Existence of Staff Barriers to Partner Violence Screening and Screening Practices in Military Prenatal Settings

Ortiz, Jana J.; Ford, Lisa R.

doi:10.1177/0884217504272812

Cited by 10 publications

(9 citation statements)

References 18 publications

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“…Participants emphasised the current lack of specialist training in identifying and responding to DVA, which should include how to ask about DVA, as well as resources to support any service wide efforts to improve support. Lack of confidence in managing DVA is known to be a significant barrier to DVA screening and management in many healthcare settings [18,34,40,66,68] and not surprisingly it was also reported in our study [64]. DVA is frequently overlooked by healthcare professionals because abuse is not something that people are open about and "it takes time and meandering to get it out" [64].…”

Section: Discussionsupporting

confidence: 66%

The experience of health and welfare workers in identifying and responding to domestic abuse among military personnel in the UK

Sparrow

Alves-Costa

Alves

et al. 2020

BMC Health Serv Res

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Background Awareness of domestic violence and abuse (DVA) as a problem among military personnel (serving and veterans) has grown in recent years, and there is a need for research to inform improvements in the identification of and response to DVA in this population. This study aimed to explore the experience of health and welfare professionals in identifying and responding to DVA among the UK military population (serving personnel and veterans). Methods Thirty-five semi-structured telephone interviews were conducted with health and welfare staff who work with serving UK military personnel and veterans. Interviews were analysed using thematic analysis. Results Three superordinate themes were identified: i) patterns of DVA observed by health and welfare workers (perceived gender differences in DVA experiences and role of mental health and alcohol); (ii) barriers to identification of and response to DVA (attitudinal/knowledge-based barriers and practical barriers), and iii) resource issues (training needs and access to services). Participants discussed how factors such as a culture of hypermasculinity, under-reporting of DVA, the perception of DVA as a “private matter” among military personnel, and lack of knowledge and awareness of emotional abuse and coercive controlling behaviour as abuse constitute barriers to identification and management of DVA. Healthcare providers highlighted the need for more integrated working between civilian and military services, to increase access to support and provide effective care to both victims and perpetrators. Furthermore, healthcare and welfare staff reflected on their training needs in the screening and management of DVA to improve practice. Conclusions There is a need for increased awareness of DVA, particularly of non-physical forms of abuse, and of male victimisation in the military. Standardised protocols for DVA management and systematic training are required to promote a consistent and appropriate response to DVA. There is a particular training need among healthcare and first-line welfare staff, who are largely relied upon to identify cases of DVA in the military. Employing DVA advocates within military and civilian healthcare settings may be useful in improving DVA awareness, management and access to specialist support.

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Section: Discussionsupporting

confidence: 66%

The experience of health and welfare workers in identifying and responding to domestic abuse among military personnel in the UK

Sparrow

Alves-Costa

Alves

et al. 2020

BMC Health Serv Res

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“…This low percentage may have resulted from the lack of IPV knowledge provided to nurses for IPV screening and intervention (Colarossi, Breitbart, & Betancourt, 2010;Felblinger & Gates, 2008;Othman & Mat Adenan, 2008). In addition, similar to the findings of other studies, 40% of the sample reported that they did not have enough time in their daily practice for IPV screening (Furniss, McCaffrey, Parnell, & Rovi, 2007;Ortiz & Ford, 2005).…”

Section: Ipv Screening Barrierssupporting

confidence: 55%

Jordanian Nurses’ Barriers to Screening for Intimate Partner Violence

Al‐Natour

Gillespie

Felblinger

et al. 2014

Violence Against Women

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Screening rates for intimate partner violence (IPV) among nurses are still very low. The study purpose is to evaluate IPV screening and barriers by Jordanian nurses. A cross-sectional design was used with a stratified random sample (N = 125) of Jordanian nurses. Findings included a significantly lower IPV screening rate among Jordanian nurses compared with those in the United States, no difference in screening between IPV victims compared with non-victimized nurses, and that the IPV screening barriers related to a lack of system support were the most clinically important barriers. Nurses can work in partnership with health care providers and managers to increase screening and overcome barriers.

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“…At this time tighter criteria regarding the target population were applied to ensure that the obstetricians represented at least 50% of the study group. This resulted in the inclusion of a total of 11 studies: nine addressing barriers (three focus group/semistructured interviews, [32][33][34] six survey-questionnaire studies) 14,[35][36][37][38][39] and two RCTs addressing tools as facilitators. 40,41 Included studies were conducted predominantly in high-income countries: the USA, Canada, Belgium, New Zealand and France.…”

Section: Resultsmentioning

confidence: 99%

“…Six survey-questionnaire and quantitative studies, published between 1995 and 2019 and conducted in the USA, Belgium, Canada, Pakistan and France, were included. 14,[35][36][37][38][39] Predominantly the questionnaires were distributed by mail. Survey studies inherently included biases such as recall bias, response bias/non-response bias and sampling bias.…”

Section: Overview Of Studiesmentioning

confidence: 99%

Identifying the barriers faced by obstetricians and registrars in screening or enquiry of intimate partner violence in pregnancy: A systematic review of the primary evidence

Lu,

Georgousopoulou,

Baloch

et al. 2023

Aust NZ J Obst Gynaeco

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IntroductionIntimate partner violence (IPV) disproportionally affects women compared to men. The impact of IPV is amplified during pregnancy. Screening or enquiry in the antenatal outpatient setting regarding IPV has been fraught with barriers that prevent recognition and the ability to intervene.AimsThe aim of this systematic review was to determine the barriers that face obstetricians/gynaecologists regarding enquiry of IPV in antenatal outpatient settings. The secondary objective was to determine facilitators.MethodsPrimary evidence was searched using Ovid MEDLINE, Ovid Maternity and Infant Care, PubMed and Proquest from 1993 to May 2023. The included studies comprised empirical studies published in English language targeting a population of doctors providing antenatal outpatient care. The review was PROSPERO‐registered (CRD42020188994). Independent screening and review was performed by two authors. The findings were analysed thematically.ResultsNine studies addressing barriers and two studies addressing facilitators were included: three focus‐group or semi‐structured interviews, six surveys and two randomised controlled trials. Barriers for providers centred at the system level (time, training), provider level (personal beliefs, cultural bias, experience) and provider‐perceived patient level (fear of offending, patient readiness to disclose). Increased experience and the use of validated tools were strong facilitators.ConclusionBarriers to screening reflect multi‐level obstruction to the identification of women exposed to IPV. Although the antenatal outpatient clinic setting addresses a particular population vulnerable to IPV, the barriers for obstetricians are not unique. The use of validated cueing tools provides an evidence‐based method to facilitate enquiry of IPV among antenatal women, assisting in identification by clinicians. Together with education and human resources, such aids build capacity in women and obstetric providers.

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Existence of Staff Barriers to Partner Violence Screening and Screening Practices in Military Prenatal Settings

Cited by 10 publications

References 18 publications

The experience of health and welfare workers in identifying and responding to domestic abuse among military personnel in the UK

The experience of health and welfare workers in identifying and responding to domestic abuse among military personnel in the UK

Jordanian Nurses’ Barriers to Screening for Intimate Partner Violence

Identifying the barriers faced by obstetricians and registrars in screening or enquiry of intimate partner violence in pregnancy: A systematic review of the primary evidence

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