Increasing physician comfort level in screening and counseling patients for intimate partner violence: hands-on practice

Glowa, Patricia T; Frasier, Pamela York; Newton, Warren P.

doi:10.1016/s0738-3991(01)00215-4

Cited by 17 publications

(17 citation statements)

References 12 publications

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“…39 Studies have shown that increased familiarity and knowledge regarding IPV obtained through educational and training programs correlate with increased health provider confidence and competence in addressing IPV. [80][81][82][83][84] Understanding the process of change in IPV and potential turning points, healthcare providers will have greater knowledge and ability to respond more appropriately to women who disclose IPV and better tailor their IPV counseling to the particular circumstances and needs of each woman. This practice change, in combination with other recommended IPV interventions such as the provision of accurate information, referral to community advocacy services, recognition of the individuality of each woman's situation, affirmation that she deserves to be safe, and reassurance that she will not have to face these challenges alone, 40,[85][86][87][88] can then help foster a woman's sense of awareness, self-empowerment, and support-all three key factors in the Psychosocial Readiness Model.…”

Section: Discussionmentioning

confidence: 99%

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Chang

Dado

Hawker³

et al. 2010

Journal of Women's Health

136

106

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Objective: When counseling women experiencing intimate partner violence (IPV), healthcare providers can benefit from understanding the factors contributing to a women's motivation to change her situation. We wished to examine the various factors and situations associated with turning points and change seeking in the IPV situation. Methods: We performed qualitative analysis on data from 7 focus groups and 20 individual interviews with women (61 participants) with past and=or current histories of IPV. Results: The turning points women identified fell into 5 major themes: (1) protecting others from the abuse=abuser; (2) increased severity=humiliation with abuse; (3) increased awareness of options=access to support and resources; (4) fatigue=recognition that the abuser was not going to change; and (5) partner betrayal=infidelity. Conclusions: Women experiencing IPV can identify specific factors and events constituting turning points or catalyst to change in their IPV situation. These turning points are dramatic shifts in beliefs and perceptions of themselves, their partners, and=or their situation that alter the women's willingness to tolerate the situation and motivate them to consider change. When counseling women experiencing IPV, health providers can incorporate understanding of turning points to motivate women to move forward in their process of changing their IPV situation.

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Section: Discussionmentioning

confidence: 99%

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Chang

Dado

Hawker³

et al. 2010

Journal of Women's Health

136

106

View full text Add to dashboard Cite

show abstract

“…The identified barriers to providing SA care presented in this study helps to inform where training, resource, and support needs exist in current health systems and medical education. As studies have shown increased willingness and comfort among physicians to address IPV with greater training in the topic (Glowa, Frasier, & Newton, 2002; Haist et al, 2003; Jonassen, Burwick, & Pugnaire, 1996; Jonassen et al, 1999), additional training in addressing SA may similarly improve physician comfort and competence regarding this topic. Our study findings suggest that including a focus on communication skills, dealing with emotion, and understanding trauma may be helpful.…”

Section: Implications For Practice And/or Policymentioning

confidence: 99%

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Amin

Buranosky

Chang

2017

Women's Health Issues

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Background Sexual assault (SA) affects about 40% of women in the US and has many mental and physical health sequelae. Physicians often do not address SA with patients although SA survivors describe a desire to talk to physicians to obtain additional help. Little information exists on how providers perceive their roles regarding caring for women SA survivors and what barriers they face in providing this care. Methods We performed a qualitative study using semi-structured one-on-one interviews with sixteen faculty physicians from five specialties: obstetrics and gynecology (four), internal medicine (four), family medicine (one), emergency medicine (three), and psychiatry (four). Interviews were conducted between July 2011 and July 2012, transcribed verbatim, and coded using a constant comparative approach. Once a final coding scheme was applied to all transcripts, we identified patterns and themes related to perceived roles and barriers to caring for SA survivors. Results Physicians described two main categories of roles: clinical tasks (e.g. testing and treating for sexually transmitted infections, managing associated mental health sequelae) and interpersonal roles (e.g. providing support, acting as patient advocate). Physician barriers fell into three main categories: (1) internal barriers (e.g. discomfort with the topic of SA); (2) physician-patient communication; and (3) system obstacles (e.g. competing priorities for time). Conclusions Although physicians describe key roles in caring for SA survivors, several barriers hinder their ability to fulfill these roles. Training interventions are needed to reduce the barriers that would ultimately improve clinical care for SA survivors.

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“…Glowa, Frasier, and Newton (2002) directly assessed the effectiveness of physician counselling skills by sending simulated patients into a hospital clinic. Ratings made by simulated patients provided evidence of physician skills within a standardised, but real-life situation.…”

Section: The Process and Outcome Of Training In Embedded Counselling mentioning

confidence: 99%

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

McLeod

2014

Counselling Psychology Quarterly

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A significant proportion of the counselling that people receive takes place within informal, situated encounters between service users and practitioners in fields such as nursing, medicine, teaching and social work. However, almost all of the research that has been carried out into the process and outcomes of counselling consists of studies of formal, contracted counselling and psychotherapy based in therapy clinics and offices. The competent and effective delivery of counselling that is embedded in a primary professional role, such as that of nurse, teacher or social worker, presents considerable challenges for practitioners. Research evidence around the process and outcomes of embedded counselling represents a valuable resource that has the potential to enhance the quality of counselling conversations enacted by practitioners in health, education, social work and other professions. An overview is provided of different types of research that has been carried out into informal and embedded counselling, and of the main themes that have emerged from these studies. Suggestions are made for the further development of this field.In 1945, Virgina Axline and Carl Rogers published an account of the counselling role undertaken by a teacher, over a period of several months, in response to the emotional and social needs of a disabled six-year-old boy who was a member of a class of 36 children for whom she was responsible (Axline & Rogers, 1945). This descriptive case study illustrated the ways in which this teacher was able to make use of counselling skills, behavioural interventions and consultation with other professionals, to play a key role in the recovery of a seriously troubled young person, mainly through a series of brief, 15 min listening conversations. It is hard to find other, more recent, case examples of this kind of work.In general, the field of counselling and counselling psychology has moved in the direction of becoming a discrete area of specialised professional activity, in which psychological assistance is provided by therapists in offices, rather than teachers in classrooms. Nevertheless, alongside the development and expansion of counselling and other psychotherapeutic interventions as standalone professional activities, individuals with problems in living continued to turn to trusted members of their community, such as

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Increasing physician comfort level in screening and counseling patients for intimate partner violence: hands-on practice

Cited by 17 publications

References 12 publications

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Understanding Turning Points in Intimate Partner Violence: Factors and Circumstances Leading Women Victims Toward Change

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Research on embedded counselling: An emerging topic of potential importance for the future of counselling psychology

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