Didn't put a label on it: Examining intimate partner strangulation within a diagnostic framework.
Didn't put a label on it: Examining intimate partner strangulation within a diagnostic framework.
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DOI：
10.1111/jan.15380
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发表时间：
2023-04
影响因子：
3.8
通讯作者：
Campbell, Jacquelyn C.
中科院分区：
文献类型：
--
作者：
Patch, Michelle;Anderson, Jocelyn C.;Alexander, Kamila A.;Somoano, Frank A.;Kelen, Gabor;Holbrook, Debra S.;Campbell, Jacquelyn C.
审查和描述妇女的急诊科就诊和寻求护理的经历，包括对非致命性亲密伴侣勒死后的症状、伤害和健康风险的识别、评估和沟通。使用诊断过程框架，这项混合方法研究探索了访谈和病历数据的一致性和不一致性，以突出临床诊断改进的机会。在2018年3月至2019年1月期间，在对女性进行非致命性亲密伴侣勒死的急诊科就诊后，对女性进行了深入的半结构化访谈，同时进行了病历审查。使用基于美国国家科学、工程和医学研究院关于诊断过程的概念模型和先前的亲密伴侣暴力研究的先验码本，使用不断比较的方法来分析访谈和病历数据。采访反映出，参与者除了解决情感创伤外，并没有意识到被勒死带来的长期健康风险。妇女指出，法医和紧急护理支助本身就是一种治疗，使她们能够被倾听和确认。医疗记录、临床印象和最终诊断包括家庭暴力、家庭暴力或性侵犯，但不是具体的勒死。这项研究有助于不断增长的关于勒死诊断和护理的文献。我们的发现提供了妇女急诊科就诊经历的新细节，虽然总体上与医疗记录文件一致，但没有反映在最终诊断印象中，也没有反映在患者对长期健康风险的回忆中。护士被强烈定位为临床实践领导者和政策倡导者，以改善对这一危险暴力机制的集体反应。改善患者教育、转诊和跟进选择等行动就是一个例子，以更好地沟通和解决长期窒息风险。关于非致命性亲密伴侣勒死和寻求照顾的进一步研究有必要扩大这方面的知识，特别是在纵向队列和不同的地理区域。
To examine and describe women’s emergency department visits and care-seeking experiences, including recognition, evaluation, and communication of symptoms, injuries, and health risks after non-fatal intimate partner strangulation. Using a diagnostic process framework, this mixed-methods study explores concordance and discordance of interview and medical records data to highlight opportunities for clinical diagnostic improvement. In-depth, semi-structured interviews with women after an emergency department visit for non-fatal intimate partner strangulation, concurrent with medical records reviews were conducted between March 2018 and January 2019. A constant comparative approach was used to analyze interview and medical record data using an a priori codebook designed based on the National Academies of Science, Engineering and Medicine’s conceptual model of the diagnostic process and prior intimate partner violence research. Interviews reflected participants did not have a sense of long-term health risks from their strangulation beyond addressing emotional trauma. Women noted that forensic and emergency nursing support was treatment in and of itself that allowed them to be heard and validated. Medical record clinical impressions and final diagnoses included domestic violence, domestic abuse or sexual assault, but not specifically strangulation. This study contributes to the growing literature regarding strangulation diagnosis and care. Our findings provide new details of women’s emergency department care-seeking experiences which, while overall aligned with medical records documentation, were not reflected in final diagnostic impressions nor in patient recollection of long-term health risks. Nurses are strongly positioned as clinical practice leaders and policy advocates to improve collective responses to this dangerous violence mechanism. Actions such as improving patient education, referral, and follow up options to better communication and address long-term strangulation risk are one example. Further research on non-fatal intimate partner strangulation and care-seeking is warranted to expand on this knowledge, particularly in longitudinal cohorts and varied geographical areas.
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DOI：
10.1097/htr.0000000000000755
发表时间：
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期刊：
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影响因子：
--
作者：
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影响因子：
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DOI：
10.1097/htr.0000000000000742
发表时间：
2022-01-01
期刊：
The Journal of head trauma rehabilitation
影响因子：
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作者：
Bergin A;Blumenfeld E;Anderson JC;Campbell JC;Patch M
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Patch M