Creating Healing-Centered Spaces for Intimate Partner Violence Survivors in the Postpartum Unit: Examining Current Practices and Desired Resources Among Health Care Providers and Postpartum People.
Creating Healing-Centered Spaces for Intimate Partner Violence Survivors in the Postpartum Unit: Examining Current Practices and Desired Resources Among Health Care Providers and Postpartum People.
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为产后病房的亲密伴侣暴力幸存者创造以治疗为中心的空间：检查医疗保健提供者和产后人群的当前做法和所需资源。
DOI：
10.1089/jwh.2023.0347
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Ragavan,Maya
中科院分区：
文献类型：
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作者：
Scott,SarahE;Jenkins,Genelle;Mickievicz,Erin;Saladino,Jackie;Rick,Anne-Marie;Levenson,Rebecca;Chang,JudyC;Randell,KimberlyA;Duplessis,Virginia;Miller,Elizabeth;Ragavan,Maya
背景：亲密伴侣暴力（IPV）对孕妇及其婴儿的健康有负面影响。虽然产后住院病房为IPV幸存者及其家人提供了支持和资源的机会，但据我们所知，这种干预措施是存在的。本研究的目的是探讨(1)目前如何与产后单位的产后患者讨论IPV；(2)应包括哪些内容以及如何进行IPV干预；(3)如何更好地支持暴露IPV的幸存者；(4)实施障碍和促进因素。材料和方法：我们对产后患者和卫生保健提供者（HCPs）进行了个人、半结构化访谈。访谈记录被编码并使用归纳演绎主题分析进行分析。结果：虽然HCPs报告使用各种实践来支持幸存者，但产后患者报告说，他们不记得在产后住院期间接受过与IPV相关的资源或教育。虽然卫生保健提供者确定需要筛查和披露驱动的资源提供，产后人员确定需要在产后单位向产后人员及其伴侣提供普遍的IPV资源。与会者确定了支持产后幸存者的几个障碍（即工作人员能力、产后单位已经提供的教育以及COVID-19大流行）和促进因素（即护理的连续性、各种hcp）。结论：产后住院单元是实施IPV幸存者及其婴儿干预的理想场所。未来的研究和干预发展应侧重于促进普及教育和促进向IPV幸存者提供资源。
Background:Intimate partner violence (IPV) has negative health impacts for pregnant people and their infants. Although inpatient postpartum units offer an opportunity to provide support and resources for IPV survivors and their families, to our knowledge, such interventions exist. The goal of this study is to explore (1) how IPV is currently discussed with postpartum people in the postpartum unit; (2) what content should be included and how an IPV intervention should be delivered; (3) how best to support survivors who disclose IPV; and (4) implementation barriers and facilitators.Materials and Methods:We used individual, semistructured interviews with postpartum people and health care providers (HCPs). Interview transcripts were coded and analyzed using an inductive-deductive thematic analysis.Results:While HCPs reported using a variety of practices to support survivors, postpartum people reported that they did not recall receiving resources or education related to IPV while in the inpatient postpartum unit. While HCPs identified a need for screening and disclosure-driven resource provision, postpartum people identified a need for universal IPV resource provision in the postpartum unit to postpartum people and their partners. Participants identified several barriers (i.e., staff capacity, education already provided in the postpartum unit, and COVID-19 pandemic) and facilitators (i.e., continuity of care, various HCPs) to supporting survivors in the postpartum unit.Conclusion:The inpatient postpartum unit is a promising setting to implement an intervention to support IPV survivors and their infants. Future research and intervention development should focus on facilitating universal education and promoting resource provision to IPV survivors.
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DOI：
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发表时间：
2018
期刊：
The Journal for Nurse Practitioners
影响因子：
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作者：
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Angela M. Moe
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10.1016/j.jpeds.2013.01.036
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DOI：
10.1377/hlthaff.2023.00398
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2023
期刊：
Health affairs (Project Hope)
影响因子：
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K. Randell;S. E. Evans;Donna O’Malley;M. Dowd
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Pavuluri H;Grant A;Hartman A;Fowler L;Hudson J;Springhart P;Kennedy AB
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