Preparedness to care for victims of violence and their families in emergency departments

Linnarsson, Josefin Rahmqvist; Benzein, Eva; Årestedt, Kristofer; Erlingsson, Christen

doi:10.1136/emermed-2012-201127

Cited by 16 publications

(14 citation statements)

References 20 publications

(22 reference statements)

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“…Four studies identified that staff education and continual professional development (CPD) were paramount in responding appropriately to cases of DVA within the ED environment (Campbell et al, 2001;McGarry & Nairn, 2014, Maina, 2009Ramsden & Bonner, 2002 as mental health conditions, requiring the HCP to use a range of communication skills to elicit responses and disclosure . Such communication skills for clinical enquiry are reported as aiding an improved response to care provision and better patient outcomes (Leppakoski et al, 2010;Ramsden & Bonner, 2002;Van der Wath et al, 2013), including DVA survivors and their families (Rahmqvist Linnarsson, Benzein, Arestedt, & Erlingsson, 2013). This latter Swedish study identifies that even with established DVA networks within the ED setting, policies on family support, where evident, relate to women and children as survivors and fail to incorporate support for male family members (Rahmqvist Linnarsson et al, 2013).…”

Section: Current Obstacles For Staff Working In Edmentioning

confidence: 99%

“…Such communication skills for clinical enquiry are reported as aiding an improved response to care provision and better patient outcomes (Leppakoski et al, 2010;Ramsden & Bonner, 2002;Van der Wath et al, 2013), including DVA survivors and their families (Rahmqvist Linnarsson, Benzein, Arestedt, & Erlingsson, 2013). This latter Swedish study identifies that even with established DVA networks within the ED setting, policies on family support, where evident, relate to women and children as survivors and fail to incorporate support for male family members (Rahmqvist Linnarsson et al, 2013).…”

Section: Current Obstacles For Staff Working In Edmentioning

confidence: 99%

“…Eleven of the identified 35 studies explored the experiences of ED staff. The 11 studies include five studies from the USA (Campbell et al, 2001;Heinzer & Krimm, 2002;Rhodes et al, 2007;Robinson, 2010;Yonaka, Yoder, Darrow, & Sherck, 2007), two from the Baltic region (Leppakoski, Astedt-Kurki, & Paavilainen, 2010;Rahmqvist Linnarsson et al, 2013), two from Africa (Maina, 2009; Van der Wath, van Neltjie, & van Rensburg, 2013), Australia (Ramsden & Bonner, 2002) and the UK (McGarry & Nairn, 2014).…”

Section: Current Obstacles For Staff Working In Edmentioning

confidence: 99%

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Understanding management and support for domestic violence and abuse within emergency departments: A systematic literature review from 2000–2015

Hinsliff-Smith

McGarry

2017

Journal of Clinical Nursing

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Domestic violence and abuse has been shown to have a direct impact on the health and well-being of survivors who will often access emergency department services with direct injuries and associated medical conditions. This article is relevant to those working in the emergency department in raising awareness in a number of areas of practice for example the prevalence of male intimate partner violence survivors. Furthermore, patients do not always disclose domestic violence and abuse even in cases where there is clear sustained injury thus requiring staff to be vigilant to repeat attendees and patient history. This requires a well-maintained and effective reporting system for instances of suspected and disclosed domestic violence and abuse in order that staff can provide the appropriate care and support. Emergency department staff often deal with complex cases, this includes different aspects of domestic violence and abuse including physical, emotional and psychological abuse. Continual support and guidance, including educational interventions, would assist emergency department clinical staff to manage and discuss instances of domestic violence and abuse in their workplace and their interactions with domestic violence and abuse patients. Whilst training for emergency department staff is welcomed, there also needs to be a greater awareness of the potential complexity of domestic violence and abuse presentations beyond physical injury in order for staff to remain observant throughout consultations. It is also suggested that clear domestic violence and abuse assessment and referral mechanisms should be embedded into clinical practice, including emergency department, as described in the UK National Institute of Clinical Excellence guidelines (2014). Overall improvements in reporting mechanisms in emergency department for the identification, management and support for domestic violence and abuse survivors would add to the collective and growing body of evidence surrounding domestic violence and abuse and their presentations within healthcare settings. Such measures would enable those working in emergency department to support disclosure of domestic violence and abuse more effectively.

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Section: Current Obstacles For Staff Working In Edmentioning

confidence: 99%

Section: Current Obstacles For Staff Working In Edmentioning

confidence: 99%

Section: Current Obstacles For Staff Working In Edmentioning

confidence: 99%

See 1 more Smart Citation

Understanding management and support for domestic violence and abuse within emergency departments: A systematic literature review from 2000–2015

Hinsliff-Smith

McGarry

2017

Journal of Clinical Nursing

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“…In a qualitative study of female victims of intimate partner violence in Sweden, victims reported experiencing retraumatization, uncaring behaviour and suffering in meetings with health care professionals (Pratt-Eriksson, Bergbom and Lyckhage, 2014). One study of Swedish emergency departments found that very few had routines for identifying victims of violence, and none were prepared to care for male victims of violence (Linnarsson, Benzein, Arestedt and Erlingsson, 2013). A need for structural improvements both inside and outside the health care system to improve professionals' knowledge about resources for victims of intimate partner violence was pointed out in another Swedish study (Lawoko, Sanz, Helstrom and Castren, 2011).…”

Section: Health Care System's Response To Victims Of Interpersonal VImentioning

confidence: 99%

Toward an integrated approach in research on interpersonal violence : Conceptual and methodological challenges

Simmons¹

2015

Linköping University Medical Dissertations

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Background: There is a growing understanding that different kinds of interpersonal violence are interrelated. Many victims report experiences of cumulative violence, i.e., being subjected to more than one kind of violent behaviour (sexual, physical, emotional) and/or violence from more than one kind of perpetrator (family members, partners, acquaintances/strangers). To gain a more comprehensive understanding of what violence entails for victims, how victims can be helped and how violence can be prevented, there is a need to learn more about the co-occurrence of violence. Also, despite strong associations repeatedly being found between exposure to violence and the reporting of different kinds of ill-health, only a minority of victims have told health care professionals about their victimization. Less is known about the process of disclosing victimization to health care professionals for men than for women.

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“…A lack of general preparedness, can lead to many patients not receiving appropriate care or treatment. The needed preparedness includes regulatory documents, written routines, organized education for personnel, delegation of specific responsibilities to staff, and information about continued support and care (Linnarsson et al 2013).…”

mentioning

confidence: 99%

The Documentation and Characteristics of Hospitalized IPV Patients Using Electronic Medical Records Data: a Follow-Up Descriptive Study

Kivelä

Leppäkoski

Ruohoniemi³

et al. 2019

J Fam Viol

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Intimate partner violence (IPV) is a serious health problem worldwide but is often not identified by health services. The aim of this study was to describe the characteristics of healthcare patients and documentation compared to the baseline study (2008-2012). The sample (N = 798) consisted of visits to a central hospital in Finland that had been marked with the ICD-10 codes for assault (X85-Y09) and physical abuse (T74.1) during the years 2013-2017. The data was analyzed with content analysis. Among the IPV visits (n = 110), partner-or spouse-related perpetrator coding was poor (11%). Victims experienced multiple injuries, and the violence increased with female gender, alcohol, and nighttime. The insufficient use of perpetrator codes underestimates the incidence of IPV and minimizes their usefulness for surveillance.

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Preparedness to care for victims of violence and their families in emergency departments

Cited by 16 publications

References 20 publications

Understanding management and support for domestic violence and abuse within emergency departments: A systematic literature review from 2000–2015

Understanding management and support for domestic violence and abuse within emergency departments: A systematic literature review from 2000–2015

Toward an integrated approach in research on interpersonal violence : Conceptual and methodological challenges

The Documentation and Characteristics of Hospitalized IPV Patients Using Electronic Medical Records Data: a Follow-Up Descriptive Study

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