Domestic violence screening of obstetric triage patients in a military population

Objective Intimate partner violence (IPV) is a public health priority due to the physical and mental impacts it has on health. No existing reviews have focused on the psychometric properties of IPV screening tools used to screen men and women within a mental health context. This review aimed to identify the best psychometrically tested screening tools available to assess all areas of IPV in men and women in mental health setting. Method Databases psycArticles, PsycINFO, Social Science, CINAHL, PubMed and Cochrane were searched from their starting date through to July 2015. Eligible studies were published in peer-reviewed publications in English. Results Thirty-six studies met the inclusion criteria. Ten IPV screening tools were identified. Three tools assessed all areas of IPV and were validated against an appropriate reference standard. One study tested IPV screening tool in a mental health setting. Conclusion Mental health nurses need to incorporate a psychometrically tested IPV tool as part of risk assessment and safety planning for clients. This review identified three tools that are suitable for identifying IPV in a mental health context. However, further research is necessary to validate IPV screening tools that are culturally sensitive and have been validated with men and women.

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“…, , Keeling & Mason , Lutgendorf et al . ). Other clinical settings using these tools were: primary care (Anderson et al .…”

Section: Methodsmentioning

confidence: 97%

“…, Lutgendorf et al . ). One study screened women with a disability by face‐to‐face interview using three questions from the AAS and one additional question that asked about the aids for their disability being removed, or not being assisted with their disability.…”

Section: Methodsmentioning

confidence: 97%

Measures for screening for intimate partner violence: a systematic review

Arkins

Begley

Higgins

2016

Psychiatric Ment Health Nurs

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“…Individuals may prefer hospital-based unscheduled services to meet a variety of immediate health, social, and behavioral needs, whereas from an individual provider and health system perspective, these needs may not warrant immediate care if the visit is of lower acuity. Attention to the potential psychosocial significance of obstetric triage and emergency care has focused mostly on screening for domestic violence (Lutgendorf, Thagard, Rockswold, Busch, & Magann, 2012). Models responding to a range of additional vulnerabilities and social determinants demonstrated in triage could be impactful.…”

Section: Discussionmentioning

confidence: 99%

Understanding High Utilization of Unscheduled Care in Pregnant Women of Low Socioeconomic Status

Mehta

Carter

Vinoya

et al. 2017

Women's Health Issues

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Background Pregnant high utilizers of unscheduled care may be at particular risk for poor perinatal outcomes, but the drivers of this association have not been explored from the patient perspective. Purpose We sought to understand maternal preference for unscheduled hospital-based obstetric care to inform interventions and improve value of publicly funded care during pregnancy. Methods We conducted a comparative qualitative analysis of in-depth semistructured interviews. Low-income pregnant women presenting to an inner city hospital-based obstetric triage unit were purposively sampled, categorized as either high or low utilizers of unscheduled care, and interviewed about challenges faced in obtaining pregnancy care and reasons for choosing between unscheduled versus scheduled care delivery. Results Demographically, high utilizers were similar to low utilizers, but were more likely to report adverse childhood experiences (p = .01). All 40 participants reported resource constraints and perceived hospital-based unscheduled obstetric care to be more accessible than outpatient prenatal care. Beyond this, high (n = 20) and low (n = 20) utilizer narratives differed significantly. Two distinct high utilizer profiles emerged. Some high utilizers repetitively used unscheduled hospital-based services owing to psychosocial determinants. Other high utilizing participants were driven by severe experiences of illness insufficiently addressed by outpatient prenatal care. Low utilizer narratives demonstrated high self-efficacy and social support compared with high utilizers. Conclusions Low-value, unscheduled, hospital-based care utilization by pregnant women of low socioeconomic status was driven by unmet clinical and psychosocial need. Implications for Policy and/or Practice Tailored community-focused innovations that use unscheduled visits as signals of risk may improve value of both outpatient and inpatient maternity care and better address adverse perinatal outcomes in vulnerable subgroups.

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“…The development and implementation of triage screening tools, algorithms, and practice guidelines have been shown to improve documentation and clinical assessment (Lutgendorf, Thagard, Rockswold, Busch, & Magann, 2012;McCarthy et al, 2013). The handbook, Obstetric Triage and Emergency Care Protocols (Angelini & LaFontaine, 2013) is a recent publication focusing exclusively on topics A valid and reliable obstetric triage tool is needed to promote timely and appropriate care for the pregnant woman and her fetus.…”

Section: Clinical Decision Aidsmentioning

confidence: 99%

“…Domestic violence is an underreported women's health issue (LaFontaine, 2013) and may affect up to 23% of pregnancy women (Lutgendorf et al, 2012). The incorporation of routine domestic violence screening in obstetric triage is an essential fi rst step in identifying women affected by domestic violence.…”

Section: Management Of Selected Clinical Conditions In the Ob Triage mentioning

confidence: 99%

Obstetric Triage

Angelini

Howard

2014

McN: The American Journal of Maternal/Child Nursing

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Domestic violence screening of obstetric triage patients in a military population

Abstract: The self-reported prevalence of domestic violence in a pregnant military population presenting for emergency care was 22.6%. Most women are not offended by domestic violence screening and support routine screening.

Cited by 6 publications

References 44 publications

Measures for screening for intimate partner violence: a systematic review

Measures for screening for intimate partner violence: a systematic review

Understanding High Utilization of Unscheduled Care in Pregnant Women of Low Socioeconomic Status

Obstetric Triage

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