A realistic view of domestic violence screening in an Emergency Department

Ramsden, Clair; Bonner, Michelle D.

doi:10.1054/aaen.2001.0312

Cited by 36 publications

(53 citation statements)

References 4 publications

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“…A truly universal screening program, one would assume, would require a higher screening rate than the 39%-52% achieved. That this study reports higher rates than research in medical settings in which only women were asked (Harwell et al, 1998;Larkin et al, 1999;Ramsden & Bonner, 2002) is perhaps not a surprise. Universality allowed the nurses to develop the habit of asking the question without the need for prescreening or having to identify which patients to ask.…”

Section: > >Discussionmentioning

confidence: 48%

Implementation of Universal Screening for Domestic Violence in an Urgent Care Community Health Center

Thurston

Tutty

Eisener

et al. 2008

Health Promotion Practice

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Given the morbidity and mortality associated with domestic violence (DV), there is international recognition that the health sector has a responsibility to prevent violence. In North America, the health sector has commonly responded by developing protocols for identifying victims of abuse. This utilization-focused evaluation describes the process involved in the implementation of a universal DV screening protocol undertaken by nurses in the urgent care clinic of a community health center. Dealing with the challenges of the urgent care setting, the strong and supportive urgent care team approach helped integrate the screening procedure into routine nursing practice. Understanding the purpose of asking about DV, quickly recognizing problems, validating staff concerns, and adapting procedures resulted in a strong commitment to implementation. This research has implications for others looking to implement or evaluate screening protocols in other health care settings.

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Section: > >Discussionmentioning

confidence: 48%

Implementation of Universal Screening for Domestic Violence in an Urgent Care Community Health Center

Thurston

Tutty

Eisener

et al. 2008

Health Promotion Practice

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show abstract

“…Existing literature shows that training and guidelines can be effective in the short term and could lead to an increase in referrals to support services [30-34]. However, it is clear from the study that these elements alone are not enough to sustain long-term changes within health settings.…”

Section: Discussionmentioning

confidence: 95%

An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up

et al. 2012

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BackgroundMalaysia has been at the forefront of the development and scale up of One-Stop Crisis Centres (OSCC) - an integrated health sector model that provides comprehensive care to women and children experiencing physical, emotional and sexual abuse. This study explored the strengths and challenges faced during the scaling up of the OSCC model to two States in Malaysia in order to identify lessons for supporting successful scale-up.MethodsIn-depth interviews were conducted with health care providers, policy makers and key informants in 7 hospital facilities. This was complemented by a document analysis of hospital records and protocols. Data were coded and analysed using NVivo 7.ResultsThe implementation of the OSCC model differed between hospital settings, with practise being influenced by organisational systems and constraints. Health providers generally tried to offer care to abused women, but they are not fully supported within their facility due to lack of training, time constraints, limited allocated budget, or lack of referral system to external support services. Non-specialised hospitals in both States struggled with a scarcity of specialised staff and limited referral options for abused women. Despite these challenges, even in more resource-constrained settings staff who took the initiative found it was possible to adapt to provide some level of OSCC services, such as referring women to local NGOs or community support groups, or training nurses to offer basic counselling.ConclusionsThe national implementation of OSCC provides a potentially important source of support for women experiencing violence. Our findings confirm that pilot interventions for health sector responses to gender based violence can be scaled up only when there is a sound health infrastructure in place – in other words a supportive health system. Furthermore, the successful replication of the OSCC model in other similar settings requires that the model – and the system supporting it – needs to be flexible enough to allow adaptation of the service model to different types of facilities and levels of care, and to available resources and thus better support providers committed to delivering care to abused women.

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“…Routine inquiry for IPV during pregnancy can increase the rate of detection (Bacchus et al, 2004;O'Reilly et al, 2012;Ramsden, & Bonner, 2002) in clinical settings. Evidence from the literature supports the potential for improved maternal and infant outcomes when screening for partner abuse is conducted.…”

Section: Discussionmentioning

confidence: 99%

“…Inquiring about IPV during the prenatal period on a routine basis has been shown to increase disclosure rates of women who experience IPV during pregnancy (Bacchus, Mezey, & Bewley, & Haworth, 2004;O'Reilly, Beale, & Gilles, 2012;Ramsden, & Bonner, 2002). In 2015, the Association of Women's Health, Obstetric and Neonatal Nurses released a position statement on IPV and recommended that women be universally screened in safe and private settings where health care is offered (Association of Women's Health, Obstetric and Neonatal Nurses, 2015).…”

mentioning

confidence: 99%

Continued Intimate Partner Violence During Pregnancy and After Birth and Its Effect on Child Functioning

Bianchi¹,

McFarlane²,

Cesario³

et al. 2016

Journal of Obstetric, Gynecologic & Neonatal Nursing

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A realistic view of domestic violence screening in an Emergency Department

Cited by 36 publications

References 4 publications

Implementation of Universal Screening for Domestic Violence in an Urgent Care Community Health Center

Implementation of Universal Screening for Domestic Violence in an Urgent Care Community Health Center

An integrated health sector response to violence against women in Malaysia: lessons for supporting scale up

Continued Intimate Partner Violence During Pregnancy and After Birth and Its Effect on Child Functioning

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