Organizational influences on the intimate partner violence and sexual violence screening practices of college health care providers

2019 ◽  
Vol 42 (4) ◽  
pp. 284-295 ◽  
Author(s):  
Melissa A. Sutherland ◽  
M. Katherine Hutchinson
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Sexual Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Intimate Partner ◽  
College Health ◽  
Care Providers ◽  
Screening Practices ◽  
Organizational Influences

Asking about intimate partner violence: advice from female survivors to health care providers

2005 ◽  
Vol 59 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Judy C. Chang ◽  
Michele R. Decker ◽  
Kathryn E. Moracco ◽  
Sandra L. Martin ◽  
Ruth Petersen ◽  
...  
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Providers ◽  
Female Survivors

Provider Screening and Counseling for Intimate Partner Violence: A Systematic Review of Practices and Influencing Factors

2016 ◽  
Vol 18 (5) ◽  
pp. 479-495 ◽  
Author(s):  
Carmen Alvarez ◽  
Gina Fedock ◽  
Karen Trister Grace ◽  
Jacquelyn Campbell
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Influencing Factors ◽  
Health Care Providers ◽  
Partner Violence ◽  
Primary Care Providers ◽  
Intimate Partner ◽  
System Level ◽  
Care Providers ◽  
Screening Practices

Background: Primary care providers have an important role in identifying survivors of intimate partner violence (IPV) and providing safety options. Routine screening rates by providers have been consistently low, indicating a need to better understand providers’ practices to ensure the translation of policy into clinical practice. Aim: This systematic review examines common themes regarding provider screening practices and influencing factors on these practices. Method: A literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The search focused on research articles which met the following criteria: (1) health-care providers as participants, (2) provider reports on screening and counseling practices for IPV, and (3) were in English or Spanish. Results: A total of 35 studies were included in the review. Across studies, providers commonly acknowledged the importance of IPV screening yet often used only selective screening. Influencing factors on clinic, provider, and patient levels shaped the process and outcomes of provider screening practices. Overall, a great deal of variability exists in regard to provider screening practices. This variability may be due to a lack of clear system-level guidance for these practices and a lack of research regarding best practices. Conclusions: These findings suggest the necessity of more facilitative, clearly defined, and perhaps mandatory strategies to fulfill policy requirements. Future research directions are outlined to assist with these goals.

Assessing the Psychometric Properties of the Turkish Version of Attitudes and Practice of Health Care Providers Regarding Intimate Partner Violence Survey Scale

2014 ◽  
Vol 29 (4) ◽  
pp. 688-700 ◽  
Author(s):  
Gezgin Burçin Biçici ◽  
Aynur Uysal Toraman
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Psychometric Properties ◽  
Health Care Providers ◽  
Partner Violence ◽  
Intimate Partner ◽  
Care Providers ◽  
Turkish Version ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha

This study was planned to assess the psychometric properties of the Turkish version of the “attitudes and practices of health care providers regarding intimate partner violence” (APHCPs-IPV) survey scale. The sample consisted of 355 primary health care providers. A Likert-type scale composed of eight subfactors, and 43 items were used. Means and standard deviations were calculated for interval-level data. A p value of less than .05 was considered statistically significant. The Turkish version consisted of eight factor groups. The Cronbach’s alpha of the general scale was .66, and the Cronbach’s alpha of the factor groups ranged from .29 to .81. It was determined that the APHCPs-IPV scale was a valid and reliable scale to be used in Turkish society, on the condition that item number 33 be removed.

Health Care Providers’ Readiness to Identify and Respond to Intimate Partner Violence

2019 ◽  
pp. 088626051986770 ◽  
Author(s):  
Lynette M. Renner ◽  
Qi Wang ◽  
Mary E. Logeais ◽  
Cari Jo Clark
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Behavioral Health ◽  
Health Care Providers ◽  
Nursing Staff ◽  
Partner Violence ◽  
Intimate Partner ◽  
Health Providers ◽  
Care Providers ◽  
Medical Providers

Screening rates for intimate partner violence (IPV) among most health care providers are low; yet, positive interactions with providers can benefit people who experience IPV, with respect to increased safety, support, and self-efficacy. Missing is a broad assessment and comparison of knowledge, attitudes, and behavior across the range of providers who are likely to be involved in a response to IPV disclosure. The purpose of our study was to assess health care providers’ IPV preparation, knowledge, opinions, and practices and examine differences across three types of health care providers (medical providers, nursing staff, and social/behavioral health providers). We used an anonymous online survey to gather self-reported information on preparation, knowledge, opinions, and practices around IPV. A random sample of 402 providers was drawn from 13 clinics in a large multispecialty outpatient practice setting. The respondents ( N = 204) consisted of medical providers ( n = 70), nursing staff ( n = 107), and social/behavioral health providers ( n = 27). Data analyses consisted of univariate, bivariate, and multivariate analyses. Social/behavioral health providers reported more preparation, knowledge, victim understanding, and less job-related constraints, yet they reported lower screening rates than medical providers and nursing staff. Overall, no provider group seemed well-equipped to work with patients who disclose IPV. Our findings identify unmet needs within our health system to better train health care providers and restructure care models to support IPV identification and response. A focus on interprofessional training and care collaboration would bolster competency and reduce constraints felt by the health care workforce.

Intimate Partner Violence: Barriers to Action and Opportunities for Intervention Among Health Care Providers in São Paulo, Brazil

2019 ◽  
pp. 088626051988100 ◽  
Author(s):  
Dabney P. Evans ◽  
Danielle Z. Shojaie ◽  
Kashika M. Sahay ◽  
Nancy Williams DeSousa ◽  
Casey D. Hall ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Critical Role ◽  
Intimate Partner ◽  
Care Providers ◽  
Health Clinics ◽  
Public Health Clinics

Health care providers (HCPs) who directly interact with women play a critical role in intimate partner violence (IPV) prevention and response. The aim of this study was to identify the structural and interpersonal barriers to IPV response among HCPs working in public health clinics in Santo André, Brazil. Eligible participants included all HCPs providing direct care to individuals at three public health clinics. Participants self-administered an adapted Knowledge, Attitudes, and Practices survey on IPV. Data were analyzed using Epi Info 7 and SAS 9.4. 114 HCPs completed surveys. Less than half of HCPs (41%, n = 34) reported ever having asked a woman about abuse in the past year. HCPs who perceived fewer barriers were more likely to report asking about IPV. The top three reported barriers to asking women about IPV included the following: few opportunities for one-on-one interaction (77%, n = 65), a lack of privacy (71%, n = 60), and fear of offending women (71%, n = 60). Fewer providers who perceived the barriers of lack of privacy asked about IPV (50.8%, n = 33 compared with 84.2%, n = 16; p < .05); less providers who perceived few opportunities for private patient interactions asked about IPV (48.3%, n = 29 compared with 75.0%, n = 18; p < .05). Our results support the need for a systems approach of institution-wide reforms altering the health care environment and avoiding missed opportunities in IPV screening and referring women to appropriate resources or care. Two of the most frequently reported barriers to asking IPV were structural in nature, pointing to the need for policies that protect privacy and confidentiality. Within the Brazilian context, our research highlights the role of HCPs in the design and implementation of IPV interventions that both strengthen health systems and enable providers to address IPV.

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