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Healthcare providers' perceived barriers and facilitators to screening for intimate partner violence in pregnant women attending prenatal clinics
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-04-26 , DOI: 10.1111/jan.16198
Jane Frances Anyango 1, 2 , Jennifer Yost 2 , Andrew Dobson 3 , Julius Nkalubo 4 , Amy McKeever 2
Affiliation  

AimTo examine healthcare providers' extent of and perceived barriers and facilitators to screening for intimate partner violence in pregnant women attending prenatal clinics.DesignCross‐sectional descriptive design was used to collect data from 130 healthcare providers.MethodsSeventeen healthcare providers from 17 prenatal clinics in Kanungu district, Uganda, were recruited via convenience sampling to participate in an online survey implementing a modified Normalization Measure Development instrument. Data were collected between February 2023 and March 2023 (02/8/2023 to 03/12/2023) and analysed using descriptive and Mann–Whitney U test and chi‐square tests.ResultsSlightly more than half (56%) of healthcare providers report screening pregnant women for intimate partner violence. There was a statistically significant relationship between healthcare providers screening for intimate partner violence and having previous training on intimate partner violence screening. The only barrier to screening identified was a lack of understanding of how intimate partner violence screening affects the nature of participant's own work. There were numerous potential facilitators identified for healthcare providers' intimate partner violence screening.ConclusionAlthough higher‐than‐expected number of healthcare providers reported screening of pregnant women for intimate partner violence, the extent of screening is still suboptimal. The barrier to screening identified needs to be addressed and facilitators promoted. Receiving training among healthcare providers on intimate partner violence screening was associated with higher levels of screening; thus, this needs to be enhanced to optimize screening rates. Future studies should assess screening practices objectively and implement interventions to improve healthcare providers’ intimate partner violence screening rates.Implications for the Profession and/or Patient CareScreening for intimate partner violence should be part of standard care provided by healthcare providers to all pregnant women during prenatal clinic visits. The study supports the need for more training for healthcare providers in aspects related to intimate partner violence screening in order to ensure prompt diagnosis and treatment of those affected, identify those at risk and increase awareness. There is a need to enhance healthcare providers' capacity for intimate partner violence screening through education by integrating intimate partner violence screening pre‐ and post‐registration courses and preparation programs or curriculum.ImpactIntimate partner violence (IPV) in pregnancy is a global health problem. Screening for IPV by healthcare providers is suboptimal. This study found that only 56% of healthcare providers were routinely screening for IPV in Ugandan prenatal clinics. This study identified the main facilitators and one barrier to IPV screening.Reporting MethodThis study has adhered to the relevant EQUATOR guidelines for quantitative studies.Patient and Public ContributionNo patient was involved in this study.

中文翻译:

医疗保健提供者认为对去产前诊所的孕妇进行亲密伴侣暴力筛查的障碍和促进因素

目的 调查医疗保健提供者对前往产前诊所的孕妇进行亲密伴侣暴力筛查的程度以及感知到的障碍和促进因素。设计采用横断面描述性设计来收集 130 名医疗保健提供者的数据。方法来自卡农古区 17 家产前诊所的 17 名医疗保健提供者,乌干达,通过便利抽样招募参加一项实施修改后的标准化措施开发工具的在线调查。数据收集于 2023 年 2 月至 2023 年 3 月(2023 年 2 月 8 日至 2023 年 12 月 3 日)期间,并使用描述性方法和曼-惠特尼方法进行分析U检验和卡方检验。结果略超过一半 (56%) 的医疗保健提供者报告对孕妇进行亲密伴侣暴力筛查。医疗保健提供者筛查亲密伴侣暴力与之前接受过亲密伴侣暴力筛查培训之间存在统计学上的显着关系。所发现的筛查的唯一障碍是缺乏对亲密伴侣暴力筛查如何影响参与者自身工作性质的了解。为医疗保健提供者的亲密伴侣暴力筛查确定了许多潜在的促进者。结论尽管报告对孕妇进行亲密伴侣暴力筛查的医疗保健提供者数量高于预期,但筛查的程度仍然不理想。需要解决已发现的筛查障碍并促进促进者的发展。在医疗保健提供者中接受有关亲密伴侣暴力筛查的培训与更高水平的筛查相关;因此,需要加强这一点以优化筛查率。未来的研究应客观评估筛查实践并实施干预措施,以提高医疗保健提供者的亲密伴侣暴力筛查率。对职业和/或患者护理的影响亲密伴侣暴力筛查应成为医疗保健提供者在产前向所有孕妇提供的标准护理的一部分诊所就诊。该研究支持在亲密伴侣暴力筛查相关方面对医疗保健提供者进行更多培训的必要性,以确保对受影响者进行及时诊断和治疗,识别高危人群并提高认识。有必要通过整合亲密伴侣暴力筛查注册前和注册后课程以及准备计划或课程,通过教育来提高医疗保健提供者进行亲密伴侣暴力筛查的能力。影响 妊娠期亲密伴侣暴力 (IPV) 是一个全球性健康问题。医疗保健提供者对 IPV 的筛查效果不佳。这项研究发现,在乌干达产前诊所,只有 56% 的医疗保健提供者定期进行 IPV 筛查。本研究确定了 IPV 筛查的主要促进因素和一个障碍。报告方法本研究遵循了相关的 EQUATOR 定量研究指南。患者和公众贡献本研究没有涉及患者。
更新日期:2024-04-26
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