Development and Validation of an Emergency Department Screening and Referral Protocol for Victims of Domestic Violence

Detección temprana de la violencia del compañero íntimo en el sector sanitario. ¿Una intervención basada en la evidencia?

“…Entre los 18 finalmente incluidos para el análisis, se recuperaron 5 revisiones sistemáticas 16-20 y 13 estudios originales [21][22][23][24][25][26][27][28][29][30][31][32][33] . Tres de estos 13 originales ya se habían analizado en las revisiones sistemáticas recuperadas [21][22][23] .…”

“…La heterogeneidad de las variables y los instrumentos de referencia que utilizan dificulta la comparación de sus resultados 17 . A partir de los resultados disponibles sobre la exactitud de las pruebas de detección temprana aplicadas 24,25,27 (tabla 2) se obtuvo una sensibilidad sumaria del 47,2%, una especificidad del 92,6%, un valor predictivo positivo del 44% y negativo del 93,4%. Teniendo en cuenta que la prevalencia de mujeres maltratadas en España es del 11,1% (n = 2.432.279 sobre población de mujeres españolas en 2004 de 21.912.433), se estima que 160.530 mujeres serían erróneamente etiquetadas como maltratadas y 1.362.076 casos reales no serían detectados por la prueba de detección temprana (tabla 3).…”

Effect of an administrative intervention on rates of screening for domestic violence in an urban emergency department

“…Although many concerned providers, researchers, and professional organizations have developed policies and procedures to identify victims of domestic violence, [17][18][19][28][29][30] actual implementation and execution of domestic violence screening protocols are far from universal. 31 This study explored factors associated with poor adherence to universal domestic violence screening policy and tested the ability of an administrative intervention to overcome these factors.…”

“…30,35,36 Our inability to effect dramatic change in the first year via education and policy development resulted in an administrative intervention involving both encouragement and corrective disciplinary action, which improved the odds of screening dramatically and whose effect did not decay over the ensuing 12 months (OR = 5.88, 95% CI = 5.00, 6.70). This may suggest a potentiating effect of progressive enforcement that allows for education and encouragement to take root.…”

Domestic violence on pregnant women in Turkey

“…[1][2][3][4] International health institutions mention that physicians and health workers are generally unaware of this problem and do not care these patients. 1,[5][6][7] World Health Organization has certain recommendations on physicians' practices regarding violence against women. 1 These are; informing physicians to selfquestion their prejudices, to diagnose and rehabilitate violence victims and encouraging them to develop domestic violence protocols.…”