Identification and assessment of intimate partner violence in nurse home visitation.
Identification and assessment of intimate partner violence in nurse home visitation.
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DOI：
10.1111/jocn.13392
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发表时间：
2017-08
影响因子：
4.2
通讯作者：
NFP IPV Research Team
中科院分区：
文献类型：
--
作者：
Jack SM;Ford-Gilboe M;Davidov D;MacMillan HL;NFP IPV Research Team
制定在护士家访计划中识别和评估亲密伴侣暴力的策略。护士家访计划已被确定为防止虐待和忽视儿童的干预措施。最近，人们越来越关注这些计划在解决亲密伴侣暴力方面的作用。鉴于家庭环境的独特背景，需要采取评估策略来维持治疗联盟并最大限度地减少客户流失。定性案例研究。共有四个护士家庭合作机构参与了这项研究。护士（n = 32）、有自我披露虐待经历的孕妇或育儿母亲（n = 26）和主管（n = 5）的有目的样本参与了这项研究。与护士一起完成了总共 10 个焦点小组：42 次与客户的访谈和 10 次与主管的访谈。传统内容分析的原则指导数据分析。使用实践-问题-需求分析模型对数据进行分类，以将定性发现整合到护理干预措施的制定中。重视询问亲密伴侣暴力的多次机会。在登记时使用结构化筛选工具并不能促进对妇女受虐待经历的披露或深入探索。当护士发起关注育儿、安全或健康关系的非结构化讨论时，女性更有可能讨论暴力经历。当怀疑遭受虐待时，护士需要知识和技能来启动基于指标的评估，以及应对客户发起的披露的策略。需要针对家访中的亲密伴侣暴力评估采取量身定制的方法。需要有多种机会来探索妇女的暴力经历。制定了一个临床路径，概述了三管齐下的识别和评估方法。
To develop strategies for the identification and assessment of intimate partner violence in a nurse home visitation programme. Nurse home visitation programmes have been identified as an intervention for preventing child abuse and neglect. Recently, there is an increased focus on the role these programmes have in addressing intimate partner violence. Given the unique context of the home environment, strategies for assessments are required that maintain the therapeutic alliance and minimise client attrition. A qualitative case study. A total of four Nurse–Family Partnership agencies were engaged in this study. Purposeful samples of nurses (n = 32), pregnant or parenting mothers who had self-disclosed experiences of abuse (n = 26) and supervisors (n = 5) participated in this study. A total of 10 focus groups were completed with nurses: 42 interviews with clients and 10 interviews with supervisors. The principles of conventional content analysis guided data analysis. Data were categorised using the practice–problem–needs analysis model for integrating qualitative findings in the development of nursing interventions. Multiple opportunities to ask about intimate partner violence are valued. The use of structured screening tools at enrolment does not promote disclosure or in-depth exploration of women's experiences of abuse. Women are more likely to discuss experiences of violence when nurses initiate nonstructured discussions focused on parenting, safety or healthy relationships. Nurses require knowledge and skills to initiate indicator-based assessments when exposure to abuse is suspected as well as strategies for responding to client-initiated disclosures. A tailored approach to intimate partner violence assessment in home visiting is required. Multiple opportunities for exploring women's experiences of violence are required. A clinical pathway outlining a three-pronged approach to identification and assessment was developed.
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影响因子：
168.9
作者：
Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia
影响因子：
2.2
作者：
Hathaway, JE;Willis, G;Zimmer, B
通讯作者：
Zimmer, B
影响因子：
1.6
作者：
Ford-Gilboe, Marilyn;Merritt-Gray, Marilyn;Wuest, Judith
通讯作者：
Wuest, Judith
影响因子：
2.8
作者：
Jack, Susan M.;Ford-Gilboe, Marilyn;MacMillan, Harriet L.
通讯作者：
MacMillan, Harriet L.
影响因子：
--
作者：
Howard, Kimberly S.;Brooks-Gunn, Jeanne
通讯作者：
Brooks-Gunn, Jeanne