Royal Melbourne hospital family violence training framework 2018 – 2021

Fisher, Caroline A.; Gill, Helen; Galbraith, Georgina; Sheridan, Simone; Morris, Emily; Bray, Laura A.; Handley, E.; Withiel, Toni

doi:10.35241/emeraldopenres.1114921.1

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…More clinicians had participated in prior family violence training in the follow-up cohort, and considerably more had participated in training in the past two years. Overall, 48.67% of the (24,29). Mann Whitney U analyses revealed statistically significant improvement in clinician ratings of their family violence knowledge, confidence and screening rates, and frequency of working clients with family violence experiences.…”

Section: Resultsmentioning

confidence: 95%

“…The hospital at which this study was conducted was the most heavily impacted by COVID-19 in the country in 2020, with the highest number of patient deaths and staff infections, affecting staff wellbeing (33,34). This impacted on the capacity of the Family Safety Team to continue with the family violence training schedule, with a reduction in the provision of training and fewer attendances at training, compared to the previous calendar year (4,309 attendances at training in 2019; 1,089 in 2020; (29). Members of the team were also redeployed to acute clinical and staff COVID-19 support roles during the COVID-19 surges, with some converted to work-from-home arrangements to minimise infection in non-frontline staff.…”

Section: Discussionmentioning

confidence: 99%

“…Details of the Royal Melbourne Hospital design and implementation of the transformational change project to address these issues are presented in Fisher et al (2022) (29). To summarise, this included the development a family violence clinical response policy in 2018, establishment of a specialist multidisciplinary family violence team (the Family Safety Team) to provide training in family violence to both clinical and non-clinical staff hospital wide, and the…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluating the impact of a family violence transformational change project in a major trauma hospital: A three-year follow-up comparison study of knowledge, confidence, and family violence response skills in clinical staff

et al. 2023

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Family violence is a significant public health issue. Healthcare systems have an important role to play in recognising and responding to current family violence experiences in their patients. However, many healthcare workers and systems remain underprepared to fulfil this role. The current study evaluated the impact of a transformational change project in family violence clinical response at a major adult trauma hospital in Australia. Clinician self-rated knowledge, confidence, and family violence clinical skills were evaluated at three years post implementation of a family violence initiative at the Royal Melbourne Hospital, Melbourne. The three years post survey results (N = 526) were compared to baseline (N = 534) using Mann Whitney U and χ2 analyses. Self-reported clinician family violence knowledge, confidence and patient screening were all significantly improved from baseline. Specific family violence skills, including knowledge of key indicators, enquiry with patients and disclosure response were also all significantly improved. The most common clinician identified barriers to working effectively in the area were similar to baseline and included the presence of a suspected perpetrator during the clinical interaction, clinicians perceiving patients would be reluctant to disclose, and time limitations. However, significantly fewer staff endorsed a lack of knowledge or supporting policies and procedures as a barrier. The findings indicate that investment in a transformational change project comprised of the establishment of response policies and clinical work-flow, broad-scale training, a clinical champions program, a secondary consultation service and links with partner organisations, was effective at improving clinician self-rated rated family violence skills, across the hospital. However, one quarter of clinicians still reported having not received any family violence training, and half endorsed having little or no confidence in their skills to identify and respond to patient family violence experiences. This indicates ongoing and sustained work is required to optimise clinician skills in responding to family violence.

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Section: Resultsmentioning

confidence: 95%