The gap between hospital-based violence intervention services and client needs: A systematic review.
The gap between hospital-based violence intervention services and client needs: A systematic review.
复制标题
基于医院的暴力干预服务与客户需求之间的差距：系统评价。
DOI：
10.1016/j.surg.2023.07.011
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发表时间：
2023
期刊：
影响因子：
3.8
通讯作者：
Stey,AnneM
中科院分区：
文献类型：
--
作者：
Jang,Angie;Thomas,Arielle;Slocum,John;Tesorero,Kaithlyn;Danna,Giovanna;Saklecha,Anjay;Wafford,Eileen;Regan,Sheila;Stey,AnneM
背景故意人际暴力的幸存者面临与社会健康决定因素有关的社会挑战，这些社会决定因素导致了他们最初的伤害。以医院为基础的暴力干预计划减少了再伤害。目前还不清楚它们在多大程度上满足了客户报告的需求。方法通过对Medline、Cochrane图书馆、CINAHL Plus全文数据库和JuncINFO进行检索，了解美国医院暴力干预项目服务和故意伤害幸存者需求的研究情况。病例报告、综述、社论、论文和研究集中在儿科患者、亲密伴侣暴力或性侵犯的受害者被排除在外。提取的数据包括项目结构、医院暴力干预项目服务、接受医院暴力干预项目服务前后的客户需求评估。在接受医院暴力干预项目服务之前，医院暴力干预项目客户报告的最多需求包括心理健康(10项研究)、就业(7项)和教育(5项)。只有4项研究在接受以医院为基础的暴力干预计划服务前后进行了定量的客户需求评估。所有4项研究都能够满足每个客户报告的需求的至少50%。成功率取决于需求和项目地点：满足心理健康需求的成功率在65%到90%之间。相反，时间密集型的长期需求最不被满足，包括60%到86%的服务对象的就业，47%到73%的教育，50%到71%的住房。结论少数基于医院的暴力干预项目研究考虑了服务对象的报告需求。就业、教育和住房必须成为以医院为基础的暴力干预计划的更强重点。
BackgroundSurvivors of intentional interpersonal violence face social challenges related to social determinants of health that led to their initial injury. Hospital-based violence intervention programs reduce reinjury. It is unclear how well they meet clients’ reported needs. This systematic review aimed to quantify how well hospital-based violence intervention program services addressed clients’ reported needs.MethodsMedline, The Cochrane Library, CINAHL Plus with Full Text, and PsycInfo were queried for studies addressing hospital-based violence intervention programs services and intentional injury survivors’ needs in the United States. Case reports, reviews, editorials, theses, and studies focusing on pediatric patients, victims of intimate partner violence, or sexual assault were excluded. Data extracted included program structure, hospital-based violence intervention program services, and client needs assessments before and after receiving hospital-based violence intervention program services.ResultsOf the 3,339 citations identified, 13 articles were selected for inclusion. Hospital-based violence intervention programs clients’ most reported needs included mental health (10 studies), employment (7), and education (5) before receiving hospital-based violence intervention programs services. Only 4 studies conducted quantitative client needs assessments before and after receiving hospital-based violence intervention program services. All 4 studies were able to meet at least 50% of each of the clients’ reported needs. The success rate depended on the need and program location: success in meeting mental health needs ranged from 65% to 90% of clients. Conversely, time-intensive long-term needs were least met, including employment 60% to 86% of clients, education 47% to 73%, and housing 50% to 71%.ConclusionFew hospital-based violence intervention programs studies considered clients’ reported needs. Employment, education, and housing must be a stronger focus of hospital-based violence intervention programs.