Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services.
Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services.
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DOI：
10.3399/bjgp.2022.0570
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发表时间：
2023-07
期刊：
影响因子：
--
通讯作者：
Wileman V
中科院分区：
文献类型：
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作者：
Emsley E;Szilassy E;Dowrick A;Dixon S;De Simoni A;Downes L;Johnson M;Feder G;Griffiths C;Panovska-Griffiths J;Barbosa EC;Wileman V
识别和应对受家庭暴力和虐待(DVA)影响的患者在初级保健中至关重要。在新冠肺炎大流行和相关的封锁措施期间，报告的口蹄疫病例可能有所上升。同时，一般做法采用了远程工作，扩展到培训和教育。IRIS(身份识别和转诊以提高安全性)是以证据为基础的英国医疗培训支持和转诊计划的一个例子，重点是DVA。在大流行期间，Iris过渡到远程分娩。通过探讨提供和接受培训的人员的观点，了解远程DVA培训在IRIS培训的一般做法中的适应性和影响。对英格兰全科医疗团队的远程培训进行了定性访谈和观察。对21名参与者(3名执业经理、3名接待和行政人员、8名全科临床医生和7名专科DVA工作人员)进行了半结构化访谈，并观察了8次远程培训课程。使用框架方法进行了分析。英国全科诊所的远程DVA培训扩大了学习者的接触范围。然而，与面对面的培训相比，它可能会减少学习者的参与度，并可能对家庭暴力幸存者的远程学习者的保护构成挑战。DVA培训是全科医生和专业DVA服务之间伙伴关系不可或缺的一部分，减少参与风险会削弱这一伙伴关系。作者建议将混合DVA培训模式用于一般实践，包括远程信息交付和结构化的面对面元素。这对提供初级保健培训和教育的其他专科服务具有更广泛的相关性。
Identifying and responding to patients affected by domestic violence and abuse (DVA) is vital in primary care. There may have been a rise in the reporting of DVA cases during the COVID-19 pandemic and associated lockdown measures. Concurrently general practice adopted remote working that extended to training and education. IRIS (Identification and Referral to Improve Safety) is an example of an evidence-based UK healthcare training support and referral programme, focusing on DVA. IRIS transitioned to remote delivery during the pandemic. To understand the adaptations and impact of remote DVA training in IRIS-trained general practices by exploring perspectives of those delivering and receiving training. Qualitative interviews and observation of remote training of general practice teams in England were undertaken. Semi-structured interviews were conducted with 21 participants (three practice managers, three reception and administrative staff, eight general practice clinicians, and seven specialist DVA staff), alongside observation of eight remote training sessions. Analysis was conducted using a framework approach. Remote DVA training in UK general practice widened access to learners. However, it may have reduced learner engagement compared with face-to-face training and may challenge safeguarding of remote learners who are domestic abuse survivors. DVA training is integral to the partnership between general practice and specialist DVA services, and reduced engagement risks weakening this partnership. The authors recommend a hybrid DVA training model for general practice, including remote information delivery alongside a structured face-to-face element. This has broader relevance for other specialist services providing training and education in primary care.
影响因子：
1.1
作者：
Houghton N;Houstoun W;Yates S;Badley B;Kneebone R
通讯作者：
Kneebone R