Mutable influences on intimate partner abuse screening in health care settings: a synthesis of the literature.  

Oleh:

Stayton, Catherine D. ; Duncan, Mary M.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Trauma, Violence, & Abuse vol. 6 no. 4 (Oct. 2005), page 271.
Topik: Intimate Partner Abuse; Screening; Guideline Adherence; Medical Education; Domestic Violence
Fulltext: 271.pdf (143.5KB)

Isi artikel

For more than a decade, professional medical and nursing associations have recommended universal screening for intimate partner abuse (IPA). This review of 44 studies examines IPAscreening during this period. The purposes of the review are to (a) identify mutable influences on IPAscreening, (b) summarize what is known about altering these influences, and (c) outline an agenda for improving IPA screening. Evidence to date indicates that screening is not universal. Promising approaches to improvement start with provider training and relatively simple environmental adjustments. Unanswered empirical questions include “What are the essential components of effective training? Which health care providers are best positioned to screen under which circumstances? Which of the untested mutable influences will further improve IPA screening practice?” The review leads to the following practice recommendations: (a) Interventions should focus on clinicians in training (e.g., medical residents), and (b) screening approaches must be tailored to various practice settings.

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