“It happens to clinicians too”: an Australian prevalence study of intimate partner and family violence against health professionals

McLindon, Elizabeth; Humphreys, Cathy; Hegarty, Kelsey

doi:10.1186/s12905-018-0588-y

Cited by 49 publications

(61 citation statements)

References 32 publications

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“…Having a commitment through personal experience is demonstrated in an Australian study where survivor staff were shown to 'go the extra mile' by attending training and providing clinical practice of a high standard. [73] Motivation through a rights-based belief system [34] is also an untapped area to assist practitioners to become ready to do this work. This area could be explored more as many survivors including Indigenous Peoples and other socially disadvantaged ethnic minorities are further entrapped by health inequities of poverty, racism, colonisation and discrimination because of sexuality, gender and disability.…”

Section: Discussionmentioning

confidence: 99%

Health practitioners' readiness to address domestic violence and abuse: A qualitative meta-synthesis

et al. 2020

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Health practitioners play an important role in identifying and responding to domestic violence and abuse (DVA). Despite a large amount of evidence about barriers and facilitators influencing health practitioners' care of survivors of DVA, evidence about their readiness to address DVA has not been synthesised. This article reports a meta-synthesis of qualitative studies exploring the research question: What do health practitioners perceive enhances their readiness to address domestic violence and abuse? Multiple data bases were searched in June 2018. Inclusion criteria included: qualitative design; population of health practitioners in clinical settings; and a focus on intimate partner violence. Two reviewers independently screened articles and findings from included papers were synthesised according to the method of thematic synthesis. Forty-seven articles were included in the final sample, spanning 41 individual studies, four systematic reviews and two theses between the years of 1992 and 2018; mostly from high income countries. Five themes were identified as enhancing readiness of health practitioners to address DVA: Having a commitment; Adopting an advocacy approach; Trusting the relationship; Collaborating with a team; and Being supported by the health system. We then propose a health practitioners' readiness framework called the CATCH Model (Commitment, Advocacy, Trust, Collaboration, Health system support). Applying this model to health practitioners' different readiness for change (using Stage of Change framework) allows us to tailor facilitating strategies in the health setting to enable greater readiness to deal with intimate partner abuse.

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Section: Discussionmentioning

confidence: 99%

Health practitioners' readiness to address domestic violence and abuse: A qualitative meta-synthesis

et al. 2020

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“…Other research has noted that female health care staff score significantly higher than their male counterparts in understanding abusive relationships and that women show a preference for female staff, significantly staff who are empathetic and compassionate . Staff with lived experience of IPV may also be beneficial in supporting women . While female staff, or those with lived experience, may be unavailable to attend to women presenting with IPV, appropriate attitudes and knowledge remain key to effective detection and communication with women.…”

Section: Discussionmentioning

confidence: 99%

“…While our research indicates that health professionals take responsibility for their emotional well‐being, the study has also highlighted the importance of workplace‐based confidential counseling and leave for staff who are experiencing IPV. The prevalence of IPV among health professionals been found to be higher than that in the general population, calling for health workplace policies and protocols to acknowledge this common trauma . The Royal Women's Hospital in Victoria, Australia, has, for example, established a new program “Strengthening Hospital Responses to Family Violence” that provides training for health care workers to support both staff and patients.…”

Section: Discussionmentioning

confidence: 99%

The Emergency Department Response to Women Experiencing Intimate Partner Violence: Insights From Interviews With Clinicians in Australia

Dawson

Rossiter

Doab

et al. 2019

Academic Emergency Medicine

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Background and Objectives: Emergency departments (EDs) are essential providers of compassionate, immediate treatment and referral for women experiencing intimate partner violence (IPV). IPV, largely perpetrated by men against women, exerts a substantial burden on the health systems and economies of all nations. There is little known about how staff in Australian EDs respond to the challenges such violence generates. We therefore examined the clinical team response to women experiencing IPV in two large Australian metropolitan hospital EDs.Methods: We undertook qualitative semistructured interviews and focus group discussions with 35 social workers, nurses, and doctors. Transcripts were recorded and transcribed verbatim. We analyzed the data thematically. We first undertook line-by-line coding and organized content into descriptive categories. Latent and manifest patterns were identified across the data and mapped to key themes in negotiation with all authors.Results: Respondents emphasized challenges identifying IPV resulting from professional uncertainty or discomfort and women's fear of the ramifications of disclosure. Emergency clinicians routinely referred women to social workers after medical treatment and described effective collaboration across professions. Social workers outlined difficulties coordinating care with health and community agencies. Staff highlighted challenges maintaining nonjudgmental attitudes and managing their own feelings-especially clinicians who had personally experienced violence.Conclusions: Emergency departments can provide caring environments for women experiencing IPV. Effective interprofessional teamwork across nursing, medical, and social work professionals may mitigate the need for formal screening tools. Supportive workforce environments can improve staff understanding, reduce stigma, enhance appropriate treatment, and counsel health professionals experiencing violence. However, staff training and advocacy and referral relationships with local programs require strengthening. A connected multisystemslevel response is required to coordinate and resource services for all affected by violence. I ntimate partner violence (IPV) is a significant public health issue in high income countries with an overall 12-month period prevalence of 4%. 1 IPV is largely perpetrated by men against women and is therefore a key determinant of women's and children's health that exerts a substantial burden on the health systems and

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“…For the analysis we created a binary variable where a score of 0 represented no experience had occurred, whereas a score of 1 identified at least 1 item was checked. 7,42 The following variables were included in the study to serve as potential predictors or correlates of IPV.…”

Section: Methodsmentioning

confidence: 99%

“…IPV among physicians is seldom acknowledged or assessed. 6 , 7 Physicians report IPV prevalence between 6% and 24% (women 7%-24%, men 6%-10%), but studies have limited generalizability due to lack of standardized and validated measures, small sample sizes, dated information, and sampling frames that combine child abuse plus partner abuse, or combine nursing, student, and physicians, or only survey women. 8 - 12 Almost all physician IPV studies utilize self-report of self-defined partner or domestic abuse.…”

Section: Introductionmentioning

confidence: 99%

Intimate Partner Violence Experienced by Physicians

Reibling

Distelberg

Guptill

et al. 2020

J Prim Care Community Health

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Purpose: World Health Organization (WHO) defines intimate partner violence (IPV) as physical, sexual or psychological harm caused by an intimate partner or ex-partner. There are few studies describing interpersonal violence (IPV) among physicians. Our study describes IPV experienced by U.S. physicians. Methods: This was a multicenter survey administered to 4 physician groups in 2015 to 2016. In total 400 respondents returned survey results. Measures included current IPV, childhood abuse, mental health, professional role, and demographics. Results: IPV was reported by 24% of respondents. The most frequent abuses reported were: verbal (15%), physical (8%) followed by sexual abuse (4%) and stalking (4%). Logistic regression model found that IPV was more likely to be reported by older participants (aged 66–89), those who experienced childhood abuse, working less than full time, and had been diagnosed with a personality disorder. Women and Asian Americans reported slightly higher IPV rates. Conclusions: Our study has implications for both medical education and intervention development. Universal screening and education that addresses clinical implications when treating peers who experience IPV are needed. Workplace interventions that consider unique physician characteristics and experiences are needed, as well as programs that support sustained recovery. This is the first survey to our knowledge that confirms that physicians experience IPV at a rate consistent or higher than the national level. We developed a standardized instrument to assess IPV in male and female physicians at various career stages. We also identified significant predictors that should be included in IPV screening of potential physician victims.

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“It happens to clinicians too”: an Australian prevalence study of intimate partner and family violence against health professionals

Cited by 49 publications

References 32 publications

Health practitioners' readiness to address domestic violence and abuse: A qualitative meta-synthesis

Health practitioners' readiness to address domestic violence and abuse: A qualitative meta-synthesis

The Emergency Department Response to Women Experiencing Intimate Partner Violence: Insights From Interviews With Clinicians in Australia

Intimate Partner Violence Experienced by Physicians

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