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1
Kling, Rakel Nessa. "Promoting the health of healthcare workers : evaluating patient violence in healthcare." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/32674.
Full textAbstract:
Introduction:
The high rate of violence in the healthcare sector supports the need for greater prevention efforts. This study had two main objectives: 1) identify risk factors for violence province- wide and 2) investigate the effectiveness of a violence risk assessment system in reducing the risk of violence in an acute care hospital in British Columbia.
Methods:
Study 1: Data was extracted for a one-year period from the Workplace Health Indicator Tracking and Evaluation (WHITE ™) database for all employee reports of violent incidents for four of the six British Columbia Health Authorities. Risk factors for violence were identified through comparisons of incident rates (number of incidents/100,000 worked hours) by work characteristics, and by regression models.
Study 2: Hospital violence incident rates (number of incidents/ 100,000 worked hours)were calculated pre, during and post implementation of the Alert System, a violence risk assessment system, at one acute care hospital. Then, using a retrospective case control study design, multivariable conditional logistic regression was used to model the effect of the Alert System (flag status yes or no) on the risk of a patient violent incident.
Results:
Study 1: Across health authorities, three groups at particularly high risk for violence were
identified: very small healthcare facilities, the care aide occupation, and pediatric departments in acute care hospitals.
Study 2: The violent incident rate decreased during the Alert System implementation period, but subsequently returned to pre-implementation levels. In the case-control analyses, patients flagged for violence were associated with an increased rather than decreased risk for violence.
Conclusions:
Study 1: The specific risk factors that put health care groups at an increased risk of violence should be examined so that targeted prevention or intervention efforts can be implemented. The identification of high-risk groups supports the importance of a province-wide surveillance system.
Study 2: Although useful at identifying violent patients, the Alert System does not appear to provide the resources or procedures needed by health care workers to prevent a patient from progressing to a violent incident once flagged.
These studies suggest that violence in healthcare should be studied and prevented using a
multifaceted approach.Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
2
Salter, Daniel C. "An investigation into healthcare staff exposed to workplace violence." Thesis, University of Sheffield, 2003. http://etheses.whiterose.ac.uk/3542/.
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Violence towards healthcare staff is increasingly prevalent in today's NHS. The aim of this thesis was twofold: to establish the current state of research into this problem; and to contribute to the theoretical understanding of one of the common outcomes of this phenomenon: posttraumatic stress disorder. The literature review assessed research relating to the incidence, prevalence and effects of workplace violence (WPV), focussing on healthcare settings. Studies indicate a range of effects on victims including physical injury, behaviour changes and psychological symptoms, although methodological problems exist with this research. Also lacking is an over-arching psychological framework to account for the full effects of WPV. Models accounting for PTSD are described and drawn upon to outline psychological methods necessary to develop such a framework. In the current study, psychological response variables were investigated for their involvement in the development of persistent symptoms of PTSD in 99 NHS staff exposed to violence at work. Factors associated with PTSD symptoms at four months post-trauma included: disorganised memory, data-driven processing, state dissociation, self referent processing, appraisal of PTSD symptoms, trait dissociation and avoidant behaviour. All these factors accounted for significant variance in PTSD symptoms after controlling for pre-trauma and stressor severity factors. A risk index consisting of `educational qualification', `trait dissociation' and 'avoidant behaviour', measured two months post-trauma, discriminated individuals with persistent symptoms at four months post-trauma from those without. This enabled better than chance predictions to be made. Further validation is required. Clinical implications are discussed.
3
Gillespie, Gordon Lee II. "Violence Against Healthcare Workers in a Pediatric Emergency Department." University of Cincinnati / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1212109392.
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Lin, Hai, and 林海. "Risk factors of violence against healthcare providers in hospital setting." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B42997252.
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Hubbard, Laura. "Factors Related to Adult Violence and Aggression in Healthcare Settings." Honors in the Major Thesis, University of Central Florida, 2004. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/420.
Full textAbstract:
This item is only available in print in the UCF Libraries. If this is your Honors Thesis, you can help us make it available online for use by researchers around the world by following the instructions on the distribution consent form at http://library.ucfBachelors
Health and Public Affairs
Nursing
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Lin, Hai. "Risk factors of violence against healthcare providers in hospital setting." Click to view the E-thesis via HKUTO, 2009. http://sunzi.lib.hku.hk/hkuto/record/B42997252.
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7
Moreland, Annie. "Understanding healthcare workers' responses to violence and aggression at work." Thesis, University of Leeds, 2006. http://etheses.whiterose.ac.uk/340/.
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The primary objective of this study was to investigate whether there was evidence for the proposed mechanisms within the Ehlers and Clark (2000) cognitive model of Post-Traumatic Stress Disorder( PTSD). Two principal relationships were to be investigated: firstly, whether behavioural and cognitive strategies prevented change in the nature of the trauma memory and appraisals of the trauma and its sequelae over time; secondly, whether aspects of trauma memory and subsequent appraisals of the trauma and its sequelae mediated the relationship between peritraumatic cognitive processing and PTSD symptoms. The second research objective involved further validation of the Ehlers and Clark (2000) model. The study was conducted on a population of health service employees exposed to aggression and/or violence at work, using a prospective, longitudinal design.A low response rate meant that there was not sufficient power to test these relationships. The findings from Study I were a low response rate, low reporting of incidents of violenced rid aggression and low PTSD symptoms,particularly amongst ambulance workers. Findings from Study I led to a qualitative study being carried out to investigate: the possible reasons for the low response and reporting rate; the lack of PTSD symptoms; and to explore responses of ambulance workers to workplace violence and aggression. Twenty-four interviews were carried out with ambulance workers, and the data was analyzed using Thematic Analysis. PTSD symptoms were described by interviewees in themselves and their colleagues following incidents of violence and aggression Low response rates were discussed in the context of a general reluctance to report incidents and to show that they had not been affected by violence and aggression. The responses to violence and aggression took two forms, a macho or tough response and a reflective, sensitive approach. Colleague relationships were an important source of support for many of the ambulance workers and management were portrayed as uncaring. These findings were considered in the context of the literature and the Ehlers and Clark (2000) model.
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Schlebusch-Marie, Linda. "Workplace violence among professional nurses in a private healthcare facility." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/12801.
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Workplace violence is an international problem and has negative consequences for individuals, organizations and communities. For individuals, the effect includes symptoms of fear, stress, irritability, feelings of isolation, insecurity, and low selfesteem. Healthcare organizations incur increased cost due to litigation due to poor quality of care, high staff turnovers and absenteeism, and their brands are negatively affected. Community members, who are the recipients of care, are placed in danger and are indirectly the victims of such workplace violence, which in turn affects their trust in private healthcare organizations or professions to provide the quality health care that they expect and deserve. Workplace violence takes many forms such as incivility, horizontal violence and bullying to name but a few. The perpetrators of such violence are doctors, nurses, patients and relatives. Workplace violence takes place in South Africa however, paucity in research was found by the researcher. The aim of the study was to explore and describe the experiences of professional nurses regarding workplace violence in a private healthcare facility in order to develop guidelines to address workplace violence in such a facility. A qualitative, explorative, contextual and descriptive study was conducted, using the Critical Social Theory as the paradigm. Data were gathered from professional nurses that have experienced workplace violence utilizing narratives. Fourteen narrative interviews were done until data was saturated. The data was transcribed verbatim and Tesch’s method of thematic synthesis was used to analyse the data. The three themes that emerged from the data were: Professional nurses acknowledge the existence of workplace violence where they work, Participants described the effect of workplace violence on themselves, others and the work environment, and Participants discussed their views regarding management of violence in the workplace. A thick description of the data with a literature control was provided. Thereafter inferences were made regarding the main themes of the guidelines and these focussed on: Preventing and addressing workplace violence by Nursing Service Managers; Preventing and addressing workplace violence by Nurse Unit Managers and Empowering professional nurses to address workplace violence. To ensure rigour and trustworthiness of the study, the researcher used Lincoln and Guba’s criteria namely: credibility, dependability, conformability and transferability. To protect the right and dignity of the participants and to safeguard the integrity of the study the researcher complied with the following ethical principles: beneficence, non- maleficence, autonomy, justice, veracity, privacy, and confidentiality. The limitations of this study were that data was collected from only one category of nurses and only one private healthcare facility was used. Recommendations from this study include implementation of the guidelines to establish their effectiveness. The findings of this study can be used to empower professional nurses to deal with workplace violence and to prevent the short and long term effects of workplace violence on the individual, the organization and the community. Nursing education institutions can also incorporate workplace violence into their curriculum to increase the awareness of students regarding this phenomenon.
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Arroyo, Michelle Leigh. "Impact of a Healthcare Workplace Violence Prevention Module on Staff Knowledge." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7587.
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The healthcare sector experiences violence 4 times as much as any other civilian domain, including law enforcement and corrections facilities. The clinical practice problem addressed in this project was the lack of adequate healthcare workplace violence (HWV) prevention in a not-for-profit community hospital. The purpose of this project increase awareness of HWV prevention through the use of an education module. Rogers’ diffusion of innovation model served as the foundation for analysis of scores from pre- and posteducation tests. The practice-focused question asked if a module on HWV prevention based on current clinical practice guidelines and peer-reviewed literature would improve staff members’ knowledge on workplace violence. A staff education project was designed to address the practice problem. The research design was an anonymous pre- and posttest for score comparison to analyze data by noting changes in proportion of correct answers. Nursing professionals (N = 14) participated in the education module and pre- and posttests. The percent of correct answers to 18 knowledge-related questions increased from 82% on the pretest to 91% on the posttest. The facility elected to expand the project to a more comprehensive program and requested additional modules to broaden understanding of and sustain HWV prevention strategies. These efforts will enact positive social change for healthcare staff by promoting a culture that embraces a safe work environment, increases staff knowledge on HWV prevention, decreases HWV and is supported by organizational systems.
10
Adedokun, Mosunmola. "Workplace Violence in the Healthcare Sector. A review of the Literature." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26486.
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Background: Healthcare workers are most at risk and most vulnerable toworkplace violence (WPV) when compared to other professions. Despite highrates of exposure to violence, it is highly underreported.Aim: To identify the prevalence rate of WPV and the existing demographicrelationship to WPV in the healthcare sector. To check for risk factors and healthimplications of this type of WPV on victims. Also, this research work intends tohighlight the proposed strategies and interventions that can be used to mitigateagainst this type of WPV.Methods: To achieve this aim, a literature review methodology was employed.The Malmö university library and google scholar search engines were utilizedwith several inclusion criteria to arrive at a total of 24 articles for this review.Results: Prevalence rate for WPV is high with the prevalence for non-physicalviolence being higher than physical violence. Age and years of experienceshowed a significant relationship with being a victim of WPV while gender didnot provide a conclusive result. There were few cases of physical injuries but ahigh percentage of victims of nonphysical violence suffered from psychologicaltrauma such as fear, depression, post-traumatic stress disorder - PTSD, andanxiety. Prevention strategies and interventions have been recommended byvictims and researchers of WPV.Conclusion: WPV is an existing phenomenon with adverse effects which reducethe quality of lives and services of workers. There is need for effective preventivemethods to reduce WPV such as the implementation of zero-tolerance policy toWPV, the presence of police officers in at-risk health care facilities andinvolvement of victims in the development of prevention strategies.
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Small, Tamara. "Workplace Violence Prevention Training: A Cross-sectional Study of Home Healthcare Workers." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1595850151324948.
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Katz, Sharilyn L. "Horizontal hostility and verbal violence between nurses in the perinatal arena of healthcare." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1523078.
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The goal of this study was to determine the frequency of horizontal violence in the Perinatal Service line and its affect on patient outcomes. A link to a 24-question survey instrument entitled "Horizontal Violence in Perinatal Nursing" was distributed to the Perinatal Discussion List with permission from its host. The sample included 63 nurses of which 61 completed the survey in its entirety. These results were collected from January 28, 2013 through February 11, 2013. The results indicated that Labor and Delivery does experience a higher frequency of horizontal violent behaviors than other perinatal units. It also showed that the Mother Baby unit demonstrates a higher frequency of recipient or victim behaviors. A relationship between horizontal violence and ineffective communication was shown as well as a relationship between horizontal violence and poor patient outcomes or near misses. These results show that horizontal violence is present on Perinatal units and are having a negative impact on our nurses and the patient care they give. Additional research is needed to study the work environments and all the factors that contribute to horizontal violence developing and becoming the accepted behaviors.
13
Laisser, Rose Mjawa. "Prevention of intimate partner violence : community and healthcare workers´ perceptions in urban Tanzania." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-49743.
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Background: Intimate partner violence (IPV) against women is public health and human rights concern. The studies forming this thesis seek to understand healthcare worker and community attitudes and perceptions about IPV; their role in support, care and prevention of IPV, and the feasibility of introducing routine screening for IPV among women attending healthcare. Methods: Four interrelated studies were conducted in Temeke District, Dar es Salaam, Tanzania: 1) a content analysis of 16 in-depth interviews with healthcare workers about their experiences of meeting IPV clients, 2) a grounded theory analysis of seven focus group discussions that explore community perceptions, 3) a cross sectional study of 657 healthcare workers and students to understand their attitudes and perceptions about IPV and future roles in care and support, and 4) evaluation of a pilot intervention that introduces routine screening in an outpatient department. The pilot intervention included screening of 102 women, ten observations of healthcare worker interactions with women clients, three focus group discussions, and five narratives written by healthcare workers about their experiences with the screening tools. Results: Gender inequalities, attitudes, and poverty intersect in the explanation of IPV. Healthcare workers view low economic status among women, rigid gender norms, and stigma that influences women to stay in violent relationships. Alcohol abuse, multiple sexual partners and low levels of income among men were cited as triggers for IPV episodes. Between 20-67% of healthcare workers and students report meeting IPV clients at work. More than 9o% observed clients with unexplained feelings of sadness and/or loss of confidence. Resource and training limitations, heavy workloads and low salaries constrain services. A strong desire to make a difference in the care and support of IPV clients was present, but violence as a hidden agenda with a client resistance to disclosure was a challenge. The community study shows a transition in gender norms is making violence against women less acceptable. Conclusions and suggestions: Healthcare workers and the community strongly wish and are committed to support IPV prevention. Both groups understood the meaning, provocative factors and some IPV effects. This awareness contributes to their desire to be part of a change. At the central level, prevention of IPV should be on the governments’ policy agenda and should be prioritised. Education about gender-based violence must be incorporated into the curricula of healthcare workers. At community level, advocacy is necessary for changing harmful gender norms and measures to combat women’s poverty. Men should be engaged at all levels. Provision of information on the human rights perspectives of IPV should be strengthened and related to other types of violence.
14
Vingård, Frank Linda. "How healthcare workers experience violence against women and how it influences the care : A qualitative study." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-20028.
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Violence against women (VAW) is a global problem existing in all cultures. This study is performed because there is a lack of knowledge about how healthcare personnel treat VAW to promote health and to alleviate suffering. The aim is to describe how healthcare workers experience violence against women and how it influences the care. Qualitative semi structured individual interviews were made with three nurses and one medical student in Egypt. The interviews were taped and transcribed before the text was analyzed by qualitative content analysis. The result showed that women were subordinated and discriminated in Egypt and in the healthcare. The care for the abused women was focused on first aid, and the respondents expressed that it was the woman’s own decision and responsibility to report or do any further actions. Often the violence was ignored or silenced. Violence and threats was accepted by the society and individuals as a mean for handling conflicts and was used in the healthcare settings as well. The respondents expressed a need for change and a wish for decreasing the violence, work for equality and stressed the importance of education in society. They also emphasised the need for women to gain more economic independence. Attitudes of healthcare workers need to be addressed and further investigation is necessary to prevent VAW.Program: Sjuksköterskeutbildning
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Af, Geijerstam Maya. "The human right to mental healthcare : Bridging the rights-gap for women subjected to sexual violence." Thesis, Enskilda Högskolan Stockholm, Högskolan för mänskliga rättigheter, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:ths:diva-283.
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Sexual violence against women is not only a serious public health problem of epidemic proportions, it’s also a violation of women’s human rights. The devastating consequences of these events on women’s health have been widely documented. The overarching purpose of this thesis is therefore to explore why public healthcare facilities around the world often fail to provide victims of sexual violence with mental healthcare of good quality that is available, accessible and acceptable. In order to investigate this, the legal grounds of specialized healthcare for victims of sexual violence was documented. Secondly, an exploration of whether the Swedish healthcare system provides victims of sexual violence with access to the highest attainable standard of mental healthcare was carried out. Lastly, the history of violence against women was explored in order to identify reasons for why the right to mental healthcare often fail to work in practice for female victims of sexual violence despite apparent agreements. Also, constructive suggestions are put forth regarding what governments can do to provide victims of sexual violence with access to the highest attainable standard of mental healthcare. An interdisciplinary approach of political sociology was used to illustrate the multiple dimensions of human rights. The findings suggest that the right to mental health is an integrated part of the right to health and thus a fundamental right for all human beings. However, the results indicate that the right to mental healthcare for women who have been subjected to sexual violence is not available, accessible and of good quality within the Swedish healthcare system. The study concludes that one of the main barriers to make the right to mental healthcare accessible for this group of patients is the lack of an officially recognized name that include the many different syndromes these women suffer. Findings are discussed in relation to previous research.
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Shuster, Stef M. "Medicine and meaning-making: the construction and regulation of gender in the lives of transgender people and healthcare providers." Diss., University of Iowa, 2014. https://ir.uiowa.edu/etd/6856.
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As transgender medicine developed in the course of the 20th century, medical professionals have slowly followed the lead of their clients. Patients during the early decades of transgender medicine sought to switch from one gender to another. Medical providers developed treatment protocols to guide this transition. In recent decades patients are no longer as quick to desire a switch from one gender to another. Rather, many younger transgender patients are more likely to explore the ambiguities of gender and adopt a gender-fluid identity. Healthcare professionals have, for the most part, accommodated their patients' changing ideas about treatment outcomes. But these currents towards a patient-centered approach are in contrast with transgender health organizations that seek professionalization through treatment protocols and standardization. Examining these socio-historical processes reveals how a nascent field of medicine negotiated the sometimes competing demands of standardization and patient desire.
Three questions guide my research: 1) How do trans-identified people experience and resist social sanctioning, make meaning of a transgender identity within a limiting transnormative narrative, and actively seek to create new identities? 2) How do healthcare providers construct scientific discourse and make meaning of gender in the process of working with transgender people in this emergent field of medicine? And 3) How has the history of medical and mental health interventions shaped the contemporary experiences of providers? I used a mixed-methods approach including the analysis of archival documents from the Kinsey Institute in Bloomington, Indiana, in-depth interviews with 40 transgender-identified people and 23 healthcare providers, and participatory observations in community spaces.
In part one of my dissertation I consider the nuances of transgender identities and the consequences of living in a society as a transgender person. Our society is organized in a two-gender system - individuals are either women or men. While some transgender people identify within these binary categories, as trans women or trans men, others resist a binary gender identification. Instead, they construct diverse gender identities like "genderqueer" or "genderfluid" that lack culturally agreed-upon definitions. Despite the diversity of identifications within transgender communities, most social scientific accounts adopt the binary model and position transgender people as moving from one gender to the other. This limits our understandings of transgender people and their own self-perception. Additionally, "transitioning" is understood as a process in which individuals move neatly from one stage to the next, and passing as women or men becomes the ultimate goal. Transgender people are creative in negotiating their identities within this system. Some resist binary systems and strategically deploy cultural resources to redefine gender categories in ways that fit their self-understanding.
In part two of my dissertation, I consider the emergence of transgender medicine, the ways that scientific discourse shapes medical practice, and how providers - who are situated within this dialogue in several distinct ways - must work with conflicting interests. The standardization of transgender medicine runs parallel with many contemporary currents related to the changing structure of our healthcare system. Evidence-based medicine has become ubiquitous in systems of healthcare, and is coupled with the creation of professional guidelines for standardizing healthcare. However, providers gave voice to the idea that transgender people have unique healthcare needs that may not be met in a system structured by binary modes of thought and in general, are wary of standardizing transgender medicine. In these contexts, providers must learn to how to balance their professional responsibilities and client-driven needs, which sometimes are in contradiction.
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Mead, Paula. "Understanding Appointment Breaking: Dissecting Structural Violence and Barriers to Healthcare Access at a Central Florida Community Health Center." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6898.
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Access to healthcare is an important topic within medical anthropology, in part because access is denied or complicated through structural forces for many populations in the United States. Anthropological research explores the impact of lack of access to healthcare on the lives of at-risk populations, as well as the differing and unexpected ways that access is denied or limited (Adler and Newman 2002; Becker 2004; Becker 2007; Horton 2004; Horton, McCloskey, Todd, and Henricksen 2001; O'Daniel 2008). For low-income, rural and minority populations, research shows that access to healthcare is further complicated by a higher propensity to break appointments (Bean and Talaga 1992; Bean and Talaga 1995). The act of appointment breaking is an essential aspect of this discussion: it is through appointment breaking and other similar activities that it is possible to understand how people access care when it is “available” to them and what everyday barriers prevent them from having true and full access. In this project, I define appointment breaking as the act of missing a scheduled appointment without prior cancellation.
Through this research, I explore how people understand their access to healthcare resources and what factors impact their use by focusing on appointment breaking at a Florida community health center. This research uses a critical medical anthropology approach and is grounded within the anthropological theories of access to healthcare, health disparities, structural violence, and the political economy of health; through this theoretical perspective, the issue of appointment breaking can be studied as a complex and integral aspect of access to healthcare, and rooted in the long history of medical anthropology studies on health disparities. Using qualitative research methods, specifically interviews and participant observation, as well as an analysis of the demographics of those patients that have missed appointments at this community health center, this study investigates the broader implications of a lack of access to care characterized by appointment breaking. This research connects the act of appointment breaking to cultural influences which shape access to healthcare. I found that barriers such as finances, mental health needs, personal issues, and lack of child care prevents patients from accessing healthcare, even through the safety net programs that are in place to serve at-risk populations, such as low income, rural, and minority populations. This research contributes to the existing literature on gaps in access to healthcare that is provided for at-risk populations and develops the anthropological research on the overlooked topic of appointment breaking. By exposing the issue of appointment breaking as a factor in the larger issues of access to care and health disparities, this research highlights the larger structural forces that impact access to care beyond access to insurance and the availability of affordable and accessible healthcare resources.
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Wood, Benjamin R. "Workplace violence in the emergency healthcare setting balancing the needs of behavioral patients-in-crisis with the personal safety of hospital staff /." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009woodb.pdf.
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Mabunda, Sindile. "Intimate partner violence among pregnant women seeking antenatal care in urban and rural public healthcare facilities in the Tshwane District." Diss., University of Pretoria, 2014. http://hdl.handle.net/2263/43152.
Full textAbstract:
BACKGROUND:
Intimate partner violence (IPV) is recognised as a global public health and human rights concern with profound health implications. IPV has been identified as the most common type of violence that is perpetrated by men against their intimate partners. The primary objective of the study was to estimate the occurrence of IPV amongst pregnant women seeking antenatal care in one urban and one rural Community Health Centre (CHC), and to explore risk factors associated with IPV in pregnant women seeking antenatal care at these facilities. The urban Soshanguve and rural Kgabo Community Health Centres are located within the City of Tshwane Metropolitan Municipality in the Gauteng province of South Africa.
METHODS:
A cross-sectional facility-based study was conducted. A total sample of 361 pregnant women seeking antenatal care at the two CHC’s was selected for study by means of systematic random sampling. The number of study subjects from each of the two CHC’s was proportional to the average monthly antenatal attendances in that clinic. A questionnaire which included items on demographics and experiences of IPV was administered. Both univariate and multivariate odds of IPV exposure were estimated using logistic regression analysis. Ethical approval was obtained from the University of Pretoria’s ethics committee.
RESULTS:
The prevalence of reported IPV was 59% (95% CI: 0.49, 0.69) and 43% (95% CI: 0.37, 0.49) for the participants attending the rural Kgabo and urban Soshanguve CHC respectively. The most common type of violence reported across both sites was emotional violence; 53% for the rural CHC and 37% for urban the CHC. In the multiple logistic regression, being older than 24 years was found to be protective of emotional violence in urban Soshanguve CHC [OR=0.48 (95% CI: 0.25; 0.95) p=0.03]. Furthermore, the absence of a history of exposure to sexual violence was found to be protective of the various types of intimate partner violence in the urban CHC:
Emotional violence [OR=0.29; (95% CI: 0.10, 0.78) p=0.02].
Economic violence [OR=0.18; (95% CI: 0.04, 0.81) p=0.03]
Physical violence [OR=0.14; (95% CI: 0.04, 0.42) p=0.001]
Sexual violence [OR=0.096; (95% CI: 02, 0.46) p= 0.003]
Abstaining from the use of alcohol was found to be protective of emotional violence in rural Kgabo than the urban Soshanguve CHC [OR=0.26; (95% CI: 0.08, 0.80) p=0.02].
Being in an intimate relationship with a male partner who does not use alcohol was also found to be protective of physical violence among respondents from urban Soshanguve [OR=0.31; (95% CI: 0.05; 0.81) p=0.01].
CONCLUSION:
This was a facility based study as a result its findings cannot be generalised to the populations where these facilities are located. However, the study suggests extremely high levels of IPV among pregnant women residing in rural Winterveldt and Soshanguve urban township. The findings of this study are consistent with the reported high prevalence of intimate partner violence in South Africa. In addition, the findings of this study are in agreement with prior national and international research studies that have demonstrated that childhood exposure to sexual violence; and alcohol use by one or both partners are significantly associated with IPV later in a person’s life. It is important therefore, that the South African government and civil society organizations develop and implement a national violence prevention strategy, which will outline a coordinated response with a focus on effective primary prevention efforts that will be directed to the reduction of the occurrences of the associated risk factors. Secondary prevention could still play an important role in reducing the impact of early childhood violence. Thus early identification of the high risk factors can be used in support of interventions to reduce the burden of IPV.Dissertation (MMed)--University of Pretoria, 2014.
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Ford, Paul Leslie. "Patient Care Provider Safety: Examining one intervention to reduce hospital violence." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4042.
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Abstract
In the summer of 2009, Tampa General care providers met with Hospital Administration to express concern that violence on care units was a growing problem and making it difficult to provide quality care. Nurses stated that such violence was one important reason many of their peers choose to retire. Administration took this situation seriously and formed a committee to gather information and submit suggestions to reduce the violence. The committee consisted of representatives from several nursing units, human resources, risk management, security, and administration. Duties assigned included investigation of the actual number of reports on all units and trends. The committee was also charged with the production of a report regarding reviewing other hospital data, literature review, and developing recommendations.
Internal reports indicated that the total prevalence of reported violence as well as the incidence per patient had increased annually since 2005. The hospital reports contradicted the national literature regarding the emergency department (ED) and psychiatric unit (Psych) being the two hospital units with the highest number of violent events. One possible reason for the difference is that these departments require all care providers to attend de-escalation and self-defense classes annually. Based on these findings, the researcher developed and adapted training similar to that of the ED for other units reporting aggressive, abusive, and violent patients. The committee approved a draft plan for implementation. Following presentation to Nursing Administration, some modifications were made, and the Internal Review Boards of the hospital and University of South Florida (USF) approved the project.
The hypothesis tested in this study was whether training in de-escalation and self-defense modifies providers' behaviors to prevent or reduce aggressive, abusive, or violent behavior by patients and visitors. The independent variable was training. The dependent variable was requests for assistance with unruly, angry, or violent patients or visitors. Event reports of the year prior were used for historical comparison. Event reports for the experimental period were assembled subsequent to the training for comparison.
Nursing Administration selected two units to receive the training intervention. The two units selected were neither the worst nor the best in numbers, but rather the middle. Nursing required that all training be scheduled in normal department meetings and that Nurse Managers of the units agree to participate. The research design presumed that at least 85% of care providers on a unit would attend the training. Schedules were developed to accommodate all care providers. The training was presented during June of 2010.
Experimental and comparison units were monitored each month for the number of reported violent events (Code Grays) on each unit. During the fourth months of monitoring, there was a data spike in the Cardiac Care unit. No action was taken until another spike occurred during the sixth month. It was determined that an error had occurred that partially invalidated the data from the Cardiac Care unit: the 85% participation rate among staff had not been reached. Monitoring continued for 12 months after the training. The Eldercare unit showed reduced requests for assistance. Overall, the Cardiac Care unit increased requests for assistance from the year before. Results were adjusted for patient census. Wilcoxon Signed Ranks Testing was performed and displayed using box plots to show how far the median changed during the research from one group to the next. The analysis compared prior year with the year following the interventions, and indicated that there was a movement toward a reduction of Code Grays. To determine if there was a difference between comparison units and experimental units 12 months after the training, Poisson Regression Analysis was utilized. When the comparison units were set as the reference, Poisson analysis indicated the events were decreasing on both units. The Cardiac Care unit did not have a statistically significant p value. The Eldercare unit had a p value of .019.
In conclusion, the results are mixed and statistically inconclusive. From the care providers' perspective, any reduction in violence is significant. The data regarding the training interventions indicates that there was an empirical, albeit not a statistically significant, change in Code Gray reports. Training may have reduced the violence on the Eldercare unit by nearly half.
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Stubblefield, Angelique Marie. "Healthcare Utilization and Risk for Intentional Injury Death among Ohio Children Enrolled in Medicaid, 1992 – 1998." Connect to text online, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=case1151593844.
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Thesis (Ph. D.)--Case Western Reserve University, 2006.[School of Medicine] Department of Epidemiology and Biostatistics. Includes bibliographical references. Available online via OhioLINK's ETD Center.
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Liljeroos, Thea. "Caring for migrant women affected by sexual and gender-based violence: Experiences of healthcare providers in Europe and North America : A meta-synthesis." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-387825.
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Introduction: Sexual and gender-based violence (SGBV) is a violation against human rights with severe implications for the health of women globally. Migrant women may be exposed to a heightened risk of SGBV as well as obstacles that impair their ability to respond to violence and access care. The aim of this meta-synthesis is to explore healthcare providers’ perceptions and experiences of caring for migrant women affected by SGBV in North America and Europe, in order to identify facilitating factors and strategies used to overcome existing barriers to the provision of care. Methods: Systematic searches were conducted between February and April 2019 by using the databases PubMed, Scopus, Applied Social Sciences Index & Abstracts (ASSIA) and Proquest Social Science Premium Collection. Data was analysed using thematic analysis. Results: The ten studies included illustrate perceptions and experiences of healthcare providers from multiple professional backgrounds in the United States, Great Britain and Sweden. Three themes derived from the analysis; (a) Providing a patient-centred care; (b) Knowledge and training-key factors affecting screening and response; and (c) Working under psychologically demanding conditions. Conclusion: Healthcare providers address violence screening and response by adopting a patient-centred approach to care, facilitated by trust-building strategies and external support. However, barriers grounded in a lack of knowledge and training, underline a need of context specific guidelines and screening tools. Further, emotional distress and health issues bring attention to the importance of support mechanisms when caring for migrant women affected by SGBV.
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Meriläinen, Catarina. "Förekomst av fysiskt och psykiskt våld på akutmottagningar : En kvantitativ studie om förekomsten av våld bland läkare, sjuksköterskor och undersköterskor på akutmottagningar i Mellansverige." Thesis, Högskolan i Gävle, Avdelningen för arbetshälsovetenskap och psykologi, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36036.
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Problemformulering: En stor andel av all vårdpersonal har utsatts för psykiskt eller fysiskt våld under sina arbetsliv och akutmottagningar är en av miljöerna där arbetsplatsvåldet är ett utbrett arbetsmiljöproblem. Tidigare studier lyfter att forskning behövs på lokal nivå i syfte att få en ökad förståelse för anledningen till våldet samt för att kunna utveckla ett preventivt arbete anpassat efter de lokala behoven. Syfte: Syftet med studien är att undersöka förekomst av fysiskt respektive psykiskt våld bland läkare, sjuksköterskor och undersköterskor på allmänna akutmottagningar i Mellansverige, beskriva eventuella samband mellan förekomst av fysiskt respektive psykiskt våld och könstillhörighet respektive år av arbetslivserfarenhet. Metod: En kvantitativ tvärsnittsstudie användes som studiedesign. Urvalet var ett obundet slumpmässigt urval och innefattade sammanlagt 136 anställda. Datainsamlingen skedde via en webbaserad enkät och 67 valde att besvara enkäten. Deskriptiv analys och korrelationsanalyser genomfördes för att besvara syftet. Resultat: Närmare 40 procent av sjuksköterskorna och cirka 67 procent av undersköterskorna hade utsatts för fysiskt våld på sin nuvarande arbetsplats. 32 procent av sjuksköterskorna och 56 procent av undersköterskorna hade utsatts för fysiskt våld det senaste året. En tredjedel av sjuksköterskorna och undersköterskorna hade bevittnat fysiskt våld det senaste året. 66 procent av sjuksköterskorna och 93 procent av undersköterskorna hade någon gång utsatts för psykiskt våld. Under det senaste året hade 58 procent av sjuksköterskorna och 67 procent av undersköterskorna utsatts för psykiskt våld. Majoriteten hade bevittnat psykiskt våld det senaste året. Inga statistiskt signifikanta samband mellan förekomst av våld och könstillhörighet respektive år av arbetslivserfarenhet kunde observeras i denna studie. Slutsats: Resultatet ger en regional bild över förekomst av fysiskt och psykiskt våld riktat mot sjuksköterskor och undersköterskor samt indikerar en viss tendens att det kan finnas andra riskfaktorer i akutmottagningars arbetsmiljön och vid interaktionen mellan vårdgivare och vårdtagare som är av större betydelse för att förstå anledningen till det ökade våldet i syfte att framställa effektiva våldsförebyggande åtgärder.Aim: The aim was to investigate the prevalence of violence among physicians, nurses and assistant nurses in general emergency departments in Central Sweden, describe possible correlations between the prevalence of physical and psychological violence and gender and years of work experience. Method: A cross-sectional study was used as the study design. A randomized sample was used and included a total of 136 employees. A web survey was used. Results: The prevalence of violence was high among nurses. Almost half of the nurses and 67 percent of the assistant nurses had been subjected to physical violence and 66 percent of the nurses and 93 percent of the assistant nurses had been subjected to psychological violence. No correlations between the prevalence of violence and gender and years of work experience were observed in this study. Conclusion: This gives a status report of violence against nurses and assistant nurses and indicate tendencies that there are other risk factors in the emergency room's work environment and between caregivers and caretakers that are important to understand in order to produce effective violence prevention measures.
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Hutson, Sydney Nicole. "Understanding Social, Legal, Economic, and Spatial Barriers to Healthcare Access in El Paso County, Texas Colonias| An Examination of Structural Violence Using Mixed Methods." Thesis, University of Colorado at Denver, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10276261.
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Healthcare access is a highly reported problem for immigrant populations in the United States, especially for Hispanic migrants at the US-Mexico border. This statement holds particularly true for populations living in unincorporated communities known as colonias in the borderland region. Residents of a colonia are estimated to suffer from preventable or treatable illnesses including tuberculosis, hepatitis A, cholera, hypertension, type 2 diabetes, depression, substance abuse, among other health problems, at two to four times the national average (Matthiesen 1997; Anders et al. 2010:366; Mier et al. 2013:208; Sharkey et al. 2011; Davidhizar 1999). This apparent disparity is a result of unequal healthcare access due to social, legal, economic, and physical/spatial barriers. Using a structural violence framework as a lens, this study attempted to determine the barriers impeding access to healthcare for colonia residents, as well as analyze the interrelationships between the types of barriers. This study utilized semi-structured interviews to gain an understanding of perceived social, legal, spatial/physical, and other suggested barriers preventing healthcare access in El Paso County, TX colonias. In order to fully demonstrate the role of spatial/physical barriers on access to care, this study utilized Geographic Information Systems (GIS) to map obstacles in the targeted communities.
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Borgström, Caisa, and Frida Robertsson. "Kvinnor som blivit våldsutsatta av en manlig partner : så upplever de vårdpersonalens bemötande." Thesis, Kristianstad University, School of Health and Society, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-7183.
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Bakgrund: Våld mot kvinnor i partnerrelationer är ett stort samhällsproblem och varje år dör ungefär 17 kvinnor till följd av våldet. När kvinnorna besöker hälso- och sjukvården kan en unik möjlighet ges att upptäcka partnervåldet. Syfte: Syftet med litteraturstudien var att beskriva hur kvinnor som blivit våldsutsatta av en manlig partner upplever vårdpersonalens bemötande. Metod: En allmän litteraturstudie gjordes som baserades på 14 vetenskapliga artiklar. Resultat: Kvinnorna upplevde att vårdpersonalen inte vågade ställa frågan om partnervåld, dock hade de flesta positiva upplevelser av att vårdpersonalen satt ner och lyssnade på dem. Upplevelser av att integriteten och autonomin inte respekterades förkom och även att fokus låg på de fysiska skadorna och att det psykiska välbefinnandet glömdes bort. Diskussion: Diskussionen belyser fyra centrala fynd; att vårdpersonalen inte vågade ställa frågan, positiva bemötanden gällande att vårdpersonalen var närvarande och lyssnade på kvinnorna, att kvinnorna inte blev respekterade och tagna på allvar samt att kvinnornas psykiska välbefinnande glömdes bort. Slutsats: De flesta kvinnor som blivit utsatta för partnervåld upplevde att vårdpersonalen inte bemötte dem på det sätt de önskade och kvinnorna fick därmed inte den hjälp de var i behov av.
Introduction: Intimate partner violence (IPV) against women is a big public health problem and every year about 17 women die in Sweden as a consequence of this. When the women seek healthcare, there can be a unique opportunity to discover IPV. Aim: The aim was to describe how women subjected to IPV experience how they were handled by healthcare professionals (HCP). Method: An overview based on 14 scientific articles was made. Result: The women experienced that the HCP did not have the courage to question about IPV but they had positive experiences regarding that the HCP sat down and listened. The result also showed a lack of respect for the integrity and autonomy and that the HCP often only treated the injuries and forgot about their psychological well-being. Discussion: Four central findings were highlighted; the HCP do not have the courage to ask about IPV, positive handling regarding the HCP were presence and listened, the lack of respect and not to be taken seriously and that the psychological well-being was forgotten. Conclusion: Most of the women experienced that the HCP did not handle them in the way they wanted, which resulted in the women not getting the help they needed.
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Hellgren, Emma, and Josefin Mårtensson. "Utsatt för sexuellt våld : En litteraturöversikt om kvinnors upplevelser av hälso- och sjukvården." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-7215.
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Bakgrund: En av tre kvinnor i världen har upplevt sexuellt eller fysiskt våld. Det utbredda våldet som kvinnor utsätts för orsakar allvarliga kortsiktiga och långsiktiga fysiska och psykiska hälsoproblem för kvinnor. Sexuellt våld är ett omfattande folkhälsoproblem. Hälso- och sjukvården möter kvinnor som utsatts för sexuellt våld inom olika instanser och kan vara den första professionella kontakten efter sexuellt våld. Hälso- och sjukvården har skyldigheter att erbjuda adekvat vård och kompetens och kunskap är viktigt. Syfte: Syftet var att beskriva hur kvinnor som utsatts för sexuellt våld upplever hälso- och sjukvården. Metod: En litteraturöversikt har genomförts. Elva vetenskapliga artiklar insamlades från databaserna PubMed och CINAHL Complete. Likheter och skillnader i artiklarnas resultat identifierades och analyserades. Resultat: Analysen av upplevelser av hälso- och sjukvården hos kvinnor som utsatts för sexuellt våld resulterade i fem teman. Dessa var bemötande, information, delaktighet, vårdmiljö och medicinskt omhändertagande. Diskussion: Metod och resultat har diskuterats. Delar av litteraturöversiktens resultat diskuterades utifrån Callista Roys teori om adaption kombinerat med övrig litteratur, tidigare forskning och författarnas egna reflektioner. Resultatdiskussionen berör aspekter som känsla av upprepad utsatthet, mötet med hälso- och sjukvården, en jämlik hälso- och sjukvård, behovet av adaption, roller och förväntningar, stimuli och hur information skapar delaktighet.Background: One of three women worldwide have experienced sexual or physical violence. The violence and the abuse that women face causes serious short- and long-term physical and mental problems for women. Sexual violence is an extensive public health problem. Healthcare meets individuals exposed to sexual violence in various healthcare context and have a significant functions for women. Healthcare need to provide adequate/appropriate care and knowledge is important. Aim: The aim of the literature review was to describe how women exposed to sexual violence experience the healthcare. Method: A literature review has been conducted. Eleven original scientific articles were selected from databases PubMed and CINAHL Complete. Similarites and differences were identified and analyzed. Results: The analysis of healthcare experiences of women suffered from sexual violence resulted in five themes. These were treament, information, patient participation, the health facility environment and medical care. Discussion: Methods and results have been discussed. Parts of the literature review were discussed based on Callista Roys theory of adaptation combined with other literature, previous research and the authors own reflections. Aspects such as secondary victimization, equal healthcare, the importance of adaptation, roles and expectations, stimuli and how to improve patient involvement by information, were highlighted.
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Ekbrand, Sandra, and Simon Johansson. "Våldsutsatta kvinnors erfarenheter av mötet med vårdpersonal på akutmottagning : En systematisk litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-59713.
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Bakgrund: Våld i nära relationer är ett globalt problem med stora effekter på kvinnors hälsa. Tidigare forskning visar att våldsutsatta kvinnor upplever brister i det bemötande de fått av vårdpersonal. Akutmottagningen är ofta våldsutsatta kvinnors första, och ibland enda, kontakt med hälso- och sjukvård. Vårdpersonal på akutmottagning har därmed goda förutsättningar att uppmärksamma och vårda denna patientgrupp. Syfte: Studien syftar till att beskriva vilka erfarenheter kvinnor som blivit utsatta för våld i nära relationer har av mötet med vårdpersonal på akutmottagning. Metod: En systematisk litteraturstudie med kvalitativ innehållsanalys av sex kvalitativa artiklar och en artikel med mixad metod utifrån vilka tre kategorier identifierades. Resultat: Kvinnor som blivit utsatta för våld i nära relationer har både negativa och positiva erfarenheter av mötet med vårdpersonal när de söker vård på akutmottagning. Bristande bemötande visade sig genom att kvinnorna kände sig skuldbelagda och att vårdpersonalen uppvisade bristande empati och inte såg bortom kvinnornas fysiska skador. I motsats till detta har en del kvinnor upplevt tillfredsställande bemötande som visade sig genom att vårdpersonalen upplevdes som hjälpsamma och medlidande med en attityd som var empatisk och förstående. Slutsats: För att främja ett gott bemötande från vårdpersonal gentemot den utsatta kvinnan, visade det sig finnas ett behov av kunskap och utbildning kring våldsutsatta kvinnors situation och vilka vårdbehov de kan ha. Ett gott bemötande ökar patientens känsla av delaktighet, lindrar lidande och motverkar att lidande uppkommer till följd av vård.
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Thomas, Anna. "Looking Beyond the Question ?Do You Feel Safe at Home?': What Healthcare Providers Need to Know to Identify, Support, and Appropriately Refer Female Victims of Intimate Partner Violence." Diss., North Dakota State University, 2016. http://hdl.handle.net/10365/25544.
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The purpose of this practice improvement project was to educate healthcare providers about Intimate Partner Violence (IPV). The World Health Organization (WHO) (2014) created a clinical handbook for healthcare providers. This handbook has guidelines on how to address IPV in a healthcare setting (World Health Organization, 2014). WHO used the guidelines to create educational seminars for healthcare providers. This practice improvement project uses Pender?s Health Promotion Model as a theoretical framework. The practice improvement project also uses the Iowa Model as a guide for design and implementation. The author held five educational seminars to educate 42 healthcare providers on the WHO?s clinical guidelines. The author also provided an informational booth at a primary care conference with information about the guidelines listed above. The author created and distributed resource pamphlets to both educational seminar and conference attendees. The attendees of the educational seminars demonstrated knowledge acquisition as a result of the educational seminar. This was determined through pre and posttests that were administered before and after each of the educational seminars, respectively. Knowledgeable healthcare providers are able to identify, support and refer victims of IPV to the appropriate care that they need. Also, as a result of the educational seminars, there was a behavioral change from how healthcare providers were currently practicing to how they intend to practice in the future. This intent to change practice could result in more case findings and referrals for victims of IPV.
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Abuelgasim, Khalda. "“Who do I turn to?” The experiences of Sudanese women and Eritrean refugee women when trying to access healthcare services in Sudan after being subject to gender-based violence." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-355757.
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Aim: To explore the experiences of Sudanese women and Eritrean refugee women in Sudan when seeking healthcare after being subject to gender-based violence. Background: In Sudan there is a general assumption that anyone who is subject violence, including gender-based violence, must first go to the police department to file a report and be given “Form Eight”, a legal document, which they must present to the healthcare provider before they receive any care. Without this form healthcare providers are, supposedly, by law not allowed to treat the person. This complicates an already vague system of services for women subject to gender-based violence. Methods: A qualitative study using semi-structured interviews of eight Sudanese women and seven Eritrean refugee women. Data was analyzed through a framework analysis (a form of thematic analysis). Results: Women had to bring Form Eight before they received any help, this led to a delay in the time to receive care. There was a general lack of cooperation by police officers. Some women feared the consequences of help seeking, apparent amongst those subject to domestic violence and the Eritrean refugee women. Generally, the healthcare provided to these women was inadequate. Conclusion: This study concludes the experiences of all the women in this study when seeking healthcare after being subject to gender-based violence were far from international standards. A lot needs to be done in order for women to know the clear answer to the question posed in the title of this study; “Who do I turn to?”.
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Jönsson, Evelina, and Nilantika Ådin. "Våldsutsatta kvinnors upplevelser av mötet med hälso-och sjukvården." Thesis, Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-25632.
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Kvinnor som utsätts för våld i nära relationer är ett globalt folkhälsoproblem, då våldets konsekvenser innebär ett liv av skuld, skam och lidande hos kvinnorna. Hälso- och sjukvårdspersonalen har en unik och viktig roll i att hitta och identifiera kvinnorna. Syftet med studien var att beskriva hur kvinnor som utsätts för våld i nära relationer upplever mötet med hälso- och sjukvården. En litteraturstudie där tolv vetenskapliga artiklar har granskats och analyserats och som ligger till grund för resultatet. Resultatet bygger på tre kategorier: Att inte bli sedd och hörd, Att känna rädsla, skam och skuld samt Att inte känna stöd. Kvinnorna upplevde ett dåligt bemötande, brist på tid och kontinuitet, vilket också försvårade för kvinnorna att avslöja sin våldsutsatthet. Hälso- och sjukvårdspersonal behöver kunskap om våld i nära relationer samt handlingsplaner och riktlinjer för att bättre förstå och hjälpa den våldsutsatta kvinnan. Mer forskning ur ett patientperspektiv för både manliga och kvinnliga våldsutsatta vore önskvärt.Women who are exposed to domestic violence is a global public health problem as the consequences of violence means a life of guilt, shame and suffering of women. Healthcare professionals have a unique and important role in identifying these women. The aim of the study was to describe how women facing domestic violence experience the encounter with healthcare. A literature study with twelve scientific articles have been reviewed and analyzed and is the basis of the results. Results are based on three categories: Not to be seen and heard, To feel fear, shame and guilt and To not feel support. Women experienced a bad attitude, lack of time and continuity, which makes it harder for the women to reveal their exposure to violence. Healthcare professionals need knowledge about domestic violence and action plans and guidelines to better understand and help the abused woman. More research from a patient perspective for both male and female victims would be desirable.
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Ljung, Evelina, and Victoria Jones. "Hur sexuellt våldsutsatta kvinnor upplever hälso- och sjukvården : En litteraturöversikt." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-8425.
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Bakgrund: Det är ett stort folkhälsoproblem att kvinnor utsätts för sexuellt våld. Det sker ofta i partnerskap därav definieras det inte av kvinnan alltid som övergrepp och mörkertalet är stort. De kvinnor som utsätts kan drabbas av långvarig ohälsa. Tillitsfullt och empatiskt bemötande är hos sjuksköterskan en grundförutsättning i mötet. Det visar att det finns brist i kunskap och förståelse hos sjuksköterskor gentemot kvinnor som utsatts för sexuellt våld. Syfte: Syftet med studien var att beskriva sexuellt våldsutsatta kvinnors upplevelser av hälso- och sjukvården. Metod: En litteraturöversikt har genomförts baserat på elva kvalitativa vetenskapliga artiklar som inhämtats genom systematiska sökningar i databaserna Pubmed och Cinahl Complete. Resultat: I resultatet framkom tre huvudteman, upplevelser av bemötandet, upplevelser av omhändertagandet och betydelsen av att prata om sexuellt våld. Kvinnorna hade positiva upplevelser av hälso- och sjukvården när vårdare bekräftade, respekterade, lyssnade och tog dem på allvar. Kvinnorna hade behov av information, delaktighet och att få prata om deras upplevelser. Negativa upplevelser var att de kände sig oförstådda, förbisedda och dömda. Slutsats: Kvinnorna som blivit utsatta för sexuellt våld upplever hälso- och sjukvården till stor del som kränkande, dömande och med ett oförstående bemötande. Väntan på hjälp upplevdes svår. Brist på kunskap och erfarenhet hos vårdare ledde till att kvinnorna kände sig osäkra i sjukvårdspersonals närvaro. Det förekom även upplevelser som var positiva när sjukvårdpersonalen bekräftade kvinnorna, lyssnade, involverade dem i omvårdnaden och gav tillräcklig information. Det framkom att kvinnlig vårdare föredrogs. Sjuksköterskor borde fokusera mer på att bekräfta kvinnorna, lyssna och vara mer stöttande.Bakground: It is a major public health problem that women are exposed to sexual violence. It often happens in partnership, therefore it isn´t always defined by the woman as abuse and the number of unknown cases are high. Women are exposed to long-term ill health. The nurse's trusting and empathetic treatment is a fundamental condition for the meeting. This shows that there is a lack of knowledge and understanding among nurses towards women who have been subjected to sexual violence. Aim: The purpose of the study was to describe sexually abused women's experiences of health care. Method: A literature review has been conducted based on eleven qualitative scientific articles obtained through systematic searches in the databases Pubmed and Cinahl Complete. Results: The results revealed three main themes, experiences of the treatment, experiences of the care and the importance of talking about sexual violence. The women had positive experiences of health and medical care when caregivers confirmed, respected, listened and took them seriously. The women needed information, participation and to be able to talk to about their experiences. Negative experiences were that they felt misunderstood, overlooked and judged. Conclusion: Women who have been subjected to sexual violence experience health care to a large extent as abusive, judgmental and with an incomprehensible treatment. Waiting for help was experienced as difficult. Lack of knowledge and experience among caregivers led to women feeling insecure in the presence of health care professionals. There were also experiences that were positive when the medical staff confirmed the women, listened, involved them in the care and provided sufficient information. It turned out that female caregivers were preferred. Nurses should focus more on confirming women, listening and being more supportive.
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Cavalcante, Maria Michelle Bispo. "ViolÃncia intrafamiliar contra a mulher: um estudo sobre a produÃÃo do cuidado na estratÃgia saÃde da famÃlia." Universidade Federal do CearÃ, 2013. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=10664.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorA violÃncia intrafamiliar contra a mulher ganhou visibilidade social a partir da dÃcada de 80, quando o pacto do silÃncio que gira em torno dessa problemÃtica deu indÃcios de fragilidades. Atualmente as agressÃes intrafamiliares contra a mulher advindas do parceiro alcanÃam 42,2% de todas as agressÃes femininas no Brasil. Assim, reflete-se sobre o cuidado ofertado a estas vÃtimas na estratÃgia saÃde da famÃlia, considerada primeira porta do setor saÃde, à fundamental. O presente estudo objetiva compreender como acontece a produÃÃo do cuidado Ãs mulheres vÃtimas de violÃncia intrafamiliar na visÃo dos enfermeiros e agentes comunitÃrios de saÃde da EstratÃgia SaÃde da FamÃlia de Sobral, CearÃ. Trata-se de uma pesquisa compreensiva de natureza qualitativa, com abordagem exploratÃria descritiva que utilizou a tÃcnica do CÃrculo HermenÃutico DialÃtico, para a coleta das informaÃÃes e a AnÃlise do Discurso para o tratamento destas. O perÃodo da coleta se deu entre setembro e dezembro de 2012 e teve como cenÃrio os trÃs Centros de SaÃde da FamÃlia que mais notificaram casos de violÃncia intrafamiliar contra a mulher no triÃnio de 2009 a 2011. Os sujeitos constituÃram-se de 08 enfermeiros e 11 ACS que atuavam nestas localidades hà pelo menos um ano e concordaram com a anuÃncia de participaÃÃo voluntÃria na pesquisa, registrada atravÃs do Termo de Consentimento Livre e Esclarecido; atendeu-se a ResoluÃÃo 196/96 do Conselho Nacional de SaÃde, recebendo aprovaÃÃo do Comità de Ãtica em Pesquisa da Universidade Estadual Vale do AcaraÃ, por meio do CAEE n 01762512.7.0000. Os resultados organizados em trÃs categorias, a saber: AtenÃÃo à mulher vÃtima de violÃncia intrafamiliar; sentimento dos profissionais da ESF diante dos casos de violÃncia intrafamiliar contra a mulher e Potencialidades e Vulnerabilidades da ESF de Sobral na produÃÃo do cuidado Ãs mulheres vÃtimas de violÃncia intrafamiliar, apontam para a extrema fragilidade do cuidado ofertado Ãs mulheres vÃtimas de violÃncia intrafamiliar na percepÃÃo dos sujeitos, uma vez que aÃÃes fundamentais à sua efetivaÃÃo como: acolhimento, acompanhamento, escuta qualificada, orientaÃÃes e apoio destes profissionais Ãs mulheres vÃtimas de violÃncia intrafamiliar sÃo negligenciados pela desorganizaÃÃo dos serviÃos e magnitude da demanda, a ineficiÃncia das Redes de AtenÃÃo à SaÃde, qualificaÃÃo insuficiente dos profissionais para lidar com a problemÃtica, inexistÃncia de um fluxograma orientador na conduÃÃo dos casos, subnotificaÃÃo de casos, sentimento de solidÃo e impotÃncia dos profissionais envolvidos, indefiniÃÃo do papel da saÃde na atenÃÃo aos eventos violentos, carÃncia de apoio da gestÃo municipal, fragilidade do sistema judiciÃrio e a postura passiva da mulher frente ao evento violento constituem-se em barreiras à produÃÃo do cuidado. Salienta-se que embora a ESF de Sobral, conte com inÃmeras parcerias intra e extrasetoriais, equipes multiprofissionais, empatia e interesse de alguns profissionais em trabalhar com a temÃtica, recurso mÃdico no tratamento das lesÃes, caminhos ainda necessitam ser percorridos rumo à efetivaÃÃo da longitudinalidade do cuidado da mulher vÃtima de violÃncia intrafamiliar na ESF de Sobral, com a assunÃÃo de uma postura congruente com a PolÃtica Nacional de Enfrentamento à ViolÃncia contra as Mulheres.
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Pereira, Paula dos Santos. "Mulheres em situação de violência: percepções sobre a perpetuação da violência em suas vidas." Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/7059.
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Violence in women’s lives can start in their childhood and perpetuate in adulthood. This indicates that such experiences tend to be transmitted intergenerationally, compromising family structure. This research aimed to understand intergenerational violent behavior in the lives of female victims of violence and to identify their perceptions about the performance of healthcare professionals in the context of their care. A qualitative strategic social research was carried out in the Psychology Service of the Program for Prevention of Violence and Health Promotion, of the Epidemiological Surveillance Control of the Municipal Health Department of Aparecida de Goiânia, GO. Data were collected using a recorded semi-structured interview with ten adult women who are or were in situation of violence and analyzed after transcription using content analysis based on themes. As a result of this process, four categories emerged: “family context of childhood”, “intergenerational violent behavior”, “future expectations”, and “the context of the net of attention to violence against women”. The results showed that violence has been present in these women’s lives since their childhood, that they identify the influence of this phenomenon on their affective relationships and on their children’s lives, which compromises their future lives, and that healthcare services were not perceived as places to support victims, showing the need for changes in the conduction of these cases. It was possible to conclude that violence against women has short-, medium-, and long-term consequences and that this behavior may be transmitted to future generations through a learning process. The performance of healthcare professionals was perceived as deficient, and therefore it is not a reference of support for the victims. Based on the results of this study, we suggest interventions in the victims’ families, broader diffusion of information and qualification on the theme to healthcare professionals and inclusion of the theme violence in college syllabi.
A violência na vida da mulher pode se iniciar desde a sua infância, perpetuando-se em sua vida adulta. Isso denota que tais experiências tendem a ser transmitidas intergeracionalmente, comprometendo todo o cenário familiar. Esta pesquisa teve como objetivos compreender a intergeracionalidade do comportamento violento na vida de mulheres vítimas de violência e identificar suas percepções sobre a atuação do profissional de saúde no contexto de seu atendimento. Foi realizada uma pesquisa social estratégica de abordagem qualitativa, tendo como campo de estudo o Serviço de Psicologia do Programa de Prevenção às Violências e Promoção da Saúde, da Vigilância Epidemiológica da Secretaria Municipal de Saúde de Aparecida de Goiânia, GO. Participaram da pesquisa dez mulheres adultas que estiveram ou estão em situação de violência. Os dados foram coletados por meio de entrevista semiestruturada gravada e, após a transcrição, analisados por meio de análise de conteúdo modalidade temática. A partir disso, emergiram quatro categorias: “o contexto familiar da infância”, “a intergeracionalidade do comportamento violento”, “as expectativas futuras” e “o contexto da rede de atenção à violência contra a mulher”. Os resultados mostraram que a violência está presente na vida dessas mulheres desde a sua infância, que elas identificam a influência deste fenômeno em suas relações afetivas e na vida de seus filhos, comprometendo também suas vidas futuras, e que os serviços de saúde não foram percebidos como locais de apoio às vítimas, mostrando a necessidade de mudanças nas condutas diante destes casos. Conclui-se que a violência contra a mulher gera consequências a curto, médio e longo prazos e que se trata de comportamento que pode ser transmitido para as demais gerações por meio do processo de aprendizagem. Já a atuação dos profissionais da saúde foi percebida como deficitária, não sendo uma referência de apoio às vítimas. Com base nos resultados desta pesquisa, sugerem-se intervenções nas famílias das vítimas, maior divulgação de informações e capacitações sobre o tema para os profissionais da rede e inserção da temática violência em grades curriculares.
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Ulianova, Diliana, and Emma Sten. "Hot och våld på arbetsplatsen : En kvalitativ studie om chefers arbete för att hantera och förebygga problematiken." Thesis, Linnéuniversitetet, Institutionen för socialt arbete (SA), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-80234.
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Purpose: the aim with this study was to examine how managers in healthcare services, focusing on people with functional variants, work with threats and violence that users exercise against caretakers. Method: Study was conducted through qualitative interviews based on the theoretical framework; hermeneutics. To collect empirical data seven managers in personal assistance and LSS housing in southern Sweden were interviewed. Theory: The results shows that the managers need discretion to handle threat and violence that occur within their operations. The discretion is partly controlled by the conditions that exist in the organization and the managers therefore deem that they need to look at all aspects of the situation. Results: The result shows that there are different variants of threats and violence in the managers operations and that the severity level differs. Further emerges that the managers perception of the incidents is for example based on their knowledge of the functional variant that the users have or on the caretakers treatment towards them. The result also shows that the managers are responsible for creating routines, guidelines, action plans and investigating incidents. Furthermore, they are responsible for ensuring that employees can handle situations that arise. It appears in the result that the caretakers are responsible for following routines, guidelines and action plans that have been established and for reporting incidents that occur to their manager. However, reporting is not always done for various reasons. When incidents have been reported to the managers the result shows that the managers assessments differ. This means that the statistics on reports could be misleading. Circumstances that the respondents believe can make preventative work more difficult are, among other things, lack of time, finances, knowledge, unclear directives from the work environment authority and large staff turnover.
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Öhrman-, Hojan Lisa, Johansson Simon Landén, and Rojas Andres Guerra. "Sjuksköterskans upplevelse av våld på akutmottagningen : -En litteraturöversikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-38565.
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Våld mot vårdpersonal är ett aktuellt ämne och ett växande problem världen över. Till akutmottagningen kommer akut svårt sjuka vårdsökande för undersökning och behandling. Sjuksköterskor som arbetar på en akutmottagning jobbar i en utsatt position där våld ofta förekommer och det finns en mängd olika faktorer som bidrar till att våld uppstår. Syftet med denna litteraturöversikt var att studera sjuksköterskors upplevelse av våld på en akutmottagning. En litteraturöversikt av analys av tio vetenskapliga artiklar som var utförda med kvalitativ metod. Artiklarna är publicerade mellan åren 2008-2017 och har bearbetats för att få en inblick i hur sjuksköterskor upplever våld på akutmottagningarna. I detta examensarbete söktes det efter artiklar på ett metodiskt vis i databaserna Cinahl och Medline. Dataanalysen mynnade ut i fyra huvudteman: “Rädsla och oro”, “Maktlöshet och frustration”, “En del av jobbet” och “ Försämrade (vård)relationer” som presenteras i resultatet. Litteraturöversikten visar slutligen att sjuksköterskor upplever en påverkan på både inställning till arbetet men även på sociala relationer samt en försämrad kvalitet på omvårdnadsarbetet.Violence against healthcare workers is a current issue and a growing problem all over the world. Patients with acute and severe illness goes to the emergency department, ED, to seek treatment. Nurses working in the ED are in a vulnerable position where violence has a high prevalence and is often present at the ED. There are a variety of factors that contributes to the emergence of violence. Thus the aim of this literature review was to explore the nurse's perception of violence in the ED. A literature review of analysis of ten scientific articles carried out with qualitative method. The articles are published between 2008-2017 and have been processed to gain an insight into how nurses experience violence at ED. Furthermore the search for articles in this literature review was conducted in a methodical way and extracted from the two databases Cinahl and Medline. The data analysis resulted in four main themes: "Fear and worriness", "Powerlessness and frustration", "A part of the job" and "A deterioration in relations" presented in the result. This literature review shows that nurses experience a variety of things and feelings when they are exposed to violence and these experiences leads to an impact on both the personal attitude towards the work, but also has an effect on the social relationships and the quality of the patient related work.
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Johansson, Alexander, and Evelina Stjerndorff. "Kvinnors upplevelser av omvårdnad efter att ha blivit utsatta för våld i nära relationer : En litteraturöversikt." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-16816.
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Bakgrund: Våld i nära relationer mot kvinnor är ett globalt folkhälsoproblem och skapar ett lidande hos de utsatta på flera plan och dessa kvinnor är i särskilt behov av stöd. Vårdpersonal har en viktig roll i att möta dessa kvinnor, där hela människan måste tas i beaktande. Kunskapsbrist och organisatoriska brister försvårar mötet med kvinnor som blivit utsatta för våld. Syfte: Beskriva hur kvinnor som blivit utsatta för våld i nära relationer upplevde omvårdnaden från vårdpersonalen. Metod: Litteraturöversikt där elva kvalitativa artiklar analyserades. Resultat: I resultatet framkommer det fyra huvudteman och två subteman. (1) Vårdpersonalens attityder och bemötande; vikten av tid, utsatt patientgrupp. (2) Betydelsen av att vårdpersonal frågar om våld. (3) Fokus på symtom. (4) Upplevelser av stöd och hjälp. Konklusion: Vårdpersonal behöver mer utbildning, tydliga riktlinjer och stöd/handledning från arbetsplatsen. Relationen mellan vårdpersonal och den utsatta kvinnan behöver präglas av en trygg miljö, tillit och medmänsklighet.Background: Violence against women is a major public health problem and creates a suffering on several levels and these women are in particular need of support. Healthcare professionals have an important role in meeting these women, where the whole person must be considered. Lack of knowledge and organizational shortcomings complicate the encounter with women who have been exposed to violence. Aim: The aim of this study was to describe women’s experiences of care whom been a victim of violence in close relationship. Method: Literature review where eleven qualitative articles were analyzed. Result: The result shows four main themes and two sub-themes. (1) Attitudes and treatment of healthcare professionals; the importance of time, exposed patient group. (2) The importance of healthcare professionals asking about violence. (3) Focus on symptoms. (4) Experiences of support and help. Conclusion: Healthcare professionals need more education, clear guidelines and support/supervision from the workplace. The relationship between healthcare professionals and the women needs to be characterized by a safe environment, trust and compassion.
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Wiking, Linnea, and Viktoria Svenns. "Att vårda kvinnor som upplevt våld i en nära relation, en litteraturstudie om vårdpersonalens perspektiv." Thesis, Högskolan Dalarna, Omvårdnad, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:du-25156.
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Bakgrund: Studier visar att en av tre kvinnor världen över har blivit utsatta för våld i en nära relation. Våld i nära relationer finns i alla samhällsklasser och är ett världshälsoproblem. Vårdpersonal kommer ofta i kontakt med kvinnor som blivit utsatta för våld av en manlig partner. Många kvinnor mister livet varje år på grund av konsekvenserna från våldet. Syfte: Att beskriva vårdpersonalens erfarenheter av att vårda kvinnor som blivit utsatta för våld i en nära relation. Metod: Designen är en litteraturöversikt. Datainsamling har skett i databaserna Cinahl och PubMed. Resultat: Resultatet är baserat på 15 vetenskapliga artiklar och visade tre huvudområden: identifiering av kvinnor som lever med våld i en nära relation, hinder för att kunna identifiera de utsatta kvinnorna och vårdpersonalens möte med kvinnor som lever med våld i en nära relation. Vårdpersonalen upplevde svårigheter att identifiera kvinnor som blivit utsatta för våld i nära relationer. Hinder för att utföra screening var framförallt brist på kunskap och utbildning hos vårdpersonalen. Vårdpersonalen upplevde det svårt att möta våldsutsatta kvinnor, på grund av att det fanns svårigheter att distansera sig från de utsatta kvinnorna. Slutsats: Utifrån denna studie kan slutsatsen dras att riktlinjer, kunskap och träning behövs samt rutiner för att kunna utföra screening, för att vårdpersonalen ska kunna identifiera och ge kvinnor som lever med våld i nära en relation en god vård.Background: Studies show that one of three women worldwide are exposed to intimate partner violence. Intimate partner violence exists in all social classes and is a global health problem. Healthcare professionals often come in contact with women who have experienced intimate partner violence. Many women lose their lives each year as a result from the violence. Purpose: To describe the healthcare professionals experience of taking care of women who have experienced intimate partner violence. Method: The method is a literature review. Data collection has taken place in databases Cinahl and PubMed. Results: The results is based on 15 scientific articles and three main areas emerged in the outcome: identification of women who lives with intimate partner violence, barriers to identifying the vulnerable women and healthcare professionals meeting with women who have experienced intimate partner violence. Healthcare professionals experience difficulties in identifying women who were exposed to intimate partner violence. Barrier to performing screening were primarily lack of knowledge and training in healthcare professionals. The healthcare professionals experienced it difficult to meet women who lived with intimate partner violence, due to the difficulty of distancing themselves from vulnerable women. Conclusions: From this study, the clue can be drown that guidelines, knowledge and training are needed, and also routines for screening, in order to identify women who are living with intimate partner violence.
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Larsson, Camilla, and Emelie Andersson. "Kvinnors upplevelser av att leva i en relation präglad av våld : En studie baserad på självbiografier." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-16840.
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Bakgrund: Våld i nära relationer drabbar främst kvinnor. Normaliseringsprocessen får kvinnan att anpassa sig efter mannen, detta medför isolering, känslor av skam och värdelöshet vilket resulterar i ett lidande. Sjuksköterskans ansvar är att möta och lindra lidande genom ett förhållningssätt som bygger på respekt och empati. Syfte: Syftet var att belysa kvinnors upplevelser av våld i nära relationer. Metod: En kvalitativ metod valdes och en kvalitativ innehållsanalys användes för att analysera sex självbiografier. Resultat: I resultatet framkom nio kategorier med tre teman; Anpassning, Att leva under hot och Att kontrollera situationen. Slutsats: Genom kvinnors upplevelser kan sjuksköterskan få ökad kunskap angående våld i nära relationer. Förståelse för vikten av att ställa frågan angående våld och ett respektfullt bemötande var avgörande för att tillit ska skapas.Background: Violence in close relationships mainly affects women. The normalization process causes the woman to adapt to the man, this results in isolation, feelings of shame and worthlessness which results in suffering. The nurse's responsibility is to meet and alleviate suffering through an approach that is based on respect and empathy. Purpose: The aim was to highlight women's experiences of intimate partner violence. Method: A qualitative method was chosen and a qualitative content analysis was used to analyze six autobiographies. Result: In the result, nine categories with three themes emerged; Adaptation, Living under threat and To control the situation. Conclusion: Through women's experiences, the nurse can gain more knowledge about intimate partner violence. Understanding the importance of asking the question about violence and a respectful manner was crucial to creating trust.
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Smyth, Catherine Jane. "How health visitors from one healthcare organisation in the north of England endeavour to meet the perceived needs to Pakistani mothers living with violence and abuse and the challenges they encounter in keeping such women safe." Thesis, University of Huddersfield, 2016. http://eprints.hud.ac.uk/id/eprint/30278/.
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Domestic abuse is a public health issue with long term health and social consequences for its victims. The prevalence of domestic abuse among women seeking healthcare is higher than in the general UK population and often begins or worsens in pregnancy. Health visitors, because of their role with pregnant women and mothers are in a key position to offer both supportive interventions and to play a preventative role in domestic abuse. The aim of this research is to improve understanding of issues health visitors face when working with Pakistani mothers living with domestic abuse. The study is set in the north of Britain in an area that has experienced chain migration and settlement from the Mirpur and Faisalabad regions of Pakistan since the 1970s. Taking a qualitative approach and informed by a critical realist perspective, first-hand accounts from health visitors working in the area are used. The findings of the study confirm that domestic abuse perpetrated against some Pakistani mothers is a complex aspect of health visiting practice compounded by deep rooted cultural and social practices within many Pakistani families. The key challenge health visitors face appears to be non-disclosure of abuse by many Pakistani women and the main approach taken by health visitors in this situation is predominantly one of harm minimisation. Inconsistencies in practice were however noted. Three overarching themes were found from the analysis of the data which depict the challenges health visitors face and the endeavours they take to keep women safe. The theme of Presence depicts a range of actions linked to ‘seeing’ or ‘being with’ women and includes carrying out repeated enquiry into abuse. Role Strain describes how the health visitors express difficulty in fulfilling the various demands and expectations of the role. The term Covert Actions encompasses a range of seemingly hidden or concealed activities undertaken by health visitors in an endeavour to maintain Presence. The study provides useful insight into the forms of evidence many health visitors deem can legitimately inform their clinical interventions when working with this population group and succeeds in extending current understanding of the types of knowledge health visitors draw from to inform their decisions in this specific area of practice. It also provides awareness of the wider challenges health visitors can encounter when working more generally among collectivist and honour-based communities and raises questions about some of the philosophical assumptions usually associated with Western models of healthcare. Implications for practice are that mainstream domestic abuse interventions should be used with sensitivity to the different cultural contexts in which many Pakistani mothers live, and attempts should be made to develop appropriate interventions that derive from those contexts. This includes holistic assessment tools that are flexible enough to allow clinical judgements to be informed by the more subjective elements of evidence gathering and which take into consideration the impact of the multiple oppressions some women encounter. Recommendations for service providers are that they should take a broader view of domestic violence that recognises ‘difference’ and therefore enables health visiting interventions to be flexible and responsive to differing need. This includes considering more community-based interventions among certain population groups.
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karlsson, Sandra, and Jasamin Kianfar. "Tecken på våld mot kvinnor i nära relation : Vad röntgensjuksköterskan kan upptäcka i sin yrkesroll." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för naturvetenskap och biomedicin, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49179.
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Bakgrund: Våld mot kvinnor är ett världsproblem. Vårdpersonal har ingen anmälningsplikt vid misstanke av våld mot vuxna. Vikten att lyfta fram mest förekommande tecken i samband med våld i nära relation anses viktigt för att ge vårdsökanden adekvat hjälp och stöd. Syfte: Syftet med studien var att belysa typiska tecken på våld i nära relationer på kvinnor som röntgensjuksköterskan kan upptäcka inom yrkesrollen Metod: En litteraturstudie med kvalitativ ansats genomfördes. Databaserna Cinahl, Medline och PsyckINFO har använts för sökning vilket resulterade i 16 artiklar. Efter analys av dessa artiklar skapades två huvudkategorier med subkategorier. Resultat: Våld relaterade situationer börjar ofta med psykiskt våld för att senare utvecklas till olika grad av fysiskt våld. Skadorna sker över hela kroppen men mest runt huvud, ansikte och hals området. Det har visat sig att strypning är en av bakomliggande orsaker till många våldsrelaterade dödsfall. Två grupper som framkom var synliga och dolda tecken. Diskussion: Trots satsningar fortsätter våld mot kvinnor. För att bekämpa detta är det högst nödvändigt att myndigheter samarbetar och tar ansvar. Slutsats: Den våldutsatte befinner sig oftast i chocksituation och är känslig mot omgivningen. Korrekt omhändertagande är viktigt för att minska negativa känslor.Abstract: Signs of interpersonal violence towards women- what radiographer can detect Background: Domestic violence is a worldwide problem. Healthcare professionals in Sweden has no responsibility to report domestic violence against adults. It is important to raise awareness about common signs of domestic violence and give healthcare seekers adequate help. Purpose: The aim is to illustrate typical signs of domestic violence against women which radiographers can discover in the profession. Method: A literature research in databases Cinahl, Medline and Psykinfo was used to find 16 scientific articles. After analysing articles, two categories, with subcategories were created. Results: Violence-related injuries often start with mental violence and develop into different degrees of physical violence. Injuries appear in all parts of the body, studies have shown that the head, face and neck region are most usually affected. Also known is that strangulation is the cause of many violent related deaths. Discussion: Violence against women still continues. To overcome this problem, it is necessary for all involved authorities to cooperate and take responsibility. Conclusion: The victim is usually in shock and sensitive towards the environment. Proper care is important to reduce the negative emotions the victim may encounter.
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Hurtig, Kawsar. "Se mig, jag finns : En litteraturöversikt av vårdpersonalens bemötande av våldutsatta kvinnor inom hälsosjukvården." Thesis, Röda Korsets Högskola, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-2582.
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Background: In 2015, 17,000 reports were made of about assault cases in Sweden. In 46% of the reports the perpetrator was in a close relationship with the victim. When the victims of violence seek care, healthcare staff lacks routines and resources to pay attention to and respond to women adequately, despite the fact that the healthcare system has legal responsibility to prevent, detect and identify violence. Hence the interest in how healthcare professionals meet these women and what routines and resources are available in health care to support women with violence. Aim: The literature review’s aims was to map the encounter of women who are exposed to violence in close relationships with a male partner. Method: A general literature review based on qualitative and quantitative articles. Result: Healthcare professionals pay attention to and rarely respond to vulnerable women in healthcare due to lack of knowledge and education. Lack of routines and resources prevents healthcare professionals from responding to and providing adequate support to women with violence. Conclusions: The conclusion that can be drawn is that the predominantly affected person's lack of treatment and the lack of routines and resources of the healthcare system is the woman who is the victim of violence. Suggestions for Continuing Research: To research how healthcare is working with the shortcomings that presents in the encounter of women who experience intimate partner violenceBakgrund: År 2015 gjordes 17 000 anmälningar om misshandelsbrott i Sverige. I 46% av anmälningarna var gärningsmannen i en nära relation med offret. När de våldsutsatta kvinnorna söker vård saknar vårdpersonal rutiner och resurser för att uppmärksamma och bemöta kvinnorna på adekvat sätt, trots att hälso- och sjukvården har lagstadgat ansvar att förebygga, upptäcka och identifiera våld. Därav intresset för hur vårdpersonal bemöter dessa kvinnor och vilka rutiner och resurser som finns inom hälso- och sjukvården att ge stöd till våldsutsatta kvinnor. Syfte: Litteraturöversikten syftade till att kartlägga hälso- och sjukvårdens bemötande av kvinnor som utsätts för våld i nära relation av en manlig partner. Metod: En allmän litteraturöversikt baserad på kvalitativa och kvantitativa artiklar. Resultat: Vårdpersonal inom hälso- och sjukvården uppmärksammade och bemötte sällan våldsutsatta kvinnor i vården på grund av bristande kunskap och utbildning. Brister i rutiner och resurser hindra vårdpersonalen från att bemöta och ge adekvat stöd till våldsutsatta kvinnor. Slutsatser: Slutsatsen som kan dras är att den som främst drabbas av vårdpersonalens bristande bemötande samt hälso- och sjukvårdens bristande rutiner och resurser, är den våldsutsatta kvinnan. Förslag på fortsatt forskning: Efterforska vidare hur hälso- och sjukvården arbetar med bristerna som framkommer i bemötandet med våldsutsatta kvinnor.
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Pedrosa, Claudia Mara. "O cuidado às pessoas que sofreram violência sexual: desafios à inovação de práticas e à incorporação da categoria gênero no Programa Iluminar Campinas." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-01042011-083026/.
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Este trabalho teve por objetivo compreender como as noções de gênero estão presentes no processo de elaboração e de implantação das políticas públicas de saúde no Brasil, com foco em uma rede de atenção à violência O trabalho está organizado em duas partes: na primeira, teórica, realizou-se uma revisão da literatura e de documentos de domínio público sobre as políticas públicas de Saúde, bem como sobre as políticas de gênero e de combate à violência contra a mulher e as interfaces desta com a Saúde. Na segunda parte foi realizado um estudo de caso tendo como foco o Programa Iluminar Campinas, uma rede criada pela Coordenadoria de Saúde da Mulher, em 2001, para atender os casos de violência doméstica contra crianças e adolescentes, de violência sexual em qualquer idade ou sexo e de exploração sexual comercial de crianças e adolescentes. Buscou-se entender se a transversalidade de gênero atravessa o programa de atendimento à violência nas diferentes práticas, bem como analisar o modelo de gestão de cuidado que o programa desenvolve no cotidiano das ações. A perspectiva teórica do estudo foi a Teoria Ator Rede (TAR) que apresenta ferramentas de pesquisa para acompanhar as diversas estratégias desenvolvidas; os atores envolvidos foram ouvidos e buscou-se identificar os papéis desempenhados pelas diversas materialidades envolvidas nestas ações. Assim, a metodologia envolveu a análise de documentos, entrevistas e observações de eventos do Programa Iluminar. A análise possibilitou identificar que a organização do cuidados em Campinas tem inovado no atendimento aos casos de violência sexual, articulando diferentes setores, como Educação, Assistência Social, Segurança Pública, Judiciário, Saúde e organizações não-governamentais para promover o acolhimento humanizado e diferenciado às pessoas em diversos pontos da rede de cuidados; reduzir o tempo de atendimento às urgências e emergências; possibilitar o transporte público gratuito e seguro e gerar políticas locais com os dados da notificação. O Programa agregou diversas materialidades na organização do cuidados e gerou um novo olhar para a questão da violência entre os profissionais e a população. Porém, a transversalidade da noção de gênero das diferentes ações de forma a contemplar casos como os de violência por parceiro íntimo - ainda é um desafio a ser superado pelo Programa Iluminar, para ampliar o acesso a serviços e programas que consigam intervir na violência de gêneroThis study aims to understand how notions of gender are presented in the design and implementation of a public health policy in Brazil, with focus on a network on violence. The text is organized into two parts: the first part, theoretical, is a review of the literature and public domain documents on public health policies and policies on gender and violence against women, and its interface with the health sector. In the second part we conducted a case study that focused on the Programa Iluminar (Illuminating Program), a network created in Campinas, which was created by the Coordination of Women\'s Health in 2001, for dealing with cases of domestic violence against children and adolescents survivors of sexual violence at any age or sex, and commercial sexual exploitation of children and adolescents. We sought to understand whether gender mainstreaming through the assistance program to violence in their various practices and analyze the model of care management that the program develops in the daily actions. The theoretical perspective that guided the study was the Actor Network Theory (TAR), which provides tools for monitoring the various strategies developed, the stakeholders were heard and tried to identify the roles of various materiality involved in these actions. Thus, the methodology involved the analysis of institutional documents, interviews and observations of network meetings of the Iluminar Program.The analysis identified that the organization of the care network in Campinas has been an innovator in the care of patients with sexual violence, to articulate different sectors such as Education, Social Services, Public Safety, Judiciary, Health and nongovernmental organizations to promote the humane care and different people in different parts of the network of care, reduce the time to serve the emergency care, allow free public transport and insurance and generate local politics to the notification. The program has added a number of materiality in the organization of the care network and created a new look at the issue of violence among professionals and the public. However, the mainstreaming of gender concept of different actions such as including violence by intimate partners - is still a challenge to be overcome by the Programa Iluminar to expand access to services and programs that can intervene in gender violence
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Blank, Märit, and Alma Månson. "KVINNLIGA PATIENTERS UPPLEVELSER AV FRÅGANOM VÅLD I NÄRA RELATIONER." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-375419.
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Bakgrund: Kvinnor som utsätts för våld i nära relation söker oftare vård, men alla får inte den hjälp som behövs. Vårdpersonal kan sakna beredskap och kunskap för att identifiera våldsutsatta kvinnor. Oupptäckt våld i nära relation medför negativa konsekvenser för kvinnan och samhället. Syfte: Undersöka hur kvinnliga patienter upplever att få frågan om våld i nära relation, hur de vill bli tillfrågade och hur de upplever det att inte bli tillfrågad. Metod: En integrativ litteraturöversikt baserad på 10 kvalitativa artiklar från databaserna PubMed och CINAHL. Resultat: Kategorier som framkom ur resultatet var upplevelser av att bli tillfrågad, upplevelser av olika tillvägagångssätt och upplevelser av att inte bli tillfrågad. Från dessa kategorier bildades underkategorier som samlade patienters tankar och känslor. De flesta kvinnor uppskattade att bli tillfrågade om våld i nära relation, för andra uppstod det en rädsla inför frågan. Kvinnor som inte blev tillfrågade kände att de inte var prioriterade Vårdpersonalen behöver definiera våld, eftersom våldet kan ha normaliserats och deras bemötande vid tillfrågandet samt miljön har betydelse om kvinnan väljer att erkänna sin våldsutsatthet. Frågan bör ställas vid olika tillfällen. Slutsats: Frågan om våld i nära relation är uppskattad, kvinnor kan dock uppleva rädsla av att svara på frågan. Det är viktigt att sjuksköterskan vågar fråga om våldsutsatthet vid olika tillfällen och ger ett bra bemötande i en trygg miljö. Kvinnor kan känna sig mindre prioriterade om inte frågan ställs.Background: Women that are victims of intimate partner violence seek care more often, but not all of them receive the care that they need. Caregivers can lack knowledge and preparedness to identify abused women. Undetected intimate partner violence can result in negative consequences for both the woman and society. Aim: To describe women’s experiences of being asked about violence in intimate partnership, how they want to be questioned and how they felt when they did not get the question. Method: An integrative literature review based on 10 qualitative articles from the databases PubMed and CINAHL. Results: The categories that emerged was; experiences of being questioned, experiences of different approaches, and experiences of not being asked. From these categories, subcategories were built that gathered patients’ thoughts and feelings. Most of the women appreciated being asked about intimate partner violence, but some felt scared when they got the question. Women who were not asked felt that they were not prioritized. Caregivers should define abuse, because the abuse could have been normalized. The caregivers’approach when questioning and the environment are significant if the women choose to admit they are exposed to violence. The question should be asked at different occasions. Conclusion: The question about intimate partner violence is appreciated, but it can also lead to a feeling of fear when answering the question. It is important that nurses dare to ask about violence exposure at different occasions and that the women are well treated in a safe environment. Women can experience that they are not prioritized if no one asks the question.
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Albuquerque, Lêda Maria. "Construção de um subconjunto terminológico da CIPE® para crianças e adolescentes vulneráveis à violência doméstica." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/83/83131/tde-09012015-155552/.
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Introdução: a violência doméstica contra crianças e adolescentes é um fenômeno complexo, multifacetado e arraigado nas relações sociais que, por vezes, apresenta-se naturalizado e até banalizado. Historicamente, ela existe nas sociedades desde os primórdios. Nas últimas décadas, porém, houve o aumento significativo de casos de violência contra a criança e o adolescente no mundo. Ao mesmo tempo cresceu, também, a preocupação com a denúncia e o enfrentamento do problema, principalmente por organismos mundiais. Tal preocupação se expressa nas políticas públicas, como tem sido no Brasil. A Atenção Primária à Saúde (APS) é um dos locus em que se pode visibilizar e enfrentar a violência doméstica, pois lida com as populações do território, suas famílias, as creches e as escolas. Preparar os profissionais da APS para lidar com esse fenômeno tem sido um desafio, mas a enfermagem, por meio de sua prática social, apresenta potencial para o enfrentamento da violência doméstica. As consultas de enfermagem devem ser instrumentalizadas para tal, recomendando-se o uso de terminologia padronizada como facilitadora da boa comunicação entre os profissionais e da tomada de decisões nos serviços de saúde. Desse modo, a Classificação Internacional para a Prática de Enfermagem (CIPE®) recomenda a estruturação de subconjuntos terminológicos como estratégia para facilitar seu uso pelos profissionais. Objetivo: organizar um subconjunto terminológico de diagnósticos, resultados e intervenções de enfermagem para o enfrentamento da violência doméstica contra a criança e o adolescente. Método: pesquisa do tipo metodológica, ancorada nos referenciais da TIPESC Teoria da Intervenção Práxica da Enfermagem em Saúde Coletiva e estruturada em quatro fases interdependentes e subsequentes: 1) identificação de termos e conceitos relevantes para a prática de enfermagem em relação ao enfrentamento da violência doméstica contra crianças e adolescentes; 2) mapeamento cruzado dos termos identificados com os termos da CIPE®, versão 2011; 3) elaboração dos enunciados de diagnósticos, resultados e intervenções de enfermagem; 4) estruturação do subconjunto terminológico da CIPE® para o enfrentamento da violência doméstica contra crianças e adolescentes. Resultados: a revisão de literatura para identificação dos termos resultou em 40 artigos selecionados na base BIREME, que foram processados na ferramenta PORONTO, gerando, assim, uma lista com 17.365 termos. Estes foram normalizados e resultaram em 514 termos que foram mapeados e cruzados com os existentes na CIPE® 2011, evidenciando 214 termos constantes e 138 não constantes nessa classificação. Dessa forma, constituiu-se o banco de termos da linguagem especial de enfermagem para o enfrentamento da violência doméstica contra a criança e o adolescente, o qual, juntamente com o modelo de sete eixos da CIPE®, a norma ISO 18.104 e o modelo teórico, ancorou a elaboração de 139 diagnósticos/resultados e 222 intervenções de enfermagem. Dessa maneira, foi organizado o subconjunto terminológico. Conclusões: a produção do subconjunto ancorado pela visão de mundo da TIPESC possui potencial para aprimoramento da prática profissional no espaço da consulta de enfermagem sistematizada e no âmbito da Atenção Básica de Saúde, bem como no processo de formação de novos profissionais e na educação permanente dos atuais. Faz-se necessária a continuidade da pesquisa, visando à validação conceitual dos termos não constantes na CIPE®.Introduction: domestic violence against children and adolescents is a complex, multifaceted phenomenon, rooted in social relations, which is sometimes featured as natural and common place. Historically, it has existed since primitive societies. However, in the past decades, there has been significant increase in the number of cases of children and adolescents abuse worldwide. Meanwhile, there has also been an increase in the concern to report it and cope with the problem mainly on the part of world organizations. Such concern has been revealed in public policies like in Brazil. The Primary Healthcare Center is one of the loci to unveil and cope with domestic violence as it deals with populations, families, day care centers and schools within its territory. Thus, training professionals to deal with such a phenomenon has been a challenge, but nursing, by means of its social practice, has the potential to cope with domestic abuse. Nursing consultations must use instruments for that, being recommended standardized terminology to facilitate effective communication among professionals and decision-making in health services. Thus, the International Classification for Nursing Practice (ICNP®) recommends to structure terminology subsets as a strategy to facilitate their use by professionals. Objective: To organize a terminology subset on nursing diagnoses, results and interventions to cope with domestic violence against children and adolescents. Method: methodological research grounded on TIPESC (Theory of Nursing Praxis Intervention in Collective Health) background and framed in four interdependent and subsequent phases: 1) identification of terms and concepts relevant for nursing practice regarding coping with domestic violence against children and adolescents; 2) cross-checked mapping of the identified terms with the ICNP® terminology, version 2011; 3) elaboration of enunciates for nursing diagnoses, results and interventions; 4) framing of the ICNP terminology subset to cope with domestic abuse against children and adolescents. Results: literature review for term identification resulted in 40 selected articles in BIREME database, processed by means of PORONTO tool, thus generating a list of 17,365 terms. Those were standardized and resulted in 514 terms which were mapped and cross-checked with the existing ones in ICNP® 2011, evidencing 214 existing terms and 138 non-existing terms in this classification. Thus, special nursing terminology database to cope with domestic abuse against children and adolescents was framed, which anchored the elaboration of 139 diagnoses/results and 222 nursing interventions along with the ICNP® 7-Axis model, ISO 18104 and the theoretical model. Thus, the terminology subset was organized. Conclusions: the elaboration of the subset grounded on TIPESC worldview has the potential to refine professional practice in systematic nursing search and in the scope of Primary Healthcare, besides the process of training new professionals and provide ongoing education to current ones. The continuity of the research is deemed necessary aiming at the conceptual validation of non-existing terms in the ICNP®.
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Gustafsson, Elina, and Caroline Mårtensson. "Ambulanspersonals erfarenhet av hot och våld relaterat till vårdandet av patienten : - en kvalitativ litteraturstudie." Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-102349.
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Bakgrund: Enligt rapporter ökar våldet i Sverige och de visar även på att hot samt våld är vanligare inom vissa arbetsbranscher. Ambulanspersonal har en stor uppgift att ge vård oavsett vem eller vilken situation de möter. Vid händelse av hot och våld påverkas relationen mellan patient och vårdare, vilket också påverkar vårdarnas förmåga att ge vård. Syfte: Syftet är att belysa ambulanspersonalens erfarenhet av hot och våld relaterat till vårdandet av patienten. Metod: Studien genomfördes enligt en kvalitativ metod genom en systematisk litteraturstudie via databaser så som Cinahl, PubMed och Scopus. Den insamlade data analyserades med hjälp av Bettany-Saltikov och McSherrys stegmodell som består av nio steg. Resultat: Litteraturstudiens resultat utgörs av en sammanställning av 12 vetenskapliga artiklar, det framkom fyra huvudkategorier och elva underkategorier. Resultatet visar att förmågan att vårda påverkas av händelser med hot och våld. Det påverkar vårdarna och patienten, vilket gör att patientvården blir lidande. Fynd som anses viktiga är den acceptans och normalisering som finns kring våldshandlingar. Det klassas som en del av arbetet och konsekvenserna av utsattheten för hot och våld tas inte på allvar. Slutsats: Hot och våld har ökat i samhället och lett till en ökad normalisering bland både personal och patienter. Hot och våld påverkar inte enbart personalen utan även patientvården. Stor efterfrågan bland ambulanspersonal finns gällande kunskap, verktyg och stöd för att kunna hantera hot och våld, men även behovet av att utveckla allmänhetens kunskap för en långsiktig förbättring.Background: According to reports, violence is increasing in Sweden and showing that threats and violence are more common in certain labor industries. Ambulance personnel have a big task to provide care regardless of who or what situation they encounter. In the event of threats and violence, the relationship between patient and ambulance carer is affected, which also affects the ambulance carer’s ability to provide care. Purpose: The aim was to illustrate the ambulance personnel’s experience of threats and violence related to the care of the patient. Methode: The study was conducted according to a qualitative design through a systematic literature study by the databases such as Cinahl, PubMed and Scopus. The collected data were analyzed using Bettany-Saltikov and McSherry's (2016) step model consisting of nine steps. Results: The results of the literature study consist of a compilation of 12 scientific articles, four main categories and eleven subcategories emerged. The results show that the ability to care is affected by events with threats and violence. It affects the ambulance carers and the patient, which means that patientcare i violated. Findings that are considered important are the acceptance and normalization that exists around acts of violence. It is classified as part of the work and the consequences of exposure to threats and violence are not taken seriously. Conclusion: Threats and violence have increased in society and led to increased normalization among both staff and patients. Threats and violence affect both staff and the patientcare. There is a great demand among ambulance personnel for knowledge, tools and support to be able to handle threats and violence, but also the need to develop the public's knowledge for long-term improvement.
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Levin, Samantha. "A case study of integrated mental healthcare with violence intervention programming." Thesis, 2015. https://hdl.handle.net/2144/16123.
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This study will describe Boston Medical Center's (BMC) Community Violence
Response Team (CVRT) a program that provides mental health services to victims of
interpersonal violence. Though these services are offered to all traumatic injury patients
regardless of specific injury type, CVRT patients are almost exclusively victims of
gunshot and stab wounds. This study focuses specifically on this patient population.
CVRT counselors work in close collaboration with members of BMC's Violence
Intervention Advocacy Program, as well as physicians and staff of the Emergency and
Trauma departments. While many hospitals have violence intervention programs (VIPs),
BMC is one of the first hospitals in the country to integrate mental health services into
the hospital-based model of violence intervention and violent injury prevention.
It is planned to conduct anonymous recorded interviews of people who have been
through the violence intervention programs and received mental health services. A
professionally licensed member of CVRT will screen the patient database for potential
interview subjects. Subjects will be chosen based on when and for how long they were
involved with our programs, as well as other factors such as injury type and language
spoken. The subjects' anonymity will be protected and risks minimized as much as
possible throughout the screening and interview process.
Interview data will be examined for trends among the clients served. This will be
a first look at evaluating CVRT, which was launched in 2011. The purpose of this study
is to provide feedback on BMC's novel model for an integrated hospital-based violence
intervention program and mental health services program for victims of interpersonal
violence. The patient's perspective on these programs will provide valuable insight on
this approach to violence intervention. The benefits of this model will be explored to
identify any ways in which violence intervention services at BMC might be improved.
Outcomes of the assessment of study data will be used to generalize the model for
adaptation in other trauma centers.
In addition, it is anticipated that this study will demonstrate the importance of
seamless, integrated collaboration between community advocates of hospital-based
intervention programs and trained professionals dedicated to providing mental health care to this vulnerable patient population and their families. It is hypothesized that BMC's
integrated model for violence programming makes it easier for patients to take advantage of mental health services. This ease of access and comfortable transition from advocacy interventions to mental healthcare may translate into better long-term outcomes for patients. More patients may also use mental health services with this model than with a model that requires patients to access mental health services at another facility. A detailed explanation of BMC's programs complete with patients' experience will inform other institutions which may choose to adapt this integrated model to their practices.
Finally, this pilot study will inform future research on violent injury patients and
their treatment. This research has the potential to improve recovery and quality of life for
future violent injury patients at BMC and other trauma centers.
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Ducharme, Wendy (Hawrychuk). "Workplace and occupational aggression in First Nations and Inuit health nursing stations in Manitoba region: incidence, types and patterns." 2010. http://hdl.handle.net/1993/4298.
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The existence of workplace violence in remote and isolated nursing station settings has been an area of limited knowledge to date. This descriptive study explored the phenomena of workplace and occupational aggression (WPOA), an operational definition of workplace violence created to capture all exposures to verbal and physical aggression in the 21 First Nations and Inuit Health (FNIH) managed Nursing Stations in Manitoba. Using the Manitoba Region Occurrence Reports from 2008, it was found that nurses in nursing stations experience a range of WPOA exposures with verbal incidents being more commonly reported than physical incidents. Quantitative findings related to patterns of reported WPOA with respect to timing, type, perpetrators and concurrent substance use. Themes related to the impact of WPOA on nursing staff and responses of managers to reported incidents were generated from the qualitative analysis. Recommendations for policy, administration, education and future research were generated.
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Abeid, Muzdalifat. "Improving Health-seeking Behavior and Care among Sexual Violence Survivors in Rural Tanzania." Doctoral thesis, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-261902.
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The aim of this thesis was to assess the effects of providing community education and training to healthcare workers to improve community response, healthcare and support for rape survivors in the Kilombero district of Tanzania. The overall design of the project was to begin with an exploratory study (Paper I) to establish the community’s perceptions towards sexual violence and their perceived recommendations to address this issue. Using a structured questionnaire, the community’s knowledge and attitudes towards sexual violence were determined along with their associations with demographic factors (Paper II). Papers III and IV assessed the effect of healthcare workers’ training and a community information package, respectively, using a controlled quasi-experimental design. The findings highlighted the social norms and variety of barriers that impacted negatively on the survivors’ care-seeking from support services and health outcomes. Increasing age and higher education were associated with better knowledge and less accepting attitudes towards sexual violence. Training on the management of sexual violence was effective in improving healthcare workers’ knowledge and practice but not attitude. Knowledge on sexual violence among the communities in the intervention and comparison areas increased significantly over the study period; from 57.3% to 80.6% in the intervention area and from 55.5% to 71.9% in the comparison area. In the intervention area, women had significantly less knowledge than men at baseline (53% Vs 64%, p<.001).There was a reduction, though not significantly, in acceptance attitudes from 28.1% to 21.8% in favor of women. In conclusion, the current intervention provides evidence that healthcare workers’ training and community education is effective in improving knowledge but not attitudes towards sexual violence. The findings have potential implications for interventions aimed at preventing and responding to violence. The broader societal norms that hinder rape disclosure need to be re-addressed.
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Saimen, Amashnee. "Evaluation of the accuracy of a two-question screening tool in the detection of intimate partner violence in a primary healthcare setting in South Africa." Thesis, 2014. http://hdl.handle.net/10539/18841.
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Thesis (M.Med.(Family Medicine)--University of the Witwatersrand, Faculty of Health Sciences, 2014Intimate partner violence has been recognised as a global human rights violation. It is universally under-diagnosed and the institution of timeous multi-faceted interventions has been noted to benefit intimate partner violence victims. Currently the concept of using a screening tool to detect intimate partner violence has not been widely explored in a primary healthcare setting in South Africa, and for this reason the current study was undertaken. The objectives of this study were: 1) to determine the operating characteristics of a two-question screening tool for intimate partner violence (Women Abuse Screening Tool-short); and 2) to estimate the prevalence of intimate partner violence among women attending an Out Patient Department, using a validated questionnaire (Women Abuse Screening Tool). Methods: A cross-sectional study was conducted prospectively at the Out Patient Department of a Level 1 Hospital, with systematic sampling of I in 8 women over a period of 3 months. Participants were asked about their experience of intimate partner violence during the past 12 months. The Women Abuse Screening Tool-short, a two-question tool, was used to screen patients for intimate partner violence. To verify the result ofthe screening, women were also asked the remaining questions from the full Women Abuse Screening Tool. Results: Data were collected from 400 participants, with a response rate of99.3%. Based on the results for the Women Abuse Screening Tool, the prevalence of intimate partner violence in the sample was 32%. The Women Abuse Screening Tool-short was shown to have the following operating characteristics: sensitivity 45.2% and specificity 98%. Conclusion: With its high prevalence, intimate partner violence is a health problem of note at this facility. The Women Abuse Screening Tool-short lacks sufficient sensitivity and therefore is not an ideal screening tool for this primary care ambulatory setting. The low sensitivity can be attributed to the participants' understanding of the screening questions, which utilize Eurocentric and nuanced definitions of intimate partner violence. Improvement in the sensitivity of the Women Abuse Screening Tool-short in this setting may be achieved by lowering the threshold for a positive result for intimate partner violence screening, and modification of the screening questions to better reflect intimate partner violence as understood by the local population.
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Travassos, Sónia Andreia Marques. "A preparação dos profissionais de saúde portugueses perante violência doméstica contra mulheres por parceiros violentos." Master's thesis, 2015. http://hdl.handle.net/10400.12/4585.
Full textAbstract:
Dissertação de mestrado apresentada ao ISPA – Instituto UniversitárioDurante os últimos anos, várias mudanças ocorreram na abordagem profissional à violência doméstica contra as mulheres. O presente trabalho teve como objetivo medir a preparação dos profissionais de saúde Portugueses para assistir as sobreviventes de violência doméstica. Com base numa metodologia quantitativa, foi aplicado online a 585 profissionais o questionário de Prontidão dos profissionais para detectar e intervir em situações de violência (Short et al., 2006), tendo-nos focado especialmente nos profissionais de saúde (n=200). Os resultados obtidos demonstraram que a percepção de preparação para lidar com a sobrevivente, para a denúncia de casos junto dos órgãos de polícia criminal, de conhecimento, concordância de auto-eficácia e requisitos legais foi superior nos profissionais de outras áreas, comparativamente aos profissionais de saúde. Uma análise aprofundada destes resultados demonstrou que, dentro dos profissionais de saúde, os de Psicologia apresentaram predominantemente em todas as dimensões níveis superiores de percepção de preparação e conhecimento para lidar com estes casos, por vezes superior aos dos profissionais de outras áreas. Adicionalmente, os resultados demonstraram que quanto maior o número de horas de formação, melhor a percepção de preparação e conhecimento relativamente a estes casos. Esta associação entre o número de horas de formação e a percepção de preparação para lidar com estes casos foi maior nos profissionais de saúde, sendo esta diferença particularmente mais acentuada para a dimensão de preparação para denunciar casos de violência contra mulheres. Os resultados obtidos deverão ser tidos em conta não só em futuros estudos, como também nas suas implicações práticas discutidas
ABSTRAC: During the past two decades, several changes occurred in the professional approach to domestic violence against women. This study aimed to measure the preparation of the Portuguese health professionals to assist domestic violence survivors. Based on a quantitative methodology, an online survey with the Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS; Short et al., 2006) was applied to 585 professionals, with special focus on health professionals (n = 200). Obtained results showed that the perception of preparation to manage these cases, to report them among criminal authorities, of knowledge, self-efficacy and legal requirements were higher for professionals of other areas, compared to health professionals. A detailed analysis of these results showed that, among health professionals, the ones from the Psychological areas presented predominantly in all dimensions higher levels of readiness perception, sometimes higher comparing with the professionals of other areas. Additionally, results showed that the higher the number of training hours, the better the perception of readiness and knowledge regarding these cases. This association between hours of training and perception of readiness was higher among health professionals, being this difference particularly more accentuated for the dimension of readiness to report cases of domestic violence against woman. Obtained results should be taken into account not only in future studies, as well as on their discussed practical implications.