An exploration of screening protocols for intimate partner violence in healthcare facilities: a qualitative study

Williams, Jessica R.; Halstead, Valerie; Salani, Deborah; Koermer, Natasha

doi:10.1111/jocn.13353

Cited by 27 publications

(22 citation statements)

References 30 publications

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“…Systematic review of possible barriers of abused woman revealed one of the problems was fear of retaliation by the partner [ 26 ]. The partner may accompany the woman to the perinatal care location, and it may not be easy to guarantee privacy in a busy clinical situation [ 24 ]. In this study, some women worried if her partner knows the IPV screening result.…”

Section: Discussionmentioning

confidence: 99%

“…However, a survey of four prefectures in metropolitan areas found that IPV screening is still not widespread, with only 5% of institutions conducting IPV screening [ 22 ]. The common barriers to conducting IPV screening at health care settings have been reported as time limitations [ 23 , 24 ], lack of confidence in screening [ 24 , 25 ], difficulty to establish rapport [ 24 ], unease or fear about angering patients or causing emotional discomfort [ 26 ]. In a questionnaire survey of women in Japan who had experienced IPV screening, most women replied that it was not unpleasant [ 27 , 28 ], but these were only a few questionnaire items answerable in yes/no format, to elicit the extent of satisfaction and with no psychometric controls applied.…”

Section: Introductionmentioning

confidence: 99%

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Experiences of being screened for intimate partner violence during pregnancy: a qualitative study of women in Japan

Kataoka¹,

Imazeki²

2018

BMC Women's Health

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BackgroundIntimate partner violence (IPV) is physical, sexual or psychological violence by a current or former intimate partner. IPV threatens women’s health, and during pregnancy women are more vulnerable to violence. Therefore, IPV screening has been recommended during antenatal care; however, health care providers have expressed concern about the negative impact on women and therefore have been reluctant in conducting IPV screening. Consequently our objective was to investigate pregnant women’s experiences of reading and completing an IPV screening questionnaire.MethodsSemi-structured interviews were conducted with postpartum women who had received IPV screening during pregnancy to investigate their experiences using the IVP Violence Against Women Screen (VAWS). Qualitative data were analyzed based on content analysis.ResultsA total of 43 women participated in this study. There were eight (18.6%) women positive for IPV screening during pregnancy. Content analysis for all participants revealed three themes: necessity, acceptability and optimality. ‘Necessity’ referred to benefits for women from IPV screening, and was supported by three categories: ‘redefining the relationship’, ‘promoting IPV awareness’ and ‘opportunity to initiate support’. ‘Acceptability’ of IPV screening was also supported by three categories: ‘comfortable’, ‘quickly completed’ and ‘difficulty’. ‘Optimality’ meant IPV screening during pregnancy was appropriate timing for women who had been screened as either positive or negative.ConclusionsThe majority of women, including women experiencing IPV, had positive responses to IPV screening during pregnancy. Future diffusion of IPV screening requires safe environments for IPV screening and improved awareness of health care providers towards IPV.Electronic supplementary materialThe online version of this article (10.1186/s12905-018-0566-4) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Experiences of being screened for intimate partner violence during pregnancy: a qualitative study of women in Japan

Kataoka¹,

Imazeki²

2018

BMC Women's Health

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“…Isto por que, ao procurar auxílio nos serviços de saúde, muitas vezes, as mulheres que vivenciam violência conjugal não são acolhidas de modo a sentirem-se seguras, além de, às vezes, terem suas queixas questionadas. (29) Ou seja, até mesmo nesses locais existe um processo sutil de reprodução das desigualdades de gênero ao se colocar em prática as políticas voltadas para o atendimento às mulheres em situação de violência. (26) No caso das mulheres de apenados, esta parcela da população, apesar de significativa, procura menos os serviços de saúde, e quando o faz não expõe verdadeiramente suas necessidades devido ao estereótipo de mulher de companheiro envolvido na criminalidade que muitas vezes carregam.…”

Section: Discussionunclassified

Fatores associados às práticas de violência conjugal em mulheres de apenados

Batista¹,

Marcon²,

Arruda³

et al. 2020

Acta Paulista De Enfermagem

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“…One study found that family medicine physicians felt it was their responsibility to identify and treat intimate partner violence but reported less comfort and decreased likelihood of screening for intimate partner violence, compared to providers within women's health [21]. Another study found that ED staff believed both physicians and nurses have the responsibility to screen for and respond to intimate partner violence [22]. The literature suggests that asking women about domestic violence is deemed acceptable by the majority of women and that women who object are more likely to have experienced recent abuse [23].…”

Section: Discussionmentioning

confidence: 99%

Intimate Partner Violence Documentation and Awareness in an Urban Emergency Department

Vonkeman¹,

Atkinson²,

Fraser³

et al. 2019

Cureus

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Background Domestic violence rates in smaller cities have been reported to be some of the highest in Canada. It is highly likely that the staff at emergency departments (ED) will come in contact with victims of intimate partner violence in their daily practice. The purpose of this study is to better understand current practices for detecting intimate partner violence, staff awareness and knowledge regarding intimate partner violence, and barriers to questioning about intimate partner violence in the ED. Methods A standardized retrospective chart review captured domestic violence documentation rates in patients presenting to the ED, and a cross-sectional online survey was distributed to the ED staff. Results We found documentation about intimate partner violence in 4.64% of all included patient charts. No documentation was noted in the domestic violence field. Significantly, 16.4% of the ED staff reported never questioning female patients about intimate partner violence; 83.6% enquired when they thought it appropriate, and none asked routinely. None of the staff used a structured screening tool, and 81.8% of the ED staff had not received any formal training. Partner presence was the most common barrier to asking about intimate partner violence, followed by a lack of access to domestic violence management information, and a lack of knowledge regarding intimate partner violence. Conclusions Our findings suggest that the current documentation tools are not being properly utilized. Low rates of intimate partner violence documentation in high-risk patients and lack of education indicate that there is a need to improve current practices. In order to improve identification of this important problem, appropriate training and education about intimate partner/domestic violence are required to increase staff comfort as well as knowledge about available community resources for the victims.

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An exploration of screening protocols for intimate partner violence in healthcare facilities: a qualitative study

Cited by 27 publications

References 30 publications

Experiences of being screened for intimate partner violence during pregnancy: a qualitative study of women in Japan

Experiences of being screened for intimate partner violence during pregnancy: a qualitative study of women in Japan

Fatores associados às práticas de violência conjugal em mulheres de apenados

Intimate Partner Violence Documentation and Awareness in an Urban Emergency Department

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