Boundary-Work and the Distribution of Care for Survivors of Domestic Violence and Abuse in Primary Care Settings: Perspectives From U.K. Clinicians.
Boundary-Work and the Distribution of Care for Survivors of Domestic Violence and Abuse in Primary Care Settings: Perspectives From U.K. Clinicians.
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DOI：
10.1177/1049732321998299
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发表时间：
2021-07
影响因子：
3.2
通讯作者：
Kelly M
中科院分区：
文献类型：
--
作者：
Dowrick A;Feder G;Kelly M
医疗保健接触是初级保健从业者识别遭受家庭暴力和虐待 (DVA) 的妇女的机会。增加初级保健中的 DVA 支持是全球政策优先事项，但在咨询期间关于 DVA 的讨论仍然很少。本文探讨了英国的初级保健团队如何协商提供 DVA 支持的责任范围。我们对英国两个城市地区的 13 名全科医生 (GP) 进行了深入访谈。对访谈进行了主题分析。分析的重点是参与者为确定其有关虐待的专业职权范围而采取的边界做法。全科医生通过专业的 DVA 支持服务维持可渗透的边界。这使得临床医生在确定 DVA 方面所扮演的角色得以持续协商。这种渗透性是通过将全科医生在 DVA 患者护理中的作用界限限制为识别来实现的，并向当地 DVA 专业机构提供支持。
Health care encounters are opportunities for primary care practitioners to identify women experiencing domestic violence and abuse (DVA). Increasing DVA support in primary care is a global policy priority but discussion about DVA during consultations remains rare. This article explores how primary care teams in the United Kingdom negotiate the boundaries of their responsibilities for providing DVA support. In-depth interviews were undertaken with 13 general practitioners (GPs) in two urban areas of the United Kingdom. Interviews were analyzed thematically. Analysis focused on the boundary practices participants undertook to establish their professional remit regarding abuse. GPs maintained permeable boundaries with specialist DVA support services. This enabled ongoing negotiation of the role played by clinicians in identifying DVA. This permeability was achieved by limiting the boundaries of the GP role in the care of patients with DVA to identification, with the work of providing support distributed to local specialist DVA agencies.
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