General practitioners and managing domestic violence: Results of a qualitative study in Germany

GPs' perceived readiness to identify and respond to intimate partner abuse: development and preliminary validation of a multidimensional scale

“…Vicarious traumatisation, burnout, powerlessness, and potential dual role of seeing both IPA victims and their abusive partners, are evident in previous studies 7,11–13,41,61 . The item, ‘ The gender of a GP matters to patients when discussing IPA ’, might represent participants' emotional concerns about the influence of their gender on IPA discussions, or reflect their perspectives on GP gender differences in emotional involvement, as reported in prior research 12,41,62 . Additionally, the current findings demonstrated that emotional readiness was positively correlated with clinical experience in general practice and IPA responsive actions.…”

“…7,[11][12][13]41,61 The item, 'The gender of a GP matters to patients when discussing IPA' , might represent participants' emotional concerns about the influence of their gender on IPA discussions, or reflect their perspectives on GP gender differences in emotional involvement, as reported in prior research. 12,41,62 Additionally, the current findings demonstrated that emotional readiness was positively correlated with clinical experience in general practice and IPA responsive actions. This is consistent with previous studies that showed clinical experience was associated with decreased emotional distress and increased comfort in dealing with IPA.…”

Opinions and Experiences of Primary Healthcare Providers Regarding Violence against Women: a Systematic Review of Qualitative Studies

“…Furthermore, sometimes the majority of PCPs felt helpless, frustrated, impotent, powerless and unable to help or respond to VAW; in consequence they lacked the confidence to deal with VAW (Cox et al 2001;De Oliveira and Godoy Serpa 2007;De Oliveira Gomes et al 2015;Kohler et al 2013;Papadakaki et al 2014;Infanti et al 2015;Signorelli et al 2013;Silva et al 2015;Vieira et al 2013;Visentin et al 2015;Webster et al 2006;Williston and Lafreniere 2013): "Sometimes myself I get depressed and frustrated, I don't know what to do… sometimes you ask yourself, did I do the right thing or not? Did I help or did I make it worse?"…”

“…Participating in the life of the community and creating a bond was also mentioned as a facilitator, especially for community health workers (Infanti et al 2015;Silva et al 2015). Health promotion actions (McCall-Hosenfeld et al 2014;Pereira Gomes et al 2013; Cocco da Costa and Marques Lopes 2012) or routine screening programs (Iverson et al 2013;Kohler et al 2013) were strategies that facilitated VAW detection for some PCPs.…”

“…Because of the bond with their patients, the majority of PCPs played a supportive and counseling role, undertaking identification of the VAW and assessing its impact on women's health (Bradbury-Jones and Taylor 2013;Cocco da Costa et al 2015;Cox et al 2001;Djikanovic et al 2010;Hesler et al 2013;Hughes 2010;Iverson et al 2013;Kohler et al 2013;McCall-Hosenfeld et al 2014;De Oliveira and Godoy Serpa 2007;Papadakaki et al 2014;Signorelli et al 2013;Vieira et al 2013;Visentin et al 2015;Webster et al 2006;Williston and Lafreniere 2013;Taynan Sousa Porto et al 2014; Nunes Guedes and Godoy Serpa da Fonseca 2011; Salgado Diez 2012; Taylor et al 2013): "As a doctor, I think I am the one who should give orientation…I should warn the person about the risk she has…and which actions she should take…I think we play the role of detectors and counselors but the real action is up to her" (Vieira et al 2013, p.686); "The women are ashamed of coming to the health center, of coming to the doctors, any assistant or nurse, and saying that they were hurt by their husband or partner. This taboo really needs to be broken.…”