Health practitioners' readiness to address domestic violence and abuse: A qualitative meta-synthesis
Health practitioners' readiness to address domestic violence and abuse: A qualitative meta-synthesis
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DOI：
10.1371/journal.pone.0234067
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发表时间：
2020-06-16
期刊：
影响因子：
3.7
通讯作者：
Hooker, Leesa
中科院分区：
文献类型：
--
作者：
Hegarty, Kelsey;McKibbin, Gemma;Hooker, Leesa
保健从业人员在查明和应对家庭暴力和虐待方面发挥着重要作用。尽管有大量证据表明卫生从业人员对DVA幸存者的护理存在障碍和促进因素，但关于他们是否愿意解决DVA问题的证据尚未综合起来。本文报告了一项质性研究的综合研究，探讨了一个研究问题：卫生从业人员认为什么能增强他们应对家庭暴力和虐待的准备？2018年6月对多个数据库进行了搜索。入选标准包括：定性设计；临床卫生从业人员人数；以及关注亲密伴侣暴力。两名审稿人独立筛选文章，并根据主题综合方法对纳入的论文的研究结果进行综合。最终样本包括47篇文章，涵盖了1992年至2018年间的41项单独研究、4篇系统综述和2篇论文；大部分来自高收入国家。确定了五个主题，以加强保健从业人员应对DVA的准备：作出承诺；采取宣传方法；信任这段关系；与团队合作的；并得到卫生系统的支持。然后，我们提出了一个卫生从业人员准备框架，称为CATCH模型（承诺、倡导、信任、合作、卫生系统支持）。将这一模型应用于卫生从业人员对变化的不同准备（使用变化阶段框架），使我们能够在卫生环境中定制促进战略，以便更好地应对亲密伴侣虐待。
Health practitioners play an important role in identifying and responding to domestic violence and abuse (DVA). Despite a large amount of evidence about barriers and facilitators influencing health practitioners' care of survivors of DVA, evidence about their readiness to address DVA has not been synthesised. This article reports a meta-synthesis of qualitative studies exploring the research question: What do health practitioners perceive enhances their readiness to address domestic violence and abuse? Multiple data bases were searched in June 2018. Inclusion criteria included: qualitative design; population of health practitioners in clinical settings; and a focus on intimate partner violence. Two reviewers independently screened articles and findings from included papers were synthesised according to the method of thematic synthesis. Forty-seven articles were included in the final sample, spanning 41 individual studies, four systematic reviews and two theses between the years of 1992 and 2018; mostly from high income countries. Five themes were identified as enhancing readiness of health practitioners to address DVA:Having a commitment; Adopting an advocacy approach; Trusting the relationship; Collaborating with a team; and Being supported by the health system. We then propose a health practitioners' readiness framework called the CATCH Model (Commitment, Advocacy, Trust, Collaboration, Health system support). Applying this model to health practitioners' different readiness for change (using Stage of Change framework) allows us to tailor facilitating strategies in the health setting to enable greater readiness to deal with intimate partner abuse.