effective modality for providing antenatal care and facilitating conversations about sensitive topics such as intimate partner violence and safety. However, this study highlights the importance of developing multifaceted approaches to decrease the risk of intimate partner violence among women, especially during the critical times of pregnancy and postpartum.Global health impact for policy and action: Effective global health action and policy must extend beyond educational efforts, incorporating multifaceted strategies that include healthcare provider training, robust community engagement, and legislation aimed at preventing intimate partner violence, with a special focus on safeguarding the well-being of women during pregnancy and the postpartum period.
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Affiliation(s)
| | | | - Cheryl A. Moyer
- Learning Health Sciences, University of Michigan, Ann Arbor, MI, USA
| | | | - Jody R. Lori
- School of Nursing, University of Michigan, Ann Arbor, MI, USA
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Alshammari A, Evans C, Mcgarry J. Nurses' experiences of perceiving violence and abuse of women in Saudi Arabia: A phenomenological study. Int Nurs Rev 2023; 70:501-509. [PMID: 37401925 DOI: 10.1111/inr.12859] [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: 07/14/2022] [Accepted: 05/25/2023] [Indexed: 07/05/2023]
Abstract
AIM To explore the practices, understanding, and experiences of nurses and nursing students about domestic violence and abuse in Saudi Arabia. BACKGROUND Domestic violence and abuse is a well-known public health issue and a clear violation of human rights resulting in detrimental effects on women's health. INTRODUCTION Societal and cultural barriers in Saudi Arabia limit women's rights and disclosure of violence within marriage and families, preventing access to health care and support. There are few reports of this phenomenon in Saudi Arabia. METHODS We used a hermeneutic phenomenological approach to acquire in-depth insights into nurses' perceptions and experiences regarding domestic violence and abuse. Eighteen nurses and student nurses were recruited from Riyadh, Saudi Arabia, using convenience sampling. Data were gathered between October 2017 and February 2018 through in-depth semistructured interviews, organized using NVivo 12 and analyzed manually to identify consistent themes. This study adhered to the consolidated criteria for reporting qualitative research. FINDINGS An overarching concept of "being disempowered" was identified, which was present at three levels: a lack of nurses' professional preparation, insufficient organizational structures and processes, and wider social and cultural components. CONCLUSION This study provides an in-depth account of nurses' practices, understanding, and experiences of domestic violence and abuse, highlighting the sensitivity and difficulties of addressing the problem in hospitals across Saudi Arabia and potentially other similar countries. IMPLICATIONS The study's findings will inform the development of nursing education and practice in Saudi Arabia, as well as pave the way toward formulating effective strategies with needed modifications in curriculum, organizations, policy, procedures, and laws.
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Affiliation(s)
- Alkadi Alshammari
- Assistant Professor, Faculty of Nursing, Community Health Nursing and Mental Health Department, King Saud University, Riyadh, Saudi Arabia
| | - Catrin Evans
- Associate Professor, School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Julie Mcgarry
- Assistant Professor, Faculty of Nursing, Community Health Nursing and Mental Health Department, King Saud University, Riyadh, Saudi Arabia
- Professor in Nursing and Gender-Based Violence, University of Sheffield and Sheffield Teaching Hospitals, NHS Foundation Trust, Health Sciences School, Sheffield, UK
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Withiel TD, Sheridan S, Rushan C, Fisher CA. Multifaceted training and readiness to respond to family violence: A prospective cohort evaluation. J Clin Nurs 2023; 32:7740-7750. [PMID: 37477159 DOI: 10.1111/jocn.16827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 06/04/2023] [Accepted: 07/06/2023] [Indexed: 07/22/2023]
Abstract
BACKGROUND As frontline healthcare workers, there is a growing expectation that nurses should be able to respond to disclosures of family violence. However, the profession and hospital systems have been slow to respond with clear skills, knowledge and confidence deficits identified in existing research. There is limited research which has robustly evaluated the effectiveness of in-depth, multifaceted training on readiness to respond among nurses. AIM To longitudinally evaluate the effectiveness of an in-depth family violence training intervention on confidence, knowledge and clinical skills of nurses working in a large tertiary adult hospital. DESIGN Single-centre, longitudinal intervention study. Strengthening the Reporting of Observational studies in Epidemiology (STROBE) cross-sectional guidelines were used. METHODS One hundred and ten nursing clinicians participated in this study to complete a comprehensive evidence-based model of healthcare workers response for assisting patients experiencing family violence. A mixed methods survey was used to assess change in knowledge, confidence and clinical skills among participants. Outcome assessment was electronically undertaken at baseline, 6-9 months and 12-15 months following intervention. RESULTS Statistically significant improvement was seen in self-reported knowledge, confidence and frequency of screening for family violence. Relative to baseline estimates, these improvements were identified 6-9 months and 12-15 months following intervention; albeit with consideration to the visually observed trend of skill reversion at follow-up. Quantitative findings were paralleled by qualitatively identified improvements in the recognition of the intersectional nature of violence, need for patient collaboration in screening and depth in considerations around how family violence is screened for. CONCLUSIONS Findings provide tentative support for the utility of a multidimensional training approach to improving nurses' readiness to respond to disclosures of family violence. RELEVANCE TO CLINICAL PRACTICE This study provides preliminary support for multidimensional, evidence-based training to effectively improve nurses' confidence, knowledge and clinical skills required for responding to family violence. REPORTING METHOD The study complies with the Strengthening the Reporting of Observational Studies in Epidemiology (SQUIRE) Statement: guidelines for reporting observational studies (see Table S1). PATIENT CONTRIBUTION Patients were involved in the initial design of the survey tool. This involvement came through the Allied Health Consumer panel and included input on the design and question wording of the survey items.
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Affiliation(s)
| | - Simone Sheridan
- Nursing Education, The Royal Melbourne Hospital, Melbourne, Victoria, Australia
| | - Catherine Rushan
- Allied Health, The Royal Melbourne Hospital, Melbourne, Victoria, Australia
| | - Caroline Anne Fisher
- Allied Health, The Royal Melbourne Hospital, Melbourne, Victoria, Australia
- Psychology, The Melbourne Clinic, Melbourne, Victoria, Australia
- School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
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van der Wath A. Role of nursing education to facilitate nursing students' competency to recognise and respond to intimate partner violence. Evid Based Nurs 2023; 26:151. [PMID: 37116982 DOI: 10.1136/ebnurs-2022-103650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2023] [Indexed: 04/30/2023]
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Maquibar A, Estalella I, Romero-Serrano R, Macías-Seda J, Gil-García E, Lancharro-Tavero I. Primary healthcare nurses' experiences of addressing intimate partner violence in supportive legal and health system contexts. J Adv Nurs 2023; 79:1399-1413. [PMID: 37157151 DOI: 10.1111/jan.15406] [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: 01/04/2022] [Revised: 06/28/2022] [Accepted: 07/17/2022] [Indexed: 11/30/2022]
Abstract
AIM To explore the experiences of primary healthcare (PHC) nurses caring for women experiencing intimate partner violence (IPV) in a context of institutional support for the management of this health issue. DESIGN Secondary qualitative analysis. METHODS A purposeful sample (n = 19) of registered nurses, working in a PHC setting, with experience providing care to women who had disclosed intimate partner violence completed an in-depth interview. Thematic analysis was used to code, categorize and synthesize the data. RESULTS Four themes were developed from the analysis of the interview transcripts. The first two themes address the characteristics of the type of violence most frequently encountered by participants, and how these characteristics shape the needs of women and the care nurses provide them. The third theme encompasses uncertainties and strategies developed to deal with the aggressor during the consultations as the woman's companion or as the patient himself. Finally, the fourth theme reflects the positive and negative consequences of caring for women exposed to intimate partner violence. CONCLUSION When there is a supportive legal framework and health system to address IPV, nurses are able to implement evidence-based best practices in caring for women experiencing intimate partner violence. The predominant type of violence experienced by women at the time they enter the healthcare system shapes their needs and the service/unit they reach. These varying needs should be considered in the development of training programmes for nurses and should be adapted for different healthcare services. Caring for women experiencing intimate partner violence implies an emotional burden even in an institutional supportive context. Therefore, actions to prevent nurses' burnout should be considered and implemented. IMPACT Lack of institutional support usually hinders the potential role nurses can play in the care provided to women who have experienced intimate partner violence. Findings from this study demonstrated that primary healthcare nurses are able to implement evidence-based best practices in the care for women experiencing intimate partner violence when there is a supportive legal framework and the health system context is openly favourable to addressing intimate partner violence. Findings from this study could inform the design and implementation of programmes and/or policies to improve nurses' responses to intimate partner violence in primary healthcare services.
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Affiliation(s)
- Amaia Maquibar
- Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Leioa, Spain
| | - Itziar Estalella
- Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Leioa, Spain
| | - Rocío Romero-Serrano
- Department of Nursing, San Juan de Dios University Nursing Center. Seville University, Bormujos, Spain
| | - Juana Macías-Seda
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Seville University, Seville, Spain
| | - Eugenia Gil-García
- Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Seville University, Seville, Spain
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Shaqiqi W, Innab A. Attitude and preparedness of nursing students in Saudi Arabia concerning the managing of intimate partner violence. J Adv Nurs 2023; 79:1553-1563. [PMID: 36062898 DOI: 10.1111/jan.15424] [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: 02/18/2022] [Revised: 06/28/2022] [Accepted: 08/03/2022] [Indexed: 11/29/2022]
Abstract
AIMS To assess nursing students' attitudes, professional roles, perceived knowledge and preparedness in managing intimate partner violence. DESIGN A cross-sectional descriptive study design was used. METHODS The sample consisted of 191 nursing students from 14 universities in Saudi Arabia. Data were collected from November to December 2021 using the Inventory of Beliefs about Intimate Partner Violence, Nursing Roles and Values, Educational Preparedness and Self-Efficacy scales. RESULTS The students' attitudes, professional roles, perceived knowledge and preparedness were moderate. When nursing students perceived themselves as knowledgeable, they rejected intimate partner violence, were in favour of their roles in managing intimate partner violence and were confident in their abilities to deal with this issue in practice. Only a quarter of the participants had received education on intimate partner violence although more than half of them were in their fourth year. Female participants had experienced domestic violence/intimate partner violence at a greater rate than male participants. Nursing students who had been exposed to education on intimate partner violence rejected intimate partner violence, but those who experienced domestic violence/intimate partner violence had more tolerant attitudes. CONCLUSION This study helps identify potential barriers to preparing nursing students for providing care for victims of intimate partner violence. There is a lack of adequate intimate partner violence educational content in nursing curricula. Establishing effective intimate partner violence education that integrates clinical training in nursing schools is crucial for enhancing students' attitudes and confidence in managing intimate partner violence. IMPACT Intimate partner violence (IPV) against women is a major global health problem leading to serious long-term physical and mental health consequences. Nurses have professional roles to fulfil in preventing and managing IPV. Little is known about the attitudes and preparedness of nursing students to manage IPV, especially in the Middle East. Nursing students neither tolerated nor justified IPV and possessed moderate views about the role of nurses in managing it. The students believed that they had adequate knowledge, but their preparedness to manage IPV was lower than their perceived knowledge. A positive and significant relationship was found between IPV education and students' attitudes, although IPV education was not adequately established in undergraduate nursing programs in Saudi Arabia. The prevalence of domestic violence/IPV experiences among the participants was considerable and was higher among female participants. Personally experiencing violence had a significant negative influence on the students' attitudes toward IPV. Nursing curricula should include IPV education that offers training opportunities where the students are able to apply theory in practice. Nursing schools must provide support and consultation for students who are victims or survivors of domestic violence/IPV. Further studies are needed to investigate the effects of IPV on students' attitudes and preparedness for managing it in clinical settings.
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Affiliation(s)
- Wejdan Shaqiqi
- College of Nursing, King Saud bin Abdulaziz University for HealthSciences, Riyadh, Saudi Arabia
| | - Adnan Innab
- Nursing Administration and Education, College of Nursing, King Saud University, Riyadh, Kingdom of Saudi Arabia
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Can Özdemir R, Işık MT, Nazik S. Attitudes of health professionals towards violence and their tendency to report spousal violence. Asian J Psychiatr 2023; 83:103540. [PMID: 36947917 DOI: 10.1016/j.ajp.2023.103540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Revised: 02/22/2023] [Accepted: 03/12/2023] [Indexed: 03/24/2023]
Abstract
The aim of this study is to determine the attitudes of primary care providers, physicians, nurses and midwives towards domestic violence and their tendencies to report violence against women and the affecting factors. The population of this study was 294 health professionals. The mean score on the Domestic Violence was 19.23 ± 4.28 and on the Scale of Health Professionals' Intentions/Behaviors Regarding Reporting Intimate Partner Violence was 124.24 ± 20.41. While the health professionals' attitudes towards domestic violence were more negative in our study, attitudes towards reporting violence against women were more positive. Also, health professionals faced ethical problems related to the principles of privacy and confidentiality.
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Affiliation(s)
- Rana Can Özdemir
- Akdeniz University, Medical Faculty, Department of Medical History and Ethics, Antalya, Turkey.
| | - Meryem Türkan Işık
- Mersin University, Faculty of Nursing, Fundamental Nursing Department, Mersin, Turkey
| | - Sadık Nazik
- Antakya Karaali Aile Sağlığı Merkezi, Antakya, Hatay, Turkey
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Withiel TD, Sheridan S, Rudd N, Fisher CA. Preparedness to Respond to Family Violence: A Cross-Sectional Study Across Clinical Areas. SAGE Open Nurs 2022; 8:23779608221126355. [PMID: 36245850 PMCID: PMC9557861 DOI: 10.1177/23779608221126355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 08/26/2022] [Indexed: 11/22/2022] Open
Abstract
Introduction Family violence (FV) is one of the most urgent health issues of our generation. While nurses play a vital role in identifying and supporting victim/survivors of violence, little is known about nursing readiness to respond across clinical areas. Objective This study aimed to compare and contrast the knowledge, confidence, clinical skills, and perceived barriers of nurses across three clinical areas of a tertiary trauma hospital in Melbourne, Australia, in responding to FV. Method A prospective, mixed methods design was used. The nursing staff at a large trauma hospital were approached to participate. Participants completed a brief online survey to quantify clinician-reported knowledge, clinical skills, and barriers to managing FV. Results Two hundred and forty-two nursing staff electronically completed a brief survey to capture self-reported confidence, knowledge, clinical skills, and barriers to working effectively in the area. The descriptive analysis reflected service-wide deficits in knowledge, confidence, and self-reported clinical skills, irrespective of the work area. Deficits were identified on a background of limited structured training for FV among this cohort. Significantly higher rates of FV confidence and knowledge were identified among emergency department nurses relative to acute and subacute clinical counterparts. Conclusion Nurse respondents overall reported low rates of confidence, knowledge, and clinical skills in responding to disclosures of FV. Findings reinforce the need for imbedded training programs to support frontline responses.
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Affiliation(s)
- T. D. Withiel
- Allied Health, Royal Melbourne
Hospital, Melbourne, Australia,T. D. Withiel, Allied Health, Royal
Melbourne Hospital, Melbourne, Victoria, Australia.
| | - S. Sheridan
- Nursing, Royal Melbourne
Hospital, Melbourne, Australia
| | - N. Rudd
- Clinical Psychology, University of Melbourne and Royal Melbourne
Hospital, Melbourne, Australia
| | - C. A. Fisher
- Allied Health, Royal Melbourne
Hospital, Melbourne, Australia,The Melbourne
Clinic, Melbourne, Australia
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Shaqiqi W, Cuthill F, Brennan G. Nursing students' knowledge, attitudes, preparedness and practice towards intimate partner violence against women: a scoping review and thematic synthesis. NURSE EDUCATION TODAY 2022; 116:105452. [PMID: 35779525 DOI: 10.1016/j.nedt.2022.105452] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 05/27/2022] [Accepted: 06/22/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND Nursing students regularly work with women who have experienced intimate partner violence in their clinical placements and subsequently as registered nurses. They have a role in early detection, intervention, onward referral and education of women about intimate partner violence. Therefore, it is necessary to gain a comprehensive understanding of their capability to care for abused women and identify learning needs. Nonetheless, the level of preparedness of nursing students to deal with intimate partner violence has not been reviewed. AIM To search and review the existing evidence on nursing students' knowledge, attitudes, preparedness and practice towards intimate partner violence. METHOD This scoping review was guided using the PRISMA extension checklist for scoping reviews. Four databases were searched to identify relevant evidence published between 2010 and 2021. The review included eighteen empirical studies (10 quantitative, 4 qualitative and 4 mixed-method studies). Data were extracted and synthesized into seven themes. RESULT Nursing students were more knowledgeable of and readily recognized physical and sexual abuse than psychological abuse. Nursing students' roles and attitudes varied widely between different countries. Students faced difficulty in identifying and managing intimate partner violence clinically. Students who received education on domestic violence held more positive attitudes and were more knowledgeable and prepared. CONCLUSION Nurse educators need to enhance students' understanding and perception of intimate partner violence and optimize their capability to manage it in the clinical setting. This study identifies barriers to nursing students' readiness to manage intimate partner violence and suggests four areas of development for nursing curricula.
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Affiliation(s)
- Wejdan Shaqiqi
- King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia.
| | - Fiona Cuthill
- The University of Edinburgh, United Kingdom of Great Britain and Northern Ireland.
| | - Gearóid Brennan
- University of Stirling, United Kingdom of Great Britain and Northern Ireland.
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Li Q, Zeng J, Zhao B, Perrin N, Campbell J. Chinese nurses' preparedness and opinions in responding to intimate partner violence: An adaptation and validation study. J Adv Nurs 2022; 78:3847-3859. [PMID: 35975282 DOI: 10.1111/jan.15415] [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: 01/30/2022] [Revised: 07/16/2022] [Accepted: 08/03/2022] [Indexed: 11/30/2022]
Abstract
AIM To adapt and psychometrically test two scales from The Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) for measuring nurses' preparedness to manage intimate partner violence (IPV) and opinions on IPV in China. DESIGN A cross-sectional study for cross-cultural adaptation and validation of instruments. METHODS The study was conducted in two tertiary hospitals in northeastern and southwestern China in 2020: (Step 1) translation and back-translation by four translators; (Step 2) expert consultation to assess content validity by a five-person panel; (Step 3) cognitive debriefing to evaluate the online survey with six nurses; (Step 4) pilot testing to finalize the survey with 79 nurses; and (Step 5) psychometric evaluation of construct validity and internal consistency reliability including post hoc analysis with 1071 nurses. RESULTS The Chinese scales of Perceived Preparation and Opinions demonstrated generally acceptable content validity, construct validity and internal consistency reliability; some factor analysis results were uninterpretable, and socially desirable responses existed. A post hoc inspection of item and score distributions assisted the item classification into Confident, Cautious and Concerned regarding the authenticity of nurses' responses. CONCLUSION Reliability and construct validity of the Chinese versions of Perceived Preparation and Opinions were supported in this sample. The instrument measures nurses' preparedness and opinions towards IPV. Item classification into Confident, Cautious and Concerned categories is a pragmatic way to interpret the results. IMPACT The Chinese scales can be used to measure nurses' preparedness and opinions towards IPV in China. The study also provides an approach for interpretation of results and identification of socially desirable responses in validation and survey studies in other contexts. The adaptation and use of the Chinese scales serve as a primary step in responding to IPV in China's health sector and can be used as a template for adapting the instrument in other low- and middle-income countries.
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Affiliation(s)
- Quanlei Li
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
| | - Jing Zeng
- School of Nursing, Chengdu Medical College, Chengdu, China
| | - Bing Zhao
- School of Nursing, Shenyang Medical College, Shenyang, China
| | - Nancy Perrin
- School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
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Validação de conteúdo do diagnóstico de enfermagem processos familiares interrompidos. ACTA PAUL ENFERM 2022. [DOI: 10.37689/acta-ape/2022ao017166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Almegewly WH, Hawamdah S, Moussa FL, Dator WLT, Alonezi A, Al-Eissa M. Measuring Nurses' and Physicians' Attitudes and Perceptions of the Appropriate Interventions towards Intimate Partner Violence in Saudi Arabia. Healthcare (Basel) 2022; 10:healthcare10081430. [PMID: 36011088 PMCID: PMC9408212 DOI: 10.3390/healthcare10081430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 07/26/2022] [Accepted: 07/26/2022] [Indexed: 12/02/2022] Open
Abstract
Background: Intimate partner violence (IPV) is considered the most common form of violence against women worldwide, concerning public health, safety, and human rights. However, little to no studies in Saudi Arabia have explored the attitude and perception of health care providers working in emergency departments toward IPV. This study aimed to measure the attitude and perception of Emergency Room (ER) health care providers towards the appropriate intervention for IPV. Methods: This is a cross-sectional quantitative study. Data was collected from a convenient sample of nurses (n = 88) and physicians (n = 18) working in ER, using Readiness to Manage Intimate Partner Violence Survey (PREMIS). Data was collected from two hospitals in Riyadh, Saudi Arabia, and descriptive analysis was used to analyze the data. Results: The majority of the respondents were aged 18−40 (n = 106, 78%), while 22% were 41−60 years old, 69% were female, and 31% were male. Eighty-five percent were nurses and 15% were physicians. The majority of the respondents did not have any training on IPV and had gained knowledge or skills mostly during their medical/nursing classroom and clinical training. The analysis revealed that the participants had moderate levels of overall preparedness, knowledge about IPV, and perceived knowledge, with a mean score of 2.30, 18.62, and 2.18, respectively. The respondents had low scores in practice issues in new diagnosis (0.91), current screening (1.69), and actions when IPV is identified (0.91). The perceived preparedness and knowledge have a significant positive correlation, as shown by an r value of 0.8476 and a p-value of <0.05. Conclusion: The study shows that participants stated minimal previous IPV knowledge and training. It is necessary to put in place adequate resources and specific training programs to overcome this issue for both ER nurses and physicians.
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Affiliation(s)
- Wafa Hamad Almegewly
- Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia;
- Correspondence:
| | | | - Fatchima Laouali Moussa
- Department of Medical-Surgical Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia; (F.L.M.); (W.L.T.D.)
| | - Wireen Leila Tanggawohn Dator
- Department of Medical-Surgical Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia; (F.L.M.); (W.L.T.D.)
| | - Anwar Alonezi
- Department of Community Health Nursing, College of Nursing, Princess Nourah bint Abdulrahman University, Riyadh 11671, Saudi Arabia;
| | - Majid Al-Eissa
- Department of National Family Safety Program, Ministry of National Guard Health Affairs (MNGHA), King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh 11426, Saudi Arabia;
- Department of Pediatrics, King Abdullah International Medical Research Center (KAIMRC), Riyadh 11481, Saudi Arabia
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Sharpless L, Kershaw T, Hatcher A, Alexander KA, Katague M, Phillips K, Willie TC. IPV, PrEP, and Medical Mistrust. J Acquir Immune Defic Syndr 2022; 90:283-290. [PMID: 35364598 PMCID: PMC9203922 DOI: 10.1097/qai.0000000000002956] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Accepted: 02/23/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION HIV pre-exposure prophylaxis (PrEP) is an effective HIV prevention method for women experiencing intimate partner violence (IPV). This study aimed to examine (1) relationships between physical, sexual, and psychological IPV and women's PrEP communication with a health care provider and domestic violence advocate; and (2) how IPV-specific medical mistrust modifies the association between IPV and PrEP communication. METHODS Data were from 2 studies conducted in Connecticut and Baltimore, MD on adult women experiencing IPV (N = 272). Logistic regressions examined associations between IPV, PrEP communication, and IPV-specific medical mistrust. RESULTS The average age was 25.7. The most common identity was non-Hispanic black (37.1%), followed by non-Hispanic white (33.8%), Hispanic (20.6%), and non-Hispanic another racial group (8.5%). Higher severity of psychological IPV was associated with more embarrassment to initiate a PrEP discussion with a health care provider (P = 0.009) or domestic violence advocate (P = 0.026). However, women with more severe psychological IPV were more willing to accept a PrEP recommendation from a health care provider (P = 0.033) or domestic violence advocate (P = 0.044). IPV-specific medical mistrust modified the association between physical IPV and willingness to accept a PrEP recommendation by a domestic violence advocate, such that women with physical IPV were significantly less likely to accept a PrEP recommendation by a domestic violence advocate, but only for women with high IPV-specific medical mistrust (P = 0.021). CONCLUSIONS PrEP initiation among women experiencing IPV may be strengthened by addressing and dismantling systems that perpetuate IPV-specific medical mistrust and stigma against IPV survivors.
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Affiliation(s)
- Laurel Sharpless
- Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill NC, USA
| | - Trace Kershaw
- Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven CT, USA
| | - Abigail Hatcher
- Department of Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill NC, USA
| | - Kamila A. Alexander
- Department of Community Public Health Nursing, Johns Hopkins School of Nursing, Baltimore MD, USA
| | - Marina Katague
- Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, San Diego, La Jolla CA, USA
| | - Karlye Phillips
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA
| | - Tiara C. Willie
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USA
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14
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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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15
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Briones-Vozmediano E, Otero-García L, Gea-Sánchez M, De Fuentes S, García-Quinto M, Vives-Cases C, Maquibar A. A qualitative content analysis of nurses' perceptions about readiness to manage intimate partner violence. J Adv Nurs 2021; 78:1448-1460. [PMID: 34854496 DOI: 10.1111/jan.15119] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 10/07/2021] [Accepted: 11/15/2021] [Indexed: 11/28/2022]
Abstract
AIMS To explore the perceptions of nurses on the factors that influence their readiness to manage intimate partner violence (IPV) in Spain. DESIGN Qualitative content analysis based on data from six different regions in Spain (Murcia, Region of Valencia, Castile and Leon, Cantabria, Catalonia, Aragon) collected between 2014 and 2016. METHODS 37 personal interviews were carried out with nurses from 27 primary health care (PHC) centres and 10 hospitals. We followed the consolidated criteria for reporting qualitative research guidelines. Qualitative content analysis was supported by Atlas.ti and OpenCode. RESULTS The results are organised into four categories corresponding to (1) acknowledging IPV as a health issue. An ongoing process; (2) the Spanish healthcare system and PHC service: a favourable space to address IPV although with some limitations; (3) nurses as a key figure for IPV in coordinated care and (4) factors involved in nurses' autonomy in their response to IPV, with their respective subcategories. CONCLUSION In practice, nurses perceive responding to IPV as a personal choice, despite the institutional mandate to address IPV as a health issue. There is a need to increase continuous training and ensure IPV is included in the curriculum in university nursing undergraduate degrees, by disseminating the existing IPV protocols. Furthermore, coordination between healthcare professionals needs to be improved in terms of all levels of care and with other institutions.
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Affiliation(s)
- Erica Briones-Vozmediano
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.,Healthcare Research Group (GRECS), Biomedical Research Institute (IRB), Lleida, Spain.,Society, Health, Education and Culture Research Group (GESEC), University of Lleida, Lleida, Spain
| | - Laura Otero-García
- Society, Health, Education and Culture Research Group (GESEC), University of Lleida, Lleida, Spain.,Department of Nursing, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.,Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain
| | - Montserrat Gea-Sánchez
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Lleida, Spain.,Healthcare Research Group (GRECS), Biomedical Research Institute (IRB), Lleida, Spain.,Society, Health, Education and Culture Research Group (GESEC), University of Lleida, Lleida, Spain
| | - Susana De Fuentes
- Department of Clinical Medicine and Public Health, Epidemiology and Global Health Unit, University of Umea, Umea, Sweden
| | - Marta García-Quinto
- Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Public Health Research Group, University of Alicante, Alicante, Spain
| | - Carmen Vives-Cases
- Biomedical Research Centre Network for Epidemiology and Public Health (CIBERESP), Madrid, Spain.,Department of Community Nursing, Preventive Medicine and Public Health and History of Science, Public Health Research Group, University of Alicante, Alicante, Spain
| | - Amaia Maquibar
- Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Bilbao, Spain
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16
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Anderzén Carlsson A, Bäccman C, Almqvist K. The professional relationship forms the base: Swedish child health care nurses' experiences of encountering mothers exposed to intimate partner violence. Int J Qual Stud Health Well-being 2021; 16:1988043. [PMID: 34694958 PMCID: PMC8547811 DOI: 10.1080/17482631.2021.1988043] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
PURPOSE This study aimed to explore child health care nurses' clinical experiences from encounters with mothers exposed to intimate partner violence (IPV), as little research has explored this topic. METHOD Nine child health care nurses from two Swedish regions were interviewed. The interviews were analysed using thematic analysis. RESULTS The narratives depicted the nurses' strong commitment to, and professional relationship with, the exposed mothers. The experience of working as a nurse and having encountered IPV in clinical practice made the nurses more confident, which impacted their performance and attitude towards this topic. The ability to uphold the professional relationship was threatened by lack of support and interprofessional collaborations. CONCLUSIONS The professional relationship was central to the encounters, yet could impose an emotional burden on the nurses. While the nurses wanted to improve their knowledge of the process around the mother and child, they were happy to pass the primary responsibility over to other professionals. The findings highlight the challenge in establishing sustainable support for nurses, and building a transparent collaboration process between the health care sector and the social services, serving the well-being and safety of the mother and child.
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Affiliation(s)
- Agneta Anderzén Carlsson
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.,Faculty of Health, Science and Technology, Department of Health Sciences, Karlstad University, Karlstad, Sweden
| | - Charlotte Bäccman
- Faculty of Arts and Social Sciences, Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden.,Faculty of Arts and Social Sciences, Center for Service Research, Karlstad University, Karlstad, Sweden
| | - Kjerstin Almqvist
- Faculty of Arts and Social Sciences, Department of Social and Psychological Studies, Karlstad University, Karlstad, Sweden
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17
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Martínez-García E, Montiel-Mesa V, Esteban-Vilchez B, Bracero-Alemany B, Martín-Salvador A, Gázquez-López M, Pérez-Morente MÁ, Alvarez-Serrano MA. Sexist Myths Emergency Healthcare Professionals and Factors Associated with the Detection of Intimate Partner Violence in Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115568. [PMID: 34071054 PMCID: PMC8197153 DOI: 10.3390/ijerph18115568] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/29/2021] [Revised: 05/12/2021] [Accepted: 05/18/2021] [Indexed: 12/11/2022]
Abstract
This study analysed the capacity of emergency physicians and nurses working in the city of Granada (Spain) to respond to intimate partner violence (IPV) against women, and the mediating role of certain factors and opinions towards certain sexist myths in the detection of cases. This is a cross-sectional study employing the physician readiness to manage intimate partner violence survey (PREMIS) between October 2020 and January 2021, with 164 surveys analysed. Descriptive and analytical statistics were applied, designing three multivariate regression models by considering opinions about different sexist myths. Odds ratios and 95% confidence intervals (CIs) were considered for the detection of cases. In the past six months, 34.8% of professionals reported that they had identified some cases of IPV, particularly physicians (OR = 2.47, 95% CI = 1.14–5.16; OR = 2.65, 95% CI = 1.26–5.56). Those who did not express opinions towards sexist myths related to the understanding of the victim or the consideration of alcohol/drug abuse as the main causes of violence and showed a greater probability of detecting a case (NS) (OR = 1.26 and OR = 1.65, respectively). In order to confirm the indicia found, further research is required, although there tends to be a common opinion towards the certain sexual myth of emergency department professionals not having an influence on IPV against women.
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Affiliation(s)
- Encarnación Martínez-García
- Guadix High Resolution Hospital, 18500 Granada, Spain;
- Department of Nursing, Faculty of Health Sciences, University of Granada, 18016 Granada, Spain
| | - Verónica Montiel-Mesa
- Virgen de las Nieves University Hospital, Andalusian Health Service, 18014 Granada, Spain;
| | | | | | - Adelina Martín-Salvador
- Department of Nursing, Faculty of Health Sciences, University of Granada, 52005 Melilla, Spain
- Correspondence: (A.M.-S.); (M.Á.P.-M.)
| | - María Gázquez-López
- Department of Nursing, Faculty of Health Sciences, University of Granada, 51001 Ceuta, Spain; (M.G.-L.); (M.A.A.-S.)
| | - María Ángeles Pérez-Morente
- Department of Nursing, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain
- Correspondence: (A.M.-S.); (M.Á.P.-M.)
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