Helpless helpers: primary care therapist self-efficacy working with intimate partner violence and ageing women

Watson, Carlie; Carthy, Nikki; Becker, Susan J.

doi:10.1108/qaoa-05-2017-0013

Cited by 10 publications

(13 citation statements)

References 27 publications

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“…Whilst there are barriers that exist for victims in help-seeking, some of the barriers that prevent effective service provision also includes the perceptions of practitioners (e.g., Watson et al, 2017); the findings of the current study point to a need to ensure we work to challenge and change public and professional attitudes around the nature of IPV. We know from the existing literature working with older adults that there are barriers to practitioner intervention.…”

Section: Concluding Thoughtsmentioning

confidence: 93%

“She convinced me I had Alzheimer’s”: Experiences of intimate partner violence in older men.

Bates

Carthy

2020

Psychology of Men & Masculinities

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Section: Concluding Thoughtsmentioning

confidence: 93%

“She convinced me I had Alzheimer’s”: Experiences of intimate partner violence in older men.

Bates

Carthy

2020

Psychology of Men & Masculinities

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“… Hospital N = 15 Focus Groups / Unspecified thematic analysis Not provided 26 Visentin et al [ 52 ] 2015 (Brazil) To identify the actions conducted by primary health care nurses for women in situations of IPA. Health Units N = 17 Interviews / Content analysis Range: < 1–21 years 27 Watson et al [ 53 ] 2017 (UK) To address the gap in the literature concerning the key conditions therapists experience when working with women over the age of 45 presenting with IPA. Mental Health N = 17 Interviews / Grounded theory approach Range 1–20 years 28 Zakar et al [ 54 ] 2011 (Pakistan) To investigate the response of primary health care physicians in diagnosing and treating the victims of IPA in Pakistan.…”

Section: Resultsmentioning

confidence: 99%

“… Minor concerns Spangaro et al [ 20 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Sun et al [ 48 ] Yes Yes Yes Yes Partial Partial Partial Yes Concern around ethical issues and data collection. Minor concerns Sundborg et al [ 49 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Usta et al [ 50 ] Yes Yes Yes Yes Partial Yes Yes Yes Concerns about data collection (short interviews) Minor concerns Van der Wath [ 51 ] Yes Yes Yes Partial Partial Yes Yes Yes N/A No or minor concerns Visentin et al [ 52 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Watson et al [ 53 ] Yes Yes Yes Yes Yes Yes Yes Yes N/A No or very minor concerns Zakar et al [ 54 ] Yes …”

Section: Resultsmentioning

confidence: 99%

Personal barriers to addressing intimate partner abuse: a qualitative meta-synthesis of healthcare practitioners’ experiences

Tarzia

Cameron

Watson

et al. 2021

BMC Health Serv Res

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Background Healthcare practitioners (HCPs) play a crucial role in recognising, responding to, and supporting female patients experiencing intimate partner abuse (IPA). However, research consistently identifies barriers they perceive prevent them from doing this work effectively. These barriers can be system-based (e.g. lack of time or training) or personal/individual. This review of qualitative evidence aims to synthesise the personal barriers that impact HCPs’ responses to IPA. Methods Five databases were searched in March 2020. Studies needed to utilise qualitative methods for both data collection and analysis and be published between 2010 and 2020 in order to qualify for inclusion; however, we considered any type of healthcare setting in any country. Article screening, data extraction and methodological appraisal using a modified version of the Critical Appraisal Skills Program checklist for qualitative studies were undertaken by at least two independent reviewers. Data analysis drew on Thomas and Harden’s thematic synthesis approach. Results Twenty-nine studies conducted in 20 countries informed the final review. A variety of HCPs and settings were represented. Three themes were developed that describe the personal barriers experienced by HCPs: I can’t interfere (which describes the belief that IPA is a “private matter” and HCPs’ fears of causing harm by intervening); I don’t have control (highlighting HCPs’ frustration when women do not follow their advice); and I won’t take responsibility (which illuminates beliefs that addressing IPA should be someone else’s job). Conclusion This review highlights the need for training to address personal issues in addition to structural or organisational barriers. Education and training for HCPs needs to: encourage reflection on their own values to reinforce their commitment to addressing IPA; teach HCPs to relinquish the need to control outcomes so that they can adopt an advocacy approach; and support HCPs’ trust in the critical role they can play in responding. Future research should explore effective ways to do this within the context of complex healthcare organisations.

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“…Health professionals have reported lacking confidence or knowledge to screen for IPA (Bonomi et al, 2007;Selic, Pesjak & Kersnik, 2011) and have described not wanting to offend the victim by asking questions about IPA, and, as a result, fail to refer on to specialist services (Rose et al, 2010). Furthermore, other practitioners such as social workers, specialist charities, and staff in mental health services have also described feelings of helplessness and frustration in identifying and supporting older victims of IPA (Penhale & Porrit, 2010;Watson, Carthy & Becker, 2017). It is important that services develop to meet the needs of older adults (Lazenbatt et al, 2013;McGarry & Simpson, 2011;Mouton, 2003) and all practitioners who have access to older adults work collectively to identify and report concerns about IPA.…”

Section: Implications For Practicementioning

confidence: 99%

Promoting Inclusivity in Intimate Partner Abuse Research: Exploring Gender and Age

2019

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Scholarship of intimate partner abuse is heavily dominated by a gendered paradigm that has strongly impacted on the development and delivery of services and treatment programs; however it is not inclusive to all victim and perpetrator groups. The gendered viewpoint of the male abuser and female victim is critiqued by identifying gender differences in intimate partner abuse research, and the impact this has on male victims. A further critique challenges the dominant research trend that has favored working with younger victims and perpetrators, with an analysis of the impact and issues for older adults and their help-seeking. Implications for practice are discussed. The lack of support services for male victims and older adults is identified, as well as the focus of treatment practice on the male abuser. Finally, an argument to support more vulnerable groups such as older men who are absent within intimate partner abuse literature and service development is presented.

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Helpless helpers: primary care therapist self-efficacy working with intimate partner violence and ageing women

Abstract: Quality in Ageing and Implications:The framework identifies barriers in working effectively with intimate partner violence and women in the mid to older aged populations.

Cited by 10 publications

References 27 publications

“She convinced me I had Alzheimer’s”: Experiences of intimate partner violence in older men.

“She convinced me I had Alzheimer’s”: Experiences of intimate partner violence in older men.

Personal barriers to addressing intimate partner abuse: a qualitative meta-synthesis of healthcare practitioners’ experiences

Promoting Inclusivity in Intimate Partner Abuse Research: Exploring Gender and Age

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