Domestic abuse among female doctors: thematic analysis of qualitative interviews in the UK
Domestic abuse among female doctors: thematic analysis of qualitative interviews in the UK
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DOI：
10.3399/bjgp.2020.0795
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发表时间：
2021-03-01
影响因子：
5.9
通讯作者：
Willcox, Merlin
中科院分区：
文献类型：
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作者：
Donovan, Emily;Santer, Miriam;Willcox, Merlin
医生可能是家庭暴力（DA）的受害者-幸存者，但这如何影响他们的工作和福祉，以及他们是否面临寻求帮助的障碍尚不清楚。目的了解单身医生母亲的生活经历、寻求帮助的障碍及其对工作的影响。设计和设置对英国离开虐待关系的女医生进行个人定性访谈。采访于2019年8月至2020年3月进行。方法通过一个单身女医生的封闭式在线论坛邀请参与者。总共有114名女性表达了兴趣。深入的半结构化电话采访被录音和转录。转录本上传到NVivo，并使用归纳主题分析进行分析。结果共访谈21人。DA的内在化污名影响了参与者作为医生的认同感和归属感，造成了社会和职业孤立。许多参与者认为，DA的严重压力对他们的工作产生了影响，但经常感到无法休息。寻求帮助的障碍包括缺乏保密性，特别是在施虐的伴侣也是医生的情况下（有时指控受害者患有精神疾病或威胁要向总医学委员会报告）。参与者发现同伴的支持很有帮助，并咨询了对他们感同身受的卫生专业人员。在他们离开了虐待关系之后，受害者-幸存者感觉自己更有能力去支持那些经历DA的病人。结论家庭暴力影响女医生的工作和幸福感，她们在寻求和报告家庭暴力方面面临独特的障碍。一个在线同伴支持小组可以帮助打破孤立感，但也需要专门的保密支持服务来帮助经历DA的医生。
BackgroundDoctors can be victim-survivors of domestic abuse (DA), but how this impacts their work and wellbeing, and whether they face barriers to seeking help is not well understood.AimTo understand single doctor mothers' lived experience of DA, barriers to seeking help, and impact on their work.Design and settingIndividual qualitative interviews with female doctors in the UK who had left an abusive relationship. Interviews were conducted between August 2019 and March 2020.MethodParticipants were invited via a closed online forum for female doctors who are single parents. In total, 114 females expressed interest. In-depth semi-structured telephone interviews were audiorecorded and transcribed. Transcripts were uploaded to NVivo and analysed using inductive thematic analysis.ResultsA total of 21 participants were interviewed. The internalised stigma of DA affected participants' sense of identity and belonging as a doctor, causing social and professional isolation. Many participants felt that the acute stress of DA had an impact on their work, yet often felt unable to take time off. Barriers to seeking help included lack of confidentiality, especially where the abusive partner was also a doctor (sometimes accusing the victimsurvivor of mental illness or threatening to report them to the General Medical Council). Participants found peer support helpful, as well as consulting health professionals who were empathic towards them. After they had left the abusive relationship victim-survivors felt better equipped to support patients going through DA.ConclusionDomestic abuse impacts on the work and wellbeing of female doctors, who face unique barriers to help seeking and reporting DA. An online peer support group can help to break the sense of isolation, but specialised confidential support services are also required to help doctors experiencing DA.