TITLE

Factors influencing identification of and response to intimate partner violence: a survey of physicians and nurses

AUTHOR(S)
Gutmanis, Iris; Beynon, Charlene; Tutty, Leslie; Wathen, C. Nadine; MacMillan, Harriet L.
PUB. DATE
January 2007
SOURCE
BMC Public Health;2007, Vol. 7 Issue 1, p12
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Intimate partner violence against women (IPV) has been identified as a serious public health problem. Although the health care system is an important site for identification and intervention, there have been challenges in determining how health care professionals can best address this issue in practice. We surveyed nurses and physicians in 2004 regarding their attitudes and behaviours with respect to IPV, including whether they routinely inquire about IPV, as well as potentially relevant barriers, facilitators, experiential, and practice-related factors. Methods: A modified Dillman Tailored Design approach was used to survey 1000 nurses and 1000 physicians by mail in Ontario, Canada. Respondents were randomly selected from professional directories and represented practice areas pre-identified from the literature as those most likely to care for women at the point of initial IPV disclosure: family practice, obstetrics and gynecology, emergency care, maternal/newborn care, and public health. The survey instrument had a case-based scenario followed by 43 questions asking about behaviours and resources specific to woman abuse. Results: In total, 931 questionnaires were returned; 597 by nurses (59.7% response rate) and 328 by physicians (32.8% response rate). Overall, 32% of nurses and 42% of physicians reported routinely initiating the topic of IPV in practice. Principal components analysis identified eight constructs related to whether routine inquiry was conducted: preparedness, self-confidence, professional supports, abuse inquiry, practitioner consequences of asking, comfort following disclosure, practitioner lack of control, and practice pressures. Each construct was analyzed according to a number of related issues, including clinician training and experience with woman abuse, area of practice, and type of health care provider. Preparedness emerged as a key construct related to whether respondents routinely initiated the topic of IPV. Conclusion: The present study provides new insight into the factors that facilitate and impede clinicians' decisions to address the issue of IPV with their female patients. Inadequate preparation, both educational and experiential, emerged as a key barrier to routine inquiry, as did the importance of the "real world" pressures associated with the daily context of primary care practice.
ACCESSION #
29361913

 

Related Articles

  • Intimate partner violence screening in the emergency department. Daugherty, J. D.; Houry, D. E. // Journal of Postgraduate Medicine;Oct-Dec2008, Vol. 54 Issue 4, p301 

    Background and Aims: Every year between 1.5 and 4 million women are abused by a partner in the United States and many abused women turn to the Emergency Department (ED) as their first source of care. Even though the vast majority of patients would feel comfortable disclosing intimate partner...

  • The effect of spousal violence on women's health: Findings from the Stree Arogya Shodh in Goa, India. Chowdhary, N.; Patel, V. // Journal of Postgraduate Medicine;Oct-Dec2008, Vol. 54 Issue 4, p306 

    Background: Spousal violence has wide-ranging effects on the physical, reproductive, sexual and psychological health of women. There are few longitudinal studies that describe this association in developing countries. Aim: To test the hypothesis that spousal violence is an independent risk...

  • The Prevalence of Domestic Violence Against Women Among a Group Woman: Ankara, Turkey. Akar, Taner; Aksakal, F.; Demirel, Birol; Durukan, Elif; Özkan, Seçil // Journal of Family Violence;Jul2010, Vol. 25 Issue 5, p449 

    This study determines the frequency of the spousal domestic violence among 1,178 married women who applied to some first level medical institutions located in Ankara, the capital of Turkey. 77.9% ( n = 918) of the women who participated in the study have stated that they have been exposed to at...

  • Examining the correlates of engagement and disengagement coping among help-seeking battered women. Taft, Casey T.; Resick, Patricia A.; Panuzio, Jillian; Vogt, Dawne S.; Mechanic, Mindy B. // Violence & Victims;Feb2007, Vol. 22 Issue 1, p3 

    This study examined several potential correlates of engagement and disengagement coping, including abuse-related factors, socioeconomic and social coping resources, and childhood trauma variables among a sample of battered women (N = 388). Relationship abuse frequency, particularly psychological...

  • When Is It Enough for Me to Leave?:Black and Hispanic Women’s Response to Violent Relationships. Lacey, Krim // Journal of Family Violence;Oct2010, Vol. 25 Issue 7, p669 

    Based upon a subsample from the National Violence Against Women Survey (NVAWS) this article examines the role of socioeconomic status, relationship investment and psychological abuse in Black and Hispanic women’s decisions to leave or stay in violent relationships. Racial and ethnic...

  • Variables asociadas a la experiencia de abuso en la pareja y su denuncia en una muestra de mujeres. Sierra, Juan Carlos; Paz Bermúdez, María; Buela-Casal, Gualberto; Salinas, José María; Monge, Fredy S. // Universitas Psychologica;2014, Vol. 13 Issue 1, p1 

    Some factors associated with intimate partner violence and their complaint among women is here examined. Psychopathological symptoms, sexist attitudes and some sociodemographic variables were assessed in a sample of 900 women (300 women who reported partner abuse, 300 women who never reported...

  • Women survivors of intimate partner violence and post-traumatic stress disorder: Prediction and prevention. DeJonghe, E. S.; Bogat, G. A.; Levendosky, A. A.; von Eye, E. // Journal of Postgraduate Medicine;Oct-Dec2008, Vol. 54 Issue 4, p294 

    A considerable body of research has demonstrated that women who are abused by their male romantic partners are at substantially elevated risk for the development of post-traumatic stress disorder (PTSD). This article reviews recent literature regarding intimate partner violence (IPV) and...

  • Intimate Partner Violence: Systematic Review of Literature Focused on the Cultures of Hawai'i. Magnussen, Lois; Shoultz, Janice; Oneha, Mary Frances; Hla, Mya Moe; Brees-Saunders, Zavi // Hawaii Medical Journal;May2007, Vol. 66 Issue 5, p129 

    Although research on intimate partner violence (IPV) categorizes populations broadly; there is great diversity within the broad categories of Asian and Pacific Islanders. This paper reviewed the literature published between 1996 and 2005 focused on the intersection of IPV and culture within...

  • External Barriers to Help Seeking for Older Women Who Experience Intimate Partner Violence. Beaulaurier, Richard; Seff, Laura; Newman, Frederick; Dunlop, Burton // Journal of Family Violence;Nov2007, Vol. 22 Issue 8, p747 

    There has been relatively little research published to guide the field in identifying and addressing barriers to seeking help for older women who experience domestic violence (DV). The current article focuses on findings related to external behaviors to help-seeking in the Domestic Violence...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics