Assisting clients experiencing family violence: Clinician and client survey responses in a child and family health service.
domestic violence
intimate partner violence
parenting
screening
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Nov 2020
Nov 2020
Historique:
received:
20
11
2019
revised:
01
07
2020
accepted:
03
07
2020
pubmed:
3
8
2020
medline:
30
6
2021
entrez:
3
8
2020
Statut:
ppublish
Résumé
To determine the baseline levels of training, knowledge and confidence working in the area of family violence in staff at a public child and maternal health service in Melbourne, Australia, as well as perceived staff barriers to working effectively in this area. This study also aimed to explore the client perception of existing screening practices. Family violence is a global concern with pregnancy and the postnatal period times of particularly high risk. Child and maternal health services are well placed to screen for violence, yet clinician and client perceptions of screening remain poorly characterised. Thirty-five staff and 15 mothers participated in this cross-sectional, mixed-method study, via an online survey. Strengthening the Reporting of Observational studies in Epidemiology (STROBE) cross-sectional guidelines were used. The majority of staff screened clients for family violence, at least some of the time, with over 50% often or always screening. However, only half of staff respondents indicated that they believed they knew how to screen appropriately. Screening occurred most often over the phone or at the first service visit. The most commonly reported barriers to screening were suspected perpetrators being present during consultations and language barriers. Most clients reported being screened for physical violence and safety in the home with few being asking about financial and sexual abuse, or psychological violence and coercive control. Clients who disclosed violence reported being well supported. While some baseline staff knowledge and skills have been identified, further support for clinicians is needed to ensure best practice and improve services and outcomes, particularly in regard to screening for different types of violence across the spectrum. This study helps to inform clinical screening practices in maternal health services through an exploration of facilitators and barriers in the screening process.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To determine the baseline levels of training, knowledge and confidence working in the area of family violence in staff at a public child and maternal health service in Melbourne, Australia, as well as perceived staff barriers to working effectively in this area. This study also aimed to explore the client perception of existing screening practices.
BACKGROUND
BACKGROUND
Family violence is a global concern with pregnancy and the postnatal period times of particularly high risk. Child and maternal health services are well placed to screen for violence, yet clinician and client perceptions of screening remain poorly characterised.
DESIGN
METHODS
Thirty-five staff and 15 mothers participated in this cross-sectional, mixed-method study, via an online survey. Strengthening the Reporting of Observational studies in Epidemiology (STROBE) cross-sectional guidelines were used.
RESULTS
RESULTS
The majority of staff screened clients for family violence, at least some of the time, with over 50% often or always screening. However, only half of staff respondents indicated that they believed they knew how to screen appropriately. Screening occurred most often over the phone or at the first service visit. The most commonly reported barriers to screening were suspected perpetrators being present during consultations and language barriers. Most clients reported being screened for physical violence and safety in the home with few being asking about financial and sexual abuse, or psychological violence and coercive control. Clients who disclosed violence reported being well supported.
CONCLUSION
CONCLUSIONS
While some baseline staff knowledge and skills have been identified, further support for clinicians is needed to ensure best practice and improve services and outcomes, particularly in regard to screening for different types of violence across the spectrum.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
This study helps to inform clinical screening practices in maternal health services through an exploration of facilitators and barriers in the screening process.
Types de publication
Journal Article
Langues
eng
Pagination
4076-4089Subventions
Organisme : Victorian State Government
ID : Strengthening Hospital Responses to Family Violenc
Informations de copyright
© 2020 John Wiley & Sons Ltd.
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