W♀men at Risk: Domestic Violence and Women's Health

Stark, Evan; Flitcraft, Anne

doi:10.4135/9781483345376

Cited by 245 publications

(124 citation statements)

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“…16 Historically, however, the quality of care for women experiencing abuse has been poor worldwide. 17,18 Many clinicians agree that domestic violence is a healthcare issue, but often they are reluctant to ask about abuse or do not respond appropriately if domestic violence is disclosed. [19][20][21] Such ambivalence is attributed to a number of factors but most frequently cited are a lack of domestic violence knowledge and training, and a perceived lack of time and support resources.…”

Section: Introductionmentioning

confidence: 99%

Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians

Ramsay¹,

Rutterford²,

Gregory³

et al. 2012

Br J Gen Pract

145

137

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BackgroundDomestic violence affects one in four women and has significant health consequences. Women experiencing abuse identify doctors and other health professionals as potential sources of support. Primary care clinicians agree that domestic violence is a healthcare issue but have been reluctant to ask women if they are experiencing abuse. AimTo measure selected UK primary care clinicians' current levels of knowledge, attitudes, and clinical skills in this area. Design and settingProspective observational cohort in 48 general practices from Hackney in London and Bristol, UK. MethodAdministration of the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS), comprising five sections: responder profile, background (perceived preparation and knowledge), actual knowledge, opinions, and practice issues. ResultsTwo hundred and seventy-two (59%) clinicians responded. Minimal previous domestic violence training was reported by participants. Clinicians only had basic knowledge about domestic violence but expressed a positive attitude towards engaging with women experiencing abuse. Many clinicians felt poorly prepared to ask relevant questions about domestic violence or to make appropriate referrals if abuse was disclosed. Forty per cent of participants never or seldom asked about abuse when a woman presented with injuries. Eighty per cent said that they did not have an adequate knowledge of local domestic violence resources. GPs were better prepared and more knowledgeable than practice nurses; they also identified a higher number of domestic violence cases. ConclusionPrimary care clinicians' attitudes towards women experiencing domestic violence are generally positive but they only have basic knowledge of the area. Both GPs and practice nurses need more comprehensive training on assessment and intervention, including the availability of local domestic violence services.

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Section: Introductionmentioning

confidence: 99%

Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians

Ramsay¹,

Rutterford²,

Gregory³

et al. 2012

Br J Gen Pract

145

137

View full text Add to dashboard Cite

show abstract

“…However, the relationship between domestic abuse and health is not a new issue. For many years voluntary sector organizations, such as Women's Aid who provide support to women experiencing domestic abuse, have highlighted its health and social consequences (Dobash and Dobash, 1979;Kelly, 1988;Mama, 1989;Pahl, 1995;Stark and Flitcraft, 1996;Stanko et al, 1998), while outside this country, particularly in the USA, a long-established interest and expertise within the health sector about domestic abuse can be easily identi ed (see for example, Sampselle, 1992;Stark and Flitcraft, 1996).…”

Section: Introductionmentioning

confidence: 99%

Domestic abuse and women's health: the challenge for primary care

Peckover

2002

Primary Health Care Research and Development

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ResearchDomestic abuse and women's health: the challenge for primary careSue Peckover, Department of Community, Ageing, Rehabilitation, Education and Research, School of Nursing and Midwifery, University of Shef eld, Shef eld, UKThe recent interest in the issue of domestic abuse has highlighted its adverse impact upon womens' health, together with the need to improve health care responses. Whilst this has implications across health services, the raised awareness of domestic abuse as a health care issue is particularly important for primary care. This is not only due to the nature of primary care contact with women experiencing domestic abuse, but also because the current modernization of primary care, which includes organizational change, enhanced public health, increased partnership working and new forms of service delivery, provides an ideal opportunity to improve the services which are delivered to women experiencing domestic abuse. There are, however, a number of challenges to achieving real changes in practice. These include the complexities of domestic abuse which will always be competing with other clinical priorities, as well as the complexities of primary care which crosses a number of organizational and professional boundaries. Moreover, whilst the recognition that domestic abuse is a health care issue is to be welcomed, concerns relating to the medicalization and professionalization of what is essentially a social problem are highlighted.

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“…Les psychiatres rencontrent des femmes violentées par leur conjoint pour des problèmes aussi variés que la dépression, le stress post-traumatique, l'anxiété, l'insomnie ainsi que la diminution de l'estime et de la confiance en soi (Watts, Zimmerman et Campbell, 2002 ;Ramos et Carlson, 2004). La consommation d'alcool et de drogues peut être un indice de la présence de la violence conjugale (Golding, cité dans Campbell, 2002 ;Rogers et al, 2003), certaines femmes consommant pour atténuer les symptômes de stress posttraumatique (Stark et Flitcraft, 1996). De plus, plusieurs femmes violentées consultent en gynécologie pour des problèmes associés à l'abus sexuel (Coker et al, et Létourneau et al, cités dans Campbell, 2002).…”

Section: Problématiqueunclassified

Le dépistage de la violence conjugale dans les centres hospitaliers

Rinfret-Raynor¹,

Dubé²,

Drouin³

2007

nps

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Un outil de dépistage et d’intervention en violence conjugale a été implanté dans différents départements de deux centres hospitaliers. Ce projet de recherche évaluative fait état des facteurs qui ont favorisé ou nui à l’implantation du protocole. Ces facteurs ont été rapportés lors d’entrevues qualitatives réalisées avec les cadres des hôpitaux qui se sont impliqués dans le processus d’implantation. Ainsi, ces facteurs sont organisationnels (ressources humaines et budgétaires de l’hôpital, roulement de personnel, fonctionnement des départements et mandat des hôpitaux), reliés à l’intervention (confidentialité, suivi régulier de la clientèle) et personnels (attitude des intervenants et intervenantes et implication des personnes clés).

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W♀men at Risk: Domestic Violence and Women's Health

Cited by 245 publications

References 0 publications

Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians

Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians

Domestic abuse and women's health: the challenge for primary care

Le dépistage de la violence conjugale dans les centres hospitaliers

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