Universal Screening for Intimate Partner Violence in the Emergency Department: Importance of Patient and Provider Factors☆, ☆☆, ★, ★★

Larkin, Gregory Luke; Hyman, Kelly B.; MATHIAS, S; DAMICO, F; MacLeod, Bruce

doi:10.1016/s0196-0644(99)70196-4

Cited by 62 publications

(28 citation statements)

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“…[6][7][8][9] Although nearly all physicians believe identifi cation and management of family violence is important, 10,11 in practice routine screening is uncommon. [12][13][14][15][16][17][18] Many barriers exist: lack of physician training and time, few local resources for victims, concerns for personal and patient safety, complexity of the problem, and personal discomfort and concern for patients' discomfort. 11,12,15,[19][20][21][22][23][24] Most physicians believe that abuse is not common in their practice 21,22,25 and that screening questions will damage the physician-patient relationship among patients who are not victims.…”

Section: Introductionmentioning

confidence: 99%

Patients' Advice to Physicians About Intervening in Family Conflict

Burge¹,

Schneider

Ivy

et al. 2005

The Annals of Family Medicine

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PURPOSE We wanted to understand patients' views about physician interventions with family violence and confl ict.METHODS Clinic staff surveyed 253 male and female family practice patients in 6 member offi ces of the South Texas Ambulatory Research Network (STARNet). The survey instrument addressed demographics, relationship quality, intimate partner violence, and physician interventions with family confl ict. Open-ended questions asked respondents to provide advice for "doctors who want to help patients with severe family problems." RESULTS Among women in relationships, 10% reported being physically hurt by a partner in the past year and 39% in their lifetimes. Among men in relationships, 7% reported physically hurting their partner in the past year and 16% in their lifetimes. Nearly all respondents, including 100% of victims and perpetrators of violence, believed physicians should ask about family confl ict (96%), and that physicians could be helpful (93%). Two thirds of the sample reported that their physician had never asked them about family confl ict. Investigators used qualitative analysis to summarize patients' advice to physicians. Responses clustered around 3 general themes: communication, assistance, and cautions or encouragement. Patients want physicians to ask about family confl ict, listen to their stories, and provide information and appropriate referrals. They raised some cautions and concerns, but also provided words of encouragement. CONCLUSIONMost patients are open to discussions about family confl ict with their physicians. The skills they recommend to physicians are well within the domain of family medicine training.

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Section: Introductionmentioning

confidence: 99%

Patients' Advice to Physicians About Intervening in Family Conflict

Burge¹,

Schneider

Ivy

et al. 2005

The Annals of Family Medicine

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“…19,20 Although the ED patient population is associated with high prevalence rates of IPV, 21 the ED setting presents formidable barriers to routine screening. 22,23 Recently, there has been increasing recognition of the value of EDs as potential sites for injury surveillance and violence prevention. [24][25][26] Practical methods for conducting IPV screening are needed to realize this potential.…”

Section: Introductionmentioning

confidence: 99%

“Between me and the computer”: Increased detection of intimate partner violence using a computer questionnaire

Rhodes

Lauderdale

et al. 2002

Annals of Emergency Medicine

195

166

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13] However, the typical pattern of IPV is that patients stay in abusive relationships long after the initial screening or disclosure takes place. Primary care providers and their staff must be able to provide long-term continuity care to patients who remain in abusive relationships.…”

mentioning

confidence: 99%

Health Care Workers' Expectations and Empathy toward Patients in Abusive Relationships

Nicolaidis

Curry

Gerrity

2005

The Journal of the American Board of Family Medicine

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Purpose: To understand attitudes that may affect health care workers' ability to provide appropriate long-term care for patients who stay with abusive partners.Methods: We surveyed 278 health care workers in 31 primary care practices before their participation in an educational intervention.Results: More than half of participants (51% to 60%) found it easy to empathize with a patient who decided to remain in an abusive relationship if the patient was described as poor or disabled, but few (25% to 39%) could empathize if the patient was described as educated or financially secure. A majority (57% to 59%) agreed with a statement meant to assess unrealistic expectations. ("A provider's responsibility includes making sure a patient gets to a shelter right away if he or she discloses abuse.") Participants who agreed with this statement had more difficulty empathizing with patients who decided to stay with an abusive partner (P ‫؍‬ .0045).Conclusions

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Universal Screening for Intimate Partner Violence in the Emergency Department: Importance of Patient and Provider Factors☆, ☆☆, ★, ★★

Abstract: In this random sample of female patients, screening rates varied by severity of the patient's condition, type of presenting complaint, and presentation time.

Cited by 62 publications

References 0 publications

Patients' Advice to Physicians About Intervening in Family Conflict

Patients' Advice to Physicians About Intervening in Family Conflict

“Between me and the computer”: Increased detection of intimate partner violence using a computer questionnaire

Health Care Workers' Expectations and Empathy toward Patients in Abusive Relationships

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