Predicting intention of intimate partner violence screening among Thai nursing students: A cross‐sectional study

Abstract

Aim Using the theory of planned behaviour, the aim of this study was to examine predictors of intention to screen patients for intimate partner violence among Thai nursing students. Methods We employed a cross‐sectional, anonymous online survey study with convenience sampling of senior nursing students from across Thailand in April 2019. We administered the Intimate Partner Violence Screening Intention, Nursing Students, a 36‐item tool, and analysed relationships between students' intentions and attitudes, subjective norms and perceived behavioural control towards intimate partner violence screening. PROCESS was used to test mediation analyses. Results Of N = 639 respondents. Most (90%) reported intention to screen patients for intimate partner violence. Approximately 41% reported having no intimate partner violence training in their nursing school. Results of the multiple logistic analysis showed that attitudes (OR: 8.5; 95% CI 1.2–4.6) and subjective norms (OR: 4.4; 95% CI 1.4–4.6) significantly predicted intention, whereas perceived behavioural control (OR: 1.7; 95% CI 0.5–4.9) did not. Moreover, attitudes and subjective norm significantly mediated the association between providing a screening tool at clinical sites, and intention. Conclusions Attitudes and subjective norms were significant predictors of intention of intimate partner violence screening. However, participants lacked adequate role models and training. Future research should improve the predictive power of the framework by integrating additional constructs such as the availability of screening tools, the presence of role models, to design and evaluate effective training and support for future nurses to address intimate partner violence in practice. Impacts It is time to seriously consider integrating intimate partner violence content and training into the Thai nursing curriculum, and address the policies, guidelines, and practice culture. Patient or Public Contribution The study was designed to examine predictors of intention to screen patients for intimate partner violence. Thai senior nursing students were contributed in the design and conduct of the study. However, the study did not include input from the public or the intended participants.

Advancing nursing's response to the wicked problem of intimate partner violence

“…Yet nursing students and practicing nurses remain woefully unprepared to ask about, and more critically to provide comprehensive nursing care in response to IPV disclosures. In two studies of nursing students from Thailand (Udmuangpia, 2023) and Saudi Arabia (Shaqiqi & Innab, 2023), many participants (40–75%) reported not receiving IPV education; and even in the presence of positive intentions, attitudes or knowledge to ask about IPV, participants consistently reported low perceptions about their intentions to ask, or preparedness to manage IPV disclosures.…”

Special Issue: 24th Nursing Network on Violence Against Women International (NNVAWI) Conference Proceedings June 21 ‐ 23, 2022

“…Research on secondary violence prevention included interview studies about women's perspectives on family and domestic violence screening during pregnancy (Baird & Creedy, 2022) and Medicaid Annual Wellness Visits as a tool for identifying violence against rural, older American adults (Elkins et al, 2022). Researchers also reported findings on readiness and capacity for violence screening amongst emergency department health care providers in the United States (Lutz et al, 2022) and nursing students in Thailand (Udmuangpia et al, 2022). Then, at the tertiary prevention level, exemplar abstracts described the development of a telenovela educational intervention to address HIV infection risk related to intimate partner violence (Villegas Rodriguez et al, 2022) and personal resources and resilience as protective factors against opioid misuse amongst survivors of violence (Williams et al, 2022).…”