scholarly journals Building better relationships: developing critically reflective practice when working preventively with domestic violence and abuse

2020 ◽  
Vol 10 (2) ◽  
pp. 1-9
Author(s):  
Jodie Das ◽  
◽  
Kathryn Waddington ◽  
Keyword(s):  
Domestic Violence ◽  
Reflective Practice ◽  
Phase 1 ◽  
Health Science ◽  
Power Dynamics ◽  
Interprofessional Practice ◽  
Critical Participatory Action Research ◽  
The Impact ◽  
Critically Reflective Practice ◽  
Domestic Violence And Abuse

Background and context: This article presents reflections on critical participatory action research into the development of critically reflective practice, conducted by the first author alongside practitioners who work preventively in the field of domestic violence and abuse. It is part of a doctorate in health science undertaken in response to the need to question assumptions, presuppositions and meaning perspectives in what is a complex and harmful area of interprofessional practice. Aims: The research aims are to develop knowledge and professional/interprofessional practice in this ill-defined area of practice in two phases – phase 1: creating opportunities for interprofessional critical reflection; and phase 2: examining the impact this has on individual and collective practice. This article offers an emerging framework for critically reflective interprofessional practice, and critical reflections on phase 1 of the study, from the perspective of insider/practitioner/researcher, through the lenses of sincerity and significance in qualitative research. Implications for practice: The article concludes by proposing potentially important implications for practice development in the following areas: Interprofessional practice The conditions required for developing critically reflective practice How we reveal, understand and work with power dynamics when working with conflict, violence and abuse

scholarly journals Professionals’ views on working in the field of domestic violence and abuse during the first wave of COVID-19: a qualitative study in the Netherlands

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nicole E. van Gelder ◽  
Ditte L. van Haalen ◽  
Kyra Ekker ◽  
Suzanne A. Ligthart ◽  
Sabine Oertelt-Prigione
Keyword(s):  
Domestic Violence ◽  
The Netherlands ◽  
Working Conditions ◽  
Critical Evaluation ◽  
Physical Contact ◽  
Structured Interviews ◽  
Online Tools ◽  
The Impact ◽  
Domestic Violence And Abuse

Abstract Background The COVID-19 pandemic and lockdown evoked great worries among professionals in the field of domestic violence and abuse (DVA) as they expected a rise of the phenomenon. While many countries reported increased DVA, the Netherlands did not. To understand this discrepancy and the overall impact of the lockdown on DVA support services, we interviewed DVA professionals about their experiences with DVA during the rise of COVID-19, the impact of the lockdown on clients and working conditions, and views on eHealth and online tools. Methods Semi-structured interviews were conducted among 16 DVA professionals with various specializations. This data was analyzed using open thematic coding and content analysis. Results Most professionals did not see an increase in DVA reports but they did notice more severe violence. They experienced less opportunities to detect DVA and worried about their clients’ wellbeing and the quality of (online) care. Furthermore, their working conditions rapidly changed, with working from home and online, and they expressed frustration, insecurity and loneliness. Professionals feel eHealth and online tools are not always suitable but they do see them as an opportunity to increase reach and maintain services when physical contact is not possible. Conclusion This study suggests DVA was probably under-detected during the lockdown rather than not having increased. The Dutch system heavily relies on professionals to detect and report DVA, suggesting a need for critical evaluation of the accessibility of professional help. Professionals experienced significant challenges and should themselves be supported psychologically and in their changed work practices to maintain their ability to aid survivors.

scholarly journals Disruption of a primary health care domestic violence and abuse service in two London boroughs: interrupted time series evaluation

2020 ◽  
Author(s):  
Jasmina Panovska-Griffiths ◽  
Alex Hardip Sohal ◽  
Peter Martin ◽  
Estela Barbosa Capelas ◽  
Medina Johnson ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Time Series ◽  
Service Providers ◽  
Interrupted Time Series ◽  
Referral Rate ◽  
System Level ◽  
Health Concern ◽  
Service Disruption ◽  
The Impact ◽  
Domestic Violence And Abuse

Abstract Background Domestic violence and abuse (DVA) is experienced by about 1/3 of women globally and remains a major health concern worldwide. IRIS (Identification and Referral to Improve Safety of women affected by DVA) is a complex, system-level, training and support programme, designed to improve the primary healthcare response to DVA. Following a successful trial in England, since 2011 IRIS has been implemented in eleven London boroughs. In two boroughs the service was disrupted temporarily. This study evaluates the impact of that service disruption.Methods We used anonymised data on daily referrals received by DVA service providers from general practices in two IRIS implementation boroughs that had service disruption for a period of time (six and three months). In line with previous work we refer to these as boroughs B and C. The primary outcome was the number of daily referrals received by the DVA service provider across each borough over 48 months (March 2013-April 2017) in borough B and 42 months (October 2013-April 2017) in borough C. The data were analysed using interrupted-time series, non-linear regression with sensitivity analyses exploring different regression models. Incidence Rate Ratio (IRR), 95% confidence intervals and p-values associated with the disruption were reported for each borough.Results A mixed-effects negative binomial regression was the best fit model to the data. In borough B, the disruption, lasted for about six months, reducing the referral rate significantly (p=0.006) by about 70% (95%CI=(23%,87%)). In borough C, the three-month service disruption, also significantly (p=0.005), reduced the referral rate by about 49% (95% CI=(18%,68%)). Conclusions Disrupting the IRIS service substantially reduced the rate of referrals to DVA service providers. Our findings are evidence in favour of continuous funding and staffing of IRIS as a system level programme.

scholarly journals Police Officers Do Not Need More Training; But Different Training. Policing Domestic Violence and Abuse Involving Children: A Rapid Review

2021 ◽  
Author(s):  
Annemarie Millar ◽  
Michael Saxton ◽  
Carolina Øverlien ◽  
Ruth Elliffe
Keyword(s):  
Domestic Violence ◽  
Police Officers ◽  
Professional Competence ◽  
Rapid Review ◽  
Empirical Literature ◽  
Police Response ◽  
Final Sample ◽  
The Impact ◽  
Domestic Violence And Abuse

AbstractAlthough the police have been identified as a key service provider when responding to domestic violence and abuse (DVA), very few studies have investigated their response in relation to children. This review aims to examine children’s experiences of police response in the context of DVA and to explore how the police understand and respond to children living with DVA. A rapid review of the empirical literature on the police response to DVA involving children was undertaken. PsycINFO, Web of Science and ProQuest were searched. Studies with a qualitative element, concerning children under 18 with experience of police involvement, or police experiences of children, in the context of DVA were included. The final sample comprised of six studies. Using reflexive thematic analysis, four key themes emerged in relation to children: children’s experiences of DVA; fear, uncertainty, and mistrust of police; confronting “childism”: a matter of children’s rights; and going beyond empathy: equality and justice. Regarding the police, three key themes emerged: variability in police response; limited view of police role; lack of professional competence. The findings underscore the need for awareness raising and an urgent review of the training officers receive regarding the impact of DVA on children. They also highlight the pivotal role of police when responding to DVA where children are present, as well as to advance the frontiers of research by including not only adults and professionals but also the most vulnerable DVA victim: the child.

scholarly journals Moving Evidence into Practice by Advanced Practice Nurses in Hospitalization Wards. Protocol for a Multicentre Quasi-Experimental Study in Three Hospitals in Spain

2020 ◽  
Vol 17 (10) ◽  
pp. 3473
Author(s):  
Sandra Pol-Castañeda ◽  
Miguel Ángel Rodríguez-Calero ◽  
Concepción Zaforteza-Lallemand ◽  
Carlos Javier Villafáfila-Gomila ◽  
Ian Blanco-Mavillard ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Evidence Based Practice ◽  
Phase 1 ◽  
Health Science ◽  
Assessment Instrument ◽  
Competency Assessment ◽  
Evidence Based ◽  
Advanced Practice ◽  
Quasi Experimental ◽  
The Impact

Evidence-based practice (EBP) combined with quality of care improves patient outcomes. However, there are still difficulties for its implementation in daily clinical practice. This project aims to evaluate the impact of the incorporation of the Advanced Practice Nurse (APN) role on the implementation of EBP at three levels: context, nurses’ perceptions, and clinical outcomes. Mixed-methods study in two phases is proposed. Phase 1: a quasi-experimental design where five APNs are included in five hospitalization wards that are compared with another five similar wards without APNs. Variables from Practice-Environment-Scale-Nursing-Work-Index, Health-Science-Evidence-Based-Practice-Questionnaire, and Advanced-Practice-Nursing-Competency-Assessment-Instrument are used. Clinical outcomes are followed-up with monthly. A descriptive and exploratory analysis is performed. Phase 2: an exploratory qualitative design through focus groups at the intervention wards after one year of APNs implementation. Explicative data are gathered to explain the progression of change and how actors perceive and attribute triggers, barriers, and facilitators for change. An inductive thematic analysis is performed. The inclusion of APN in hospitalization context is insufficiently studied. It is hoped that these figures provide solutions to the multiple barriers in the development of EBP in these sceneries and contribute to resolve the gap between research results and healthcare practice.

scholarly journals Exploring primary care responses to domestic violence and abuse (DVA): operationalisation of a national initiative

2019 ◽  
Vol 21 (2) ◽  
pp. 144-154 ◽  
Author(s):  
Julie McGarry ◽  
Basharat Hussain ◽  
Kim Watts
Keyword(s):  
Primary Care ◽  
Domestic Violence ◽  
Care Setting ◽  
Primary Care Setting ◽  
Local Level ◽  
Team Approach ◽  
Content Type ◽  
The Uk ◽  
The Impact ◽  
Domestic Violence And Abuse

Purpose In the UK, the Identification and Referral to Improve Safety (IRIS) initiative has been developed for use within primary care to support women survivors of domestic violence and abuse (DVA). However, while evaluated nationally, less is known regarding impact of implementation at a local level. The purpose of this paper is to explore the effectiveness of IRIS within one locality in the UK. Design/methodology/approach A qualitative study using interviews/focus groups with primary care teams and women who had experienced DVA in one primary care setting in the UK. Interviews with 18 participants from five professional categories including: general practitioners, practice nurses, practice managers, assistant practice managers and practice receptionists. Focus group discussion/interview with seven women who had accessed IRIS. Data were collected between November 2016 and March 2017. Findings Five main themes were identified for professionals: Team role approach to training, Professional confidence, Clear pathway for referral and support, Focussed support, Somewhere to meet that is a “safe haven”. For women the following themes were identified: Longevity of DVA; Lifeline; Face to face talking to someone; Support and understood where I was coming from; A place of safety. Practical implications IRIS played a significant role in helping primary care professionals to respond effectively. For women IRIS was more proactive and holistic than traditional approaches. Originality/value This study was designed to assess the impact that a local level implementation of the national IRIS initiative had on both providers and users of the service simultaneously. The study identifies that a “whole team approach” in the primary care setting is critical to the effectiveness of DVA initiatives.

7. Domestic Violence and Abuse

Family Law ◽  
2018 ◽  
Author(s):  
Anna Carline ◽  
Roxanna Dehaghani
Keyword(s):  
Social Issue ◽  
Domestic Violence ◽  
Family Law ◽  
Domestic Abuse ◽  
Legal Aid ◽  
Protection Orders ◽  
The Family ◽  
Private Matter ◽  
The Impact ◽  
Domestic Violence And Abuse

The chapter examines how, historically, domestic violence was considered to be a private matter that was none of the law's concern. While domestic violence is now recognised to be an important social issue, the historical acceptance of such abuse provides a context to understand some of the difficulties that victims face today. A key focus of the chapter is the family law remedies available for domestic abuse victims. Three key remedies are examined: non-molestation orders, occupation orders, and forced marriage protection orders. The chapter also explores some of the wider factors pertaining to the family justice system's response to domestic violence. It is important to recognise the impact of the changes to legal aid as introduced by the Legal Aid, Sentencing and Punishment of Offenders Act 2012, and the extent to which victims of domestic violence may feel threatened during family law proceedings, particularly in cases involving the arrangements for children after separation.

scholarly journals Hope, Agency, and the Lived Experience of Violence: A Qualitative Systematic Review of Children’s Perspectives on Domestic Violence and Abuse

2019 ◽  
pp. 152483801984958 ◽  
Author(s):  
Lisa Arai ◽  
Ali Heawood ◽  
Gene Feder ◽  
Emma Howarth ◽  
Harriet MacMillan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Qualitative Research ◽  
Domestic Violence ◽  
Lived Experience ◽  
Evidence Synthesis ◽  
Large Body ◽  
Child Centered ◽  
Review Reports ◽  
The Impact ◽  
Domestic Violence And Abuse

There is a large body of research on the impact of domestic violence and abuse (DVA) on children, mostly reporting survey data and focusing largely on psychological outcomes. Qualitative research on the views of children has the potential to enable a child-centered understanding of their experience of DVA, so their needs can be better met by professionals. This systematic review reports general findings from the ViOlence: Impact on Children Evidence Synthesis (VOICES) project that synthesized published qualitative research on the experiences of DVA from the perspective of children and young people. A thematic synthesis of 33 reports identified six themes: lived experience of DVA, children’s agency and coping, turning points and transitions, managing relationships postseparation, impact of DVA on children, and children’s expressions of hope for the future. We conclude that professionals working with children affected by DVA should be mindful of the diversity in children’s experiences and listen carefully to children’s own accounts.

scholarly journals Risk-Assessment and Victim-Support Recommendations During the COVID-19-Related Lockdowns

2021 ◽  
pp. 81-92
Author(s):  
Joachim Kersten ◽  
Catharina Vogt ◽  
Michele Burman ◽  
Jarmo Houtsonen ◽  
Norbert Leonhardmair ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Domestic Violence ◽  
Adverse Effects ◽  
Domestic Abuse ◽  
Private Life ◽  
Victim Support ◽  
Risks Factors ◽  
The Impact ◽  
Domestic Violence And Abuse ◽  
Strong Concern

This chapter covers the effects of the COVID-19 crisis on the incidence and severity of domestic abuse cases in Europe. First, the manifestation of the COVID-19 lockdown and its adverse effects on private life are described. Building upon this description, co-occurring risks factors with a high potential to initiate or intensify domestic abuse (e.g., cramped living conditions) are discussed. Responding to various calls on investigating the impact of COVID-19 on domestic abuse incidents, IMPRODOVA research on the first lockdown shows that the related concerns for various reasons are inconsistently reflected in domestic abuse-related statistics. In some IMPRODOVA partner countries, however, victimisation numbers went up, after the lockdown ended. Consequently, the complexity of detecting domestic abuse cases during lockdowns are discussed. In line with the strong concern about intensified victimisation, innovative responses by front-line professionals to detect and manage domestic violence and abuse cases are presented. Building on the beforehand presented assumptions, findings and explanations, the chapter closes by highlighting eighteen recommendations regarding risk assessment and victim support during pandemics.

scholarly journals Intersectionality and adolescent domestic violence and abuse: addressing “classed sexism” and improving service provision

2016 ◽  
Vol 9 (3) ◽  
pp. 161-173 ◽  
Author(s):  
Rhona Bridget O’Brien
Keyword(s):  
Domestic Violence ◽  
Interpersonal Violence ◽  
Service Provision ◽  
Central Government ◽  
Original Research ◽  
Urban District ◽  
Content Type ◽  
North West ◽  
The Impact ◽  
Domestic Violence And Abuse

Purpose The purpose of this paper is to explore agency pathways and the management of risk for economically disadvantaged adolescent victims and perpetrators of domestic violence and abuse (DVA). In spite of recent national and international initiatives to raise the profile of this issue, significant gaps within DVA services exist within an urban district situated in the North West of England, UK. The study aims to present qualitative data gathered from service-users and service managers who have knowledge of referral pathways within the district. The paper also aims to examine the discursive relationships between the context, the intersectional significance of age, gender and class and the high levels of risk for survivors and perpetrators. Design/methodology/approach A purposive sampling strategy utilises phenomenology to explore participants lived experience of DVA. The study seeks to unite phenomenology and hermeneutics to help develop an understanding of adolescent DVA and participant’s experiences of available services. Knowledge of these experiences was garnered through shared narratives. Findings Through privileging the experiences and knowledge of survivors and practitioners, this study found current DVA service provision for survivors and perpetrators is limited and practitioner interventions can be oppressive without adequate training. These limitations are clearly at odds with national and international efforts to prevent violence against women and girls. This paper highlights significant risks for adolescent survivors and suggests ways in which targeted support might be improved. The findings conclude that central government and local councils might confront the impact of intersecting oppressions by addressing “classed sexism” in early intervention and educational strategies to effect lasting change. Research limitations/implications Although the study is limited by a lack of participation from perpetrators, the data reveals worrying levels of risk, a reduction in funding pathways and a need for training for all statutory professionals. Additionally, another possible limitation of this study is that terms such as class, gender and heterosexuality were not defined by participants. Practical implications The paper considers the macroeconomic legacy of neoliberalism, suggesting that investing in early educational approaches, young person focused programmes and appropriate “classed sexism” training for statutory services is crucial for minimising risk. Social implications To understand the experience of DVA, the intersections of class, gender and age warrants further consideration, particularly in light of claims that socio-economic and ethnic marginalisation has the potential to increase the risk of exposure to interpersonal violence. Originality/value This original research project prioritises participant knowledge and expertise in the hope of minimising risks for adolescent survivors and perpetrators of domestic violence (DVA). This paper privileges the voices and lived experiences of survivors and professionals who have expertise in DVA.

scholarly journals Impact of the first national COVID-19 lockdown on referral of women experiencing domestic violence and abuse in England and Wales

2021 ◽  
Author(s):  
Jasmina Panovska-Griffiths ◽  
Eszter Szilassy ◽  
Medina Johnson ◽  
Sharon Dixon ◽  
Anna Simoni ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Incidence Rate Ratio ◽  
Interrupted Time Series ◽  
Access To Services ◽  
Future Planning ◽  
England And Wales ◽  
Before And After ◽  
General Practices ◽  
The Impact ◽  
Domestic Violence And Abuse

Abstract Background The COVID-19 pandemic, with the related lockdown periods to curb transmission, has made it harder for survivors of domestic violence and abuse (DVA) to disclose abuse and access support services. Our study describes the impact of the first COVID-19 wave and the associated national lockdown in England and Wales on the referrals from general practice to the IRIS (Identification and Referral to Improve Safety) DVA programme. We compare this to the change in referrals in the same months in the previous year, during the school holidays in the three years preceding the pandemic and the period just after the first COVID-19 wave. School holiday periods were chosen as a comparator, since families, including the perpetrator, are together, affecting access to services. Methods We used anonymised data on daily referrals received by the IRIS DVA service in 33 areas from general practices over the period April 2017-September 2020. Interrupted-time series and non-linear regression were used to quantify the impact of the first national lockdown in March-June 2020 comparing analogous months the year before, and the impact of school holidays (01/04/2017-30/09/2020) on number of referrals, reporting Incidence Rate Ratio (IRR), 95% confidence intervals and p-values. Results The first national lockdown in 2020 lead to reduced number of referrals to DVA services (27%,95%CI=(21%,34%)) compared to the period before and after, and 19% fewer referrals compared to the same period in the year before. A reduction in the number of referrals was also evident during the school holidays with the highest reduction in referrals during the winter 2019 pre-pandemic school holiday (44%,95%CI=(32%,54%)) followed by the effect from the summer of 2020 school holidays (20%,95%CI=(10%,30%)). There was also a smaller reduction (13%-15%) in referrals during the longer summer holidays 2017–2019; and some reduction (5%-16%) during the shorter spring holidays 2017–2019. Conclusions We show that the COVID-19 lockdown in 2020 led to decline in referrals to DVA services. Our findings suggest an association between decline in referrals to DVA services for woman experiencing DVA and prolonged periods of systemic closure proxied here by both the first COVID-19 national lockdown or school holidays. This highlights the need for future planning to provide adequate access and support for people experiencing DVA during future national lockdowns and during the school holidays.

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