Development of a nurse home visitation intervention for intimate partner violence
Development of a nurse home visitation intervention for intimate partner violence
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DOI：
10.1186/1472-6963-12-50
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发表时间：
2012-02-29
影响因子：
2.8
通讯作者：
MacMillan, Harriet L.
中科院分区：
文献类型：
--
作者：
Jack, Susan M.;Ford-Gilboe, Marilyn;MacMillan, Harriet L.
背景资料：尽管对亲密伴侣暴力（IPV）的流行病学知识有所增加，但对减少IPV及其相关损害的干预措施知之甚少。护士与家庭合作伙伴关系（NFP）是一个有望预防IPV和改善遭受暴力的妇女的结果的计划，这是一个针对社会弱势初为人母的循证护士之家探访计划。本研究开发了一个干预模式和修改过程，以解决IPV的背景下，NFP。这包括确定在何种程度上的NFP课程解决了IPV或其复发的风险的妇女的需求，沿着客户端，护士和更广泛的利益相关者的观点，如何最好地帮助NFP客户科普虐待relationships.Methods：经过初步的需求评估，探索性的多个案例研究，以确定拟议的IPV干预的核心组成部分。这包括定性访谈有目的的样本NFP客户和社区利益相关者，焦点小组与护士之家的访客从四个NFP网站招募。传统的内容分析和常数比较指导数据编码和合成。开发复杂的干预措施的过程，然后implemented.Results：基于69名受访者的数据，IPV干预开发的重点是识别和应对IPV，评估客户端的安全风险与IPV的水平，了解离开和解决滥用的关系和系统导航的过程。经确定，干预措施需要包括健康关系的普遍要素和适合妇女促进其生活变化的具体准备程度的要素。一个临床路径指导护士通过干预，与一组调解人和相应的指示，每个component.Conclusions：NFP客户，护士和利益相关者确定需要修改现有的NFP程序，这导致了开发的干预措施，包括通用的和有针对性的组件，以协助NFP护士在解决IPV与他们的客户。计划的可行性测试和评估的IPV干预嵌入在NFP的有效性，并与NFP相比，只有，进行了讨论。
Background: Despite an increase in knowledge about the epidemiology of intimate partner violence (IPV), much less is known about interventions to reduce IPV and its associated impairment. One program that holds promise in preventing IPV and improving outcomes for women exposed to violence is the Nurse-Family Partnership (NFP), an evidence-based nurse home visitation program for socially disadvantaged first-time mothers. The present study developed an intervention model and modification process to address IPV within the context of the NFP. This included determining the extent to which the NFP curriculum addressed the needs of women at risk for IPV or its recurrence, along with client, nurse and broader stakeholder perspectives on how best to help NFP clients cope with abusive relationships.Methods: Following a preliminary needs assessment, an exploratory multiple case study was conducted to identify the core components of the proposed IPV intervention. This included qualitative interviews with purposeful samples of NFP clients and community stakeholders, and focus groups with nurse home visitors recruited from four NFP sites. Conventional content analysis and constant comparison guided data coding and synthesis. A process for developing complex interventions was then implemented.Results: Based on data from 69 respondents, an IPV intervention was developed that focused on identifying and responding to IPV; assessing a client's level of safety risk associated with IPV; understanding the process of leaving and resolving an abusive relationship and system navigation. A need was identified for the intervention to include both universal elements of healthy relationships and those tailored to a woman's specific level of readiness to promote change within her life. A clinical pathway guides nurses through the intervention, with a set of facilitators and corresponding instructions for each component.Conclusions: NFP clients, nurses and stakeholders identified the need for modifications to the existing NFP program; this led to the development of an intervention that includes universal and targeted components to assist NFP nurses in addressing IPV with their clients. Plans for feasibility testing and evaluation of the effectiveness of the IPV intervention embedded within the NFP, and compared to NFP-only, are discussed.