Intimate partner violence (IPV) is a major health concern worldwide. It is the primary cause of traumatic injury to women and one of the leading causes of death for pregnant women. Emergency department (ED) nurses are in a unique position to identify, IPV victims, however, many hospital EDs do not perform routine screenings. This article reviews the literature associated with barriers to screening for IPV and victim's experiences when seeking care in an ED following IPV.
Major depression can be a very challenging illness and although antidepressant agents are shown to provide benefit, many patients do not adhere to antidepressant treatment guidelines. Multiple factors contribute to adherence, including the influence of patient experience. The purpose of this article is to conduct a systematic review on the influence of patient experience with depression and antidepressant agents on treatment adherence. Thirteen research articles were selected for the review and revealed that patient past experience with depression and antidepressant agents, vicarious experiences, beliefs and attitudes, and the treatment experience itself can impact adherence. It is important for providers to be vigilant with assessment and include patient experience when developing a plan of care. This approach encourages shared decision making and a patient-centered focus for improved management of depression.
Measurable indicators create a profile of an organization's function and provide direction. In this study structure, process and outcome indicators for sexual assault victims are assessed and evaluated. The results present a portrait of the function, weaknesses, and benefits of one community SART program. The research findings suggest the need for improved documentation in the acute setting as well as the need for regular case review and case tracking to identib gaps in services.
Background: Screening for harmful alcohol use (HAU) is standard in clinical settings; however, self-reports of the quantity/frequency of use are often inconsistent with population survey data and objective assessment. Inaccuracies of self-reported alcohol use prompt exploration of patients’ reluctance to share this information with their health care providers. Objectives: The purpose of this article is to identify the assumptions and biases that affect screening and brief interventions for HAU. Method: A total of 22 research articles were selected for a systematic review of the literature. The studies included prospective and retrospective studies, randomized controlled trials, case studies, and quantitative and qualitative research from 2015 to 2021. Results: This systematic review identified alcohol health literacy, the inherent bias of surveys and screening tools, stigma, avoidance bias, and the normalization/villainization of alcohol use as contributors to the assumptions and biases that affect screening and brief interventions for HAU. Conclusions: Exploring these assumptions and biases presents opportunities to develop strategies that promote positive change.
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