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Sosnowska-Buxton P, Studsrød I. Peripheral Embodiment: Polish Women Rebuilding Their Lives After Domestic Violence Through Their Bodies. Violence Against Women 2024:10778012241275694. [PMID: 39221487 DOI: 10.1177/10778012241275694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Abstract
In deeply Catholic Poland, domestic violence (DV) is often denied, downplayed, or justified, hindering its recognition as a pressing societal issue. This study addresses the scarcity of research on the experiences and recovery of Polish women from DV. Through feminist interviews with 13 women in Norway and Poland who survived DV, our findings reveal a complex entanglement of embodied experiences with history, religion, society, and gender hierarchies during their recovery processes. Participants emphasized the significance of "body works," such as running and using makeup, as essential for empowerment and regaining control of their battered bodies and minds.
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Chowdhury N, Erman D, Raihan M, Marshall Z, Datta R, Aghajafari F, Shankar J, Sehgal K, Rashid R, Turin TC. Exploring community- and systemic-level gender-based violence in visible minority women across five countries from an intersectionality lens: protocol for a mixed-methods systematic review. BMJ Open 2024; 14:e077113. [PMID: 39174066 PMCID: PMC11340711 DOI: 10.1136/bmjopen-2023-077113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 08/06/2024] [Indexed: 08/24/2024] Open
Abstract
INTRODUCTION The intersection of sexism with racism and xenophobia disproportionately exposes visible minority women to gender-based violence (GBV) at the community and systemic levels. This study aims to understand the knowledge strengths and gaps on GBV against visible minority women with an intersectional lens, revealing systemic barriers to accessing support and how these barriers intensify GBV and its effects. It will also identify effective and ineffective policies and practices in the literature to develop strategies addressing the root causes of GBV and supporting survivors. METHODS AND ANALYSIS We will conduct a mixed-methods systematic review using a convergent integrated approach to examine current literature on community- and systemic-level GBV against visible minority women. We will follow Joanna Briggs Institute's guidelines to converge data from both qualitative and quantitative studies to obtain an integrated qualitative synthesis on GBV in five countries: Canada, the USA, the UK, Australia and New Zealand. This analysis will be conducted following Thomas and Harden's thematic synthesis guidelines. Community members with lived experience of GBV will actively contribute to improving the relevance and interpretation of results, following a community-engaged research approach. Themes are expected to unveil various aspects of community- and systemic-level GBV due to the intersection of racism, xenophobia and sexism, alongside barriers in addressing GBV and research gaps. ETHICS AND DISSEMINATION Since this study does not involve primary data collection or the use of identifiable human data, no ethical approval will be needed. Results will be disseminated through integrated knowledge translation, involving collaboration with participants who have lived experience of GBV. The findings will be used to identify specific areas of policy intervention, including adopting culturally sensitive approaches, improving school and workplace policies and promoting rights of visible minority women.
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Affiliation(s)
- Nashit Chowdhury
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Didem Erman
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Mohammad Raihan
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Zack Marshall
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Ranjan Datta
- Canada Research Chair, Mount Royal University, Calgary, Alberta, Canada
| | - Fariba Aghajafari
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
| | - Janki Shankar
- Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada
| | - Kamal Sehgal
- Alberta Network for Immigrant Women, Calgary, Alberta, Canada
| | - Ruksana Rashid
- Foundation for the Voice Of Immigrants in Canada for Empowerment, Calgary, Alberta, Canada
| | - Tanvir C Turin
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
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Humbert AL, Strid S, Tanwar J, Lipinsky A, Schredl C. The Role of Intersectionality and Context in Measuring Gender-Based Violence in Universities and Research-Performing Organizations in Europe for the Development of Inclusive Structural Interventions. Violence Against Women 2024:10778012241231773. [PMID: 38374665 DOI: 10.1177/10778012241231773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2024]
Abstract
The aim of the article is to discuss how thinking about gender-based violence intersectionally and in context can not only enrich our understanding but also lead to transformative change in organizations. The article argues that to better understand gender-based violence in universities and research institutions, analyses need to be intersectional and contextual. Such approaches go beyond binary understandings of gender and narrow legalistic definitions of gender-based violence. The article reflects on how to operationalize this to derive starting points for intersectional categories to consider and contextual factors to measure at micro-, meso-, and macro-levels. It concludes that a multilevel intersectional analysis leads to more nuanced knowledge on experiences of gender-based violence and is, therefore, better equipped to inform the development of measures to eradicate the problem in an inclusive way.
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Affiliation(s)
- Anne Laure Humbert
- Centre for Diversity Policy Research and Practice, Oxford Brookes University, Oxford, UK
| | - Sofia Strid
- Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden
| | - Jagriti Tanwar
- Department of OB&HRM, Nottingham University Business School, University of Nottingham, Nottingham, UK
| | - Anke Lipinsky
- GESIS Leibniz Institute for the Social Sciences, Cologne, Germany
| | - Claudia Schredl
- GESIS Leibniz Institute for the Social Sciences, Cologne, Germany
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Bright AM, Higgins A, Grealish A. Nursing in a prison context: A focused mapping review and synthesis of international nursing literature. J Adv Nurs 2023; 79:4127-4136. [PMID: 37350161 DOI: 10.1111/jan.15751] [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: 03/07/2023] [Revised: 05/12/2023] [Accepted: 06/10/2023] [Indexed: 06/24/2023]
Abstract
AIM To provide a snapshot of the extent to which nursing and the prison context features in non-specialist/generic nursing journals. DESIGN Focused mapping review and synthesis. METHODS Relevant articles were examined for the extent to which they featured nursing and the prison context. A descriptive and contextual analysis of the data was carried out to provide a topography and synthesis of the key trends identified. DATA SOURCES Articles meeting criteria for nursing and the prison context in relevant non-specialized, generic nursing journals (n = 7) from January 2018 to December 2022. RESULTS Four thousand, nine hundred and twelve (n = 4912) articles were published during the review period of which (n = 14) met inclusion criteria. The key trends identified are presented under three headings: taking an advocacy approach for better health and well-being, examining self-determination and autonomy in prison populations and nursing in the prison context. CONCLUSION Nursing and the prison context features in non-specialized and generic nursing journals but sparsely and infrequently. There is a need for greater visibility of nursing and the prison context in nursing journals to help reduce stigma and marginalization of those working and those detained in prison. IMPLICATION FOR THE PROFESSION AND/OR PATIENT CARE Nurses working in prison environments often manage extremely complex care needs. It is necessary to feature all nursing care environments in nursing journals so as to increase visibility and to act as a source of education for all. IMPACT (WHAT PROBLEM DID THE STUDY ADDRESS? MAIN FINDINGS? WHERE/WHOM WILL THE RESEARCH HAVE IMPACT ON): The findings of this review will have impact on all nurses engaged in practice and research as it highlights the extent to which nursing in a prison context is featured in non-specialized nursing journals and also speaks to the challenges faced by those working and detained in prison. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution. This was a review of existing literature.
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Affiliation(s)
- Ann-Marie Bright
- Department of Nursing & Midwifery, University of Limerick, Limerick, Ireland
- Health Research Institute, University of Limerick, Limerick, Ireland
| | - Agnes Higgins
- School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
| | - Annmarie Grealish
- Department of Nursing & Midwifery, University of Limerick, Limerick, Ireland
- Health Research Institute, University of Limerick, Limerick, Ireland
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Granados L, Suriá R, Perea C, Payá C, Sánchez-Pujalte L, Aparisi D. Effectiveness of a program for the development of socio-emotional competences in people admitted to a penitentiary center. Front Public Health 2023; 10:1116802. [PMID: 36703858 PMCID: PMC9871617 DOI: 10.3389/fpubh.2022.1116802] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 12/13/2022] [Indexed: 01/11/2023] Open
Abstract
The purpose of this paper was to evaluate the effectiveness of a program for the development of social and emotional competences and self-esteem among a group of inmates at a penitentiary center, as well as to determine the possible correlation between the variables of the program (social skills, emotional competences, and self-esteem). The objective was to equip inmates with social competences in emotional regulation strategies that would be useful to them in the penitentiary center and, at the same time, facilitate their future social inclusion. In order to measure the pre- and post- treatment variables, the Social Skills Scale, the Perceived Emotional Intelligence Scale (TMMS-24), and the Rosenberg Self-Esteem Scale (RSES) were administered to a group of 51 inmates in a penitentiary center. The experimental group consisted of 29 inmates, with 21 forming the control group. The pretest-posttest ANOVAs showed that the program led to a significant (p < 0.01) increase in: (1) positive social behaviors; (2) emotional competences; (3) self-esteem. Positive correlations were also observed between the three variables. The results suggest the importance of implementing programs for the promotion of the socio-emotional development of people incarcerated in penitentiary centers.
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Affiliation(s)
- Lucía Granados
- Faculty of Education, Valencian International University, Valencia, Spain,*Correspondence: Lucía Granados ✉
| | - Raquel Suriá
- Department of Communication and Social Psychology, University of Alicante, Alicante, Spain
| | - Carles Perea
- Faculty of Education, Carlemany University, San Julián de Loria, Andorra
| | - Claudio Payá
- Faculty of Education, Valencian International University, Valencia, Spain
| | | | - David Aparisi
- Faculty of Education, Valencian International University, Valencia, Spain
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Do electronic and economic empowerment protect women from intimate partner violence (IPV) in India? BMC Womens Health 2022; 22:510. [PMID: 36494662 PMCID: PMC9733227 DOI: 10.1186/s12905-022-02110-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 11/30/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Intimate partner violence (IPV) is a major public health problem. Electronic empowerment has several positive impacts on health. No study has examined whether electronic empowerment prevents intimate partner violence. Economic empowerment has positive and negative effects on IPV victimization. The current study was conducted to investigate whether economic and electronic empowerment of women act as protective factors against IPV in India. METHODS A national representative sample of 66,013 ever-married women from 36 member states and union territories of India has been used from the National Family Health Survey 2015 to 2016. Emotional, physical and sexual violence against women by husbands were target variables. We used bivariate and multivariate analyses. RESULTS The prevalence of emotional violence was 13%, physical violence was 28% and sexual violence was 7%. IPV against women was as follows: The prevalence was higher among women living in rural areas, belonging to Hindu religion and those belonging to Scheduled Castes. Higher education and higher socio-economic status were found to be protective factors against IPV. The prevalence of IPV was higher among the working women, among those having knowledge of business loans for women and the recipients of such business loans. Exposure to media was found to reduce IPV. The women who used mobile phones and SMS facility experienced less violence. CONCLUSION Economic independence of women was found to be a risk factor for IPV in India, whereas electronic empowerment was a protective factor. In the Indian context, policymakers should make use of mobile phones and support SMS use in the IPV awareness programs. Women empowerment, combined with gender equity, can reduce the prevalence of violence against women.
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Ruiz-Fernández MD, Ortiz-Amo R, Alcaraz-Córdoba A, Rodríguez-Bonilla HA, Hernández-Padilla JM, Fernández-Medina IM, Ventura-Miranda MI. Attention Given to Victims of Gender Violence from the Perspective of Nurses: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12925. [PMID: 36232230 PMCID: PMC9564834 DOI: 10.3390/ijerph191912925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 10/04/2022] [Accepted: 10/06/2022] [Indexed: 06/16/2023]
Abstract
Women victims of gender violence consider the health system an appropriate place to seek help. Aims and Objectives: to describe and understand how nurses perceive gender-based violence in health care for women victims of gender-based violence. Qualitative descriptive study. The recommendations of the COREQ guide for qualitative research reporting were followed. Sixteen nurses who were working in different health services, both primary and specialized care, were selected to take part in the study. Three focus groups and a semi-structured interview were conducted. The ATLAS.ti 9 computer programme was used. The nurses highlighted that when caring for women who are victims of gender violence, they encounter two types of violence: invisible or latent, and visible or patent. Part of the nurses' role is based on the skill of knowing how to act and being trained to do so. In addition, there are certain controversies around the concept and origin of violence. On the one hand, they refer to gender violence as a universal phenomenon with strong cultural and educational roots, and, on the other hand, it is difficult to characterize. The findings report how nurses play a fundamental role in caring for victims of gender-based violence, but they encounter certain difficulties regarding this concept. It is therefore essential to continuously train and educate nurses on gender-based violence. Gender violence should be a competency in nursing curricula. Health systems must offer training and awareness programmes that teach nurses to detect and make decisions regarding female victims of gender violence. It is also necessary to set up spaces in the different services so that the nurses can attend to the victims.
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Affiliation(s)
- María Dolores Ruiz-Fernández
- Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Temuco 3580000, Chile
| | - Rocío Ortiz-Amo
- Area of Social Work and Social Services, Department of Psychology, University of Almería, 04120 Almería, Spain
| | - Andrea Alcaraz-Córdoba
- Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain
| | | | - José Manuel Hernández-Padilla
- Department of Nursing, Physiotherapy and Medicine, University of Almería, 04120 Almería, Spain
- Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, London NW4 4BT, UK
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Díaz-Aguado MJ, Martínez-Arias R, Falcón L. Typology of Victimization against Women on Adolescent Girls in Three Contexts: Dating Offline, Dating Online, and Sexual Harassment Online. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11774. [PMID: 36142046 PMCID: PMC9517287 DOI: 10.3390/ijerph191811774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 09/13/2022] [Accepted: 09/14/2022] [Indexed: 06/16/2023]
Abstract
Defining the typologies of adolescent girls in relation to different types of victimization against women could be very useful for prevention. Almost all the typologies previously elaborated on this topic define the typologies from situations of dating victimization. This study used cluster analysis to establish for the first time a typology of adolescent girl victimization against women that included dating violence offline, dating violence online, and sexual harassment online outside a relationship by means of a comparative analysis of behavior between those who had suffered this violence and the population at large. The participants were 3.532 Spanish teenage girls aged 14-18 with experience of relationships with boys. Three discrete, identifiable types were obtained: the first group (63.8%), non-victim girls; the second group (29.4%), victims of sexual harassment online outside a relationship but with a low incidence of dating victimization; the third group (6.8%), victims in the three contexts. The logistic regression analysis showed that risky sexual behavior online was the main risk condition for inclusion in the second and third groups (compared to the non-victim group), followed by low self-esteem (for the second group) and age (for both groups). Other variables that also contributed to predicting membership victim groups were health complaints, feminine gender role stress, justification of male dominance and violence, visiting risky websites, and problematic internet use. These results show the importance of including the prevention of such problems in order to eradicate violence against women in adolescence who have grown up with digital technologies.
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Affiliation(s)
- María José Díaz-Aguado
- Unidad de Psicología Preventiva, Facultad de Psicología, Universidad Complutense de Madrid, Pozuelo de Alarcón, 28223 Madrid, Spain
| | - Rosario Martínez-Arias
- Unidad de Psicología Preventiva, Facultad de Psicología, Universidad Complutense de Madrid, Pozuelo de Alarcón, 28223 Madrid, Spain
| | - Laia Falcón
- Departamento de Ciencias de la Comunicación Aplicada, Facultad de Ciencias de la Información, Universidad Complutense de Madrid, 28040 Madrid, Spain
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Díaz-Aguado MJ, Martínez-Arias R. Types of Male Adolescent Violence Against Women in Three Contexts: Dating Violence Offline, Dating Violence Online, and Sexual Harassment Online Outside a Relationship. Front Psychol 2022; 13:850897. [PMID: 35356329 PMCID: PMC8959849 DOI: 10.3389/fpsyg.2022.850897] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Accepted: 02/15/2022] [Indexed: 11/13/2022] Open
Abstract
There has been little investigation of male adolescent violence against women as acknowledged by boys themselves, and even less on such violence in different contexts with comparative studies of behavior between those who perpetrate this violence and the population at large. This study used cluster analysis to establish a male adolescent typology based on boys' self-reporting of violence against women in three contexts. The participants were 3,132 Spanish teenage boys aged 14-18 with experience of relationships with girls. Three discrete, identifiable types were obtained: the first group (69.8%), of non-violent boys; the second group (26%), more involved in sexual harassment online outside a relationship but with a low incidence of dating violence offline; the third group (4.2%), with abuse in the three contexts but less involved in sexual harassment online than the second group. The logistic regression analysis showed that justification of male dominance and violence was the main risk condition for inclusion in the second and third groups, followed by low self-esteem (for the third group) and risky sexual behaviors online (for the second and third groups). The findings based on these results are important for preventing male adolescent dating violence against women in the three male types detected.
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Affiliation(s)
- María José Díaz-Aguado
- Unidad de Psicología Preventiva, Faculty of Psychology, Complutense University of Madrid, Madrid, Spain
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Ajduković D, Car I, Päivinen H, Sala-Bubaré A, Vall B, Husso M. Building Capacity for Prevention of Gender-Based Violence in the School Context. Front Psychol 2021; 12:720034. [PMID: 34707535 PMCID: PMC8542921 DOI: 10.3389/fpsyg.2021.720034] [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: 06/03/2021] [Accepted: 09/13/2021] [Indexed: 12/02/2022] Open
Abstract
School-related gender-based violence (SRGBV) is highly prevalent worldwide which calls for a range of early prevention and innovative solutions. The presence of GBV in the school context is well-documented and it highlights the importance of building competencies of teachers and other school professionals for recognizing and intervening in SRGBV cases. This paper analyses the current and future teachers' training needs, and their level of preparedness for detecting and intervening in cases of GBV in the school context, with the objective of developing a targeted training program. The participants in this study were 597 current and future teachers and other school professionals from Croatia, Finland, and Spain. An ad-hoc built questionnaire was distributed in the three participating countries. Results show that the interest in receiving training is related to the perceived importance of coping with GBV in the (future) work and that the main topics of the training should focus on addressing parties of SRGBV, guidelines for prevention and intervention in schools as well as online GBV. These findings were similar in three countries, and they provided user-generated topics and tools that served as a guideline for the development of a training program that aims to increase the knowledge about SRGBV and to develop skills for coping with GBV in the school context regarding victims, bystanders and perpetrators.
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Affiliation(s)
- Dean Ajduković
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Ivana Car
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia
| | - Helena Päivinen
- The Unit of Social Research, Faculty of Social Sciences, Tampere University, Tampere, Finland
| | - Anna Sala-Bubaré
- Department of Psychology, Sports and Educational Sciences, Blanquerna, Ramon Llull University, Barcelona, Spain
| | - Berta Vall
- Department of Psychology, Sports and Educational Sciences, Blanquerna, Ramon Llull University, Barcelona, Spain
| | - Marita Husso
- The Unit of Social Research, Faculty of Social Sciences, Tampere University, Tampere, Finland
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Sammut D, Kuruppu J, Hegarty K, Bradbury-Jones C. Which Violence Against Women Educational Strategies Are Effective for Prequalifying Health-Care Students?: A Systematic Review. TRAUMA, VIOLENCE & ABUSE 2021; 22:339-358. [PMID: 31122182 DOI: 10.1177/1524838019843198] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Gender-based violence (GBV) is a global public health issue which disproportionately affects women. Health-care providers have an important role in recognizing and addressing GBV in practice, yet research suggests that the issue remains underrecognized, with many qualified professionals reporting lack of confidence and a sense of unpreparedness. Prequalifying GBV educational strategies are inconsistent in both quantity and quality worldwide, and to date, there has been no comprehensive review of those programs' effectiveness. This internationally focused literature review aimed to identify best educational practices in GBV for prequalifying health-care students. A systematic search of six databases yielded 17 studies meeting the inclusion criteria, with all studies examining one or more educational intervention. Quality appraisal was undertaken and data were tabulated to capture relevant information. Thematic findings suggest that interactive educational strategies yield better results than didactic approaches. Similarly, interventions with a focus on practical application of learning are generally preferred over strictly theoretical approaches. Courses of longer duration seem to be more effective in instilling attitudinal changes. Lastly, gendered differences were noted in a number of studies, with female students consistently outperforming males. However, more research is needed before conclusions can be drawn about the effectiveness of single- versus mixed-gender audiences. This review makes a useful contribution to the literature of health education, supporting many findings from previous studies and identifying knowledge gaps to be explored in future research. There are implications for both educators and practitioners in creating discernible change for women in their care.
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Affiliation(s)
- Dana Sammut
- School of Nursing, 1724University of Birmingham, Birmingham, United Kingdom
| | - Jacqueline Kuruppu
- Department of General Practice, Faculty Medicine, Dentistry and Health Sciences, 2281University of Melbourne, Melbourne, Victoria, Australia
| | - Kelsey Hegarty
- Department of General Practice, Faculty Medicine, Dentistry and Health Sciences, 2281University of Melbourne, Melbourne, Victoria, Australia
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Heywood I, Sammut D, Bradbury-Jones C. A qualitative exploration of 'thrivership' among women who have experienced domestic violence and abuse: Development of a new model. BMC Womens Health 2019; 19:106. [PMID: 31387561 PMCID: PMC6685254 DOI: 10.1186/s12905-019-0789-z] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Accepted: 06/26/2019] [Indexed: 07/20/2024] Open
Abstract
BACKGROUND Domestic violence and abuse (DVA) is a serious public health issue, threatening the health of individuals the world over. Whilst DVA can be experienced by both men and women, the majority is still experienced by women; around 30% of women worldwide who have been in a relationship report that they have experienced violence at the hands of their partner, and every week in England and Wales two women are killed by their current or ex-partner. The purpose of this study was to explore the concept of thrivership with women who have experienced DVA, to contribute to our understandings of what constitutes 'thriving' post-abuse, and how women affected can move from surviving to thriving. METHODS Thirty-seven women took part in this qualitative study which consisted of six focus groups and four in-depth interviews undertaken in one region of the UK in 2018. Data were analysed using a thematic analysis approach. Initial findings were reported back to a group of participants to invite respondent validation and ensure co-production of data. RESULTS The process of 'thrivership' - moving from surviving to thriving after DVA - is a fluid, non-linear journey of self-discovery featuring three 'stages' of victim, survivor, and thriver. Thriving after DVA is characterised by a positive outlook and looking to the future, improved health and well-being, a reclamation of the self, and a new social network. Crucial to ensuring 'thrivership' are three key components that we propose as the 'Thrivership Model', all of which are underpinned by education and awareness building at different levels: (1) Provision of Safety, (2) Sharing the Story, (3) Social Response. CONCLUSIONS The study findings provide a new view of thriving post-abuse by women who have lived through it. The proposed Thrivership Model has been developed to illustrate what is required from DVA-services and public health practitioners for the thrivership process to take place, so that more women may be supported towards 'thriving' after abuse.
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Affiliation(s)
- Isobel Heywood
- Nursing, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Dana Sammut
- Nursing, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
| | - Caroline Bradbury-Jones
- Nursing, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT UK
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Croft E, Clark MT, Efstathiou N, Bradbury-Jones C. A focused mapping review and synthesis of a priori risk factors associated with medical misconduct. BMJ Open Qual 2019; 8:e000538. [PMID: 31321315 PMCID: PMC6606077 DOI: 10.1136/bmjoq-2018-000538] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 05/16/2019] [Accepted: 06/03/2019] [Indexed: 11/23/2022] Open
Abstract
Background Medical misconduct is an international problem. It is judged according to whether a doctor has endangered the health of the public. Little is known about the risk factors associated with medical misconduct. To inform patient safety, we undertook a focused mapping review and synthesis (FMRS) of tribunal reports retrieved from the Medical Practitioners Tribunal Service (MPTS). Methods A four-phase FMRS was undertaken: (1) identification and retrieval of 1-year tribunal transcripts from the MPTS (focus), (2) analysis of transcripts to identify patterns mapped to 'a priori' risk factors (mapping), (3) peer review of the data (calibration) and (4) creation of a risk profile (synthesis). Results Out of the 351 investigative tribunals, 249 (70.94%) resulted in a guilty verdict. 82.73% of all guilty verdicts led to the removal of the doctor from practice. Through the identification of four a priori risk factors, we developed a model of risk associated with medical misconduct: (1) being male, (2) primary medical qualification (PMQ) outside of the UK, (3) working within general practice and surgical specialties, and (4) having passed PMQ more than 20 years ago. Notable 'unconfirmed' factors, such as locum work, PMQ achieved outside of the European Union, increasing age and lack of clinical guidance are also relevant to what is deemed professional behaviour and what is not. Conclusions The findings can inform debates about patient safety and lay the groundwork for further research into medical misconduct. Prospective studies should focus on confirming the contributory factors and relationship between these four a priori risk factors for medical misconduct: being male, PMQ outside of the UK, increasing age and working in general practice or surgical settings.
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Affiliation(s)
| | - Maria Tighe Clark
- Institute of Clinical Sciences, University of Birmingham, West Midlands, UK
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