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

Abstract

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.

Investigating the Reliability and Validity of a Newly Developed Intimate Partner Violence Screening Tool for use in Physical Therapy Practice

“…This study concluded that its results did not produce sufficient evidence to support IPV screening. The lack of significant benefits for screening in McMillan et al [14,15] study may have been limited by poor availability of services once IPV was identified, as well as a high dropout rate.…”

Barriers to health care professionals in detecting more domestic violence

“…и Gerbert-a и сар 16 , а сличне старости као код Sundborg-а и сар 14 . и Ramsay-а и сар 15 . Када је у питању брачни статус, највише је ожењених/удатих (63,2%), што је мање него код Alsabhan-а 17 .…”

“…Када је у питању брачни статус, највише је ожењених/удатих (63,2%), што је мање него код Alsabhan-а 17 . Дужина радног стажа је просечно 11,4 год, највише испитаника је са 1-20 година радног стажа, нешто мање него у египатској 17 а исто као у британској студији 15 . Жртве насиља се опредељују за здравствени систем као социјално прихватљив пут да се прекине ћу-тање, али ретко ко од њих спонтано говори о томе прили-ком посета здравственим установама 18 .…”

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“…, а у европским студијама није анализиран 14,15,19 . Културолошко схватање средине и друштвене сте-реотипе и предрасуде као препрека, треба разбијати.…”