Intimate Partner Violence Screening Practices in California After Passage of the Affordable Care Act

Tavrow, Paula; Bloom, Brittnie E.; Withers, Mellissa

doi:10.1177/1077801216652505

Cited by 17 publications

(16 citation statements)

References 40 publications

(46 reference statements)

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“…Research has demonstrated that primary care IPV screening is inadequate and needs attention. 29 Domestic abuse is not considered a ‘diagnosis’ or ‘condition’, but is rather described in the Explorys database as a ‘finding’. This is a reflection of how the medical community labels IPV, and explains why notating this ‘finding’ may not be a priority when updating a patient's medical records.…”

Section: Discussionmentioning

confidence: 99%

Network Map of Adverse Health Effects Among Victims of Intimate Partner Violence

et al. 2016

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Intimate partner violence (IPV) is a serious problem with devastating health consequences. Screening procedures may overlook relationships between IPV and negative health effects. To identify IPV-associated women's health issues, we mined national, aggregated de-identified electronic health record data and compared female health issues of domestic abuse (DA) versus non-DA records, identifying terms significantly more frequent for the DA group. After coding these terms into 28 broad categories, we developed a network map to determine strength of relationships between categories in the context of DA, finding that acute conditions are strongly connected to cardiovascular, gastrointestinal, gynecological, and neurological conditions among victims.

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Section: Discussionmentioning

confidence: 99%

Network Map of Adverse Health Effects Among Victims of Intimate Partner Violence

et al. 2016

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“…However, government policy can only go so far in bringing about actual change to health-care practice. Since the introduction of the Affordable Care Act in 2012, which mandates insurance coverage of IPV screening and counseling, U.S. clinicians have continued to demonstrate inadequate screening practices, with many reporting the lack of confidence as a significant barrier (Tavrow, Bloom, & Withers, 2017). Chapin, Coleman, and Varner (2011) note that hospitals and other health-care institutions are often left to design and implement their own policies governing specific practices, yet this too can result in inconsistencies from one organization to another.…”

Section: Recommendations For Educational Practice and Future Researchmentioning

confidence: 99%

Which Violence Against Women Educational Strategies Are Effective for Prequalifying Health-Care Students?: A Systematic Review

Sammut

Kuruppu

Hegarty

et al. 2019

Trauma, Violence, & Abuse

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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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“…A recent survey of primary care clinicians, including nurses and nurse practitioners, in California found that only 14% always screened women for IPV and that 34% rarely or never performed screenings. Results suggested that providers lacked confidence in their abilities to screen for IPV or assist women experiencing violence (Tavrow, Bloom, & Withers, 2016).…”

mentioning

confidence: 99%

Educating Nurses to Screen and Intervene for Intimate Partner Violence During Pregnancy

Bermele¹,

Andresen²,

Urbanski³

2018

Nursing for Women's Health

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Intimate partner violence (IPV) is a problem affecting women and families across the nation, and it has been associated with adverse pregnancy and birth outcomes. Here we describe how our team implemented an evidence-based protocol for the screening of pregnant women for IPV and case management for those experiencing violence. This protocol was implemented on an antepartum triage unit where nurses were educated on IPV, methods for screening pregnant women, and a brief intervention. Education included an online module and a live session with role-playing exercises. Test scores indicated a significant increase in nurses' knowledge after completion of the module, and the overall educational program was rated as excellent by program participants. As part of the project, the Abuse Assessment Screen and the Danger Assessment-5-two instruments with predictive validity-were incorporated into the electronic health record.

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Intimate Partner Violence Screening Practices in California After Passage of the Affordable Care Act

Cited by 17 publications

References 40 publications

Network Map of Adverse Health Effects Among Victims of Intimate Partner Violence

Network Map of Adverse Health Effects Among Victims of Intimate Partner Violence

Which Violence Against Women Educational Strategies Are Effective for Prequalifying Health-Care Students?: A Systematic Review

Educating Nurses to Screen and Intervene for Intimate Partner Violence During Pregnancy

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