Challenges to Detecting and Addressing Intimate Partner Violence Among Roma Women in Spain: Perspectives of Primary Care Providers

2019 ◽  
pp. 088626051987229
Author(s):  
E. Briones-Vozmediano ◽  
E. Castellanos-Torres ◽  
I. Goicolea ◽  
C. Vives-Cases
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Health Services ◽  
Health Professionals ◽  
Partner Violence ◽  
Primary Care Providers ◽  
Intimate Partner ◽  
Care Providers ◽  
Access To Health Services ◽  
Roma Women

The objective of this study is to identify challenges and facilitators for detecting and addressing cases of intimate partner violence (IPV) against Roma women, from the perspectives of health personnel and representatives of Roma organizations, and to compare both perspectives. A total of 28 semi-structured interviews were carried out between November 2014 and February 2015 in different Spanish cities. A thematic analysis was carried out, guided by Aday and Andersen’s model regarding barriers to access to health services. Both groups signaled the following as principal challenges: (a) consideration of IPV as a private problem among the Roma population, (b) little use of primary care providers for prevention, (c) distrust of Roma women toward primary care professionals as resources for seeking help, (d) the inexistence of Roma professionals in health services, (e) health professionals’ lack of cultural sensitivity related to Roma people, and (f) the focus of health protocols for action against IPV on filing a police report. Potential facilitating factors included Roma women’s trust in nurses, social workers, and pediatricians and ethnic heterogeneity. There is need to promote action to address the identified challenges through a health equity approach that includes greater training and awareness raising among health professionals about Roma culture and the specific needs of Roma women.

VHA Primary Care Providers’ Perspectives on Screening Female Veterans for Intimate Partner Violence: A Preliminary Assessment

2013 ◽  
Vol 28 (8) ◽  
pp. 823-831 ◽  
Author(s):  
Katherine M. Iverson ◽  
Stephanie Y. Wells ◽  
Shannon Wiltsey-Stirman ◽  
Rachel Vaughn ◽  
Megan R. Gerber
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Primary Care Providers ◽  
Intimate Partner ◽  
Female Veterans ◽  
Care Providers ◽  
Preliminary Assessment

scholarly journals Quality of Care for Intimate Partner Violence in South African Primary Care: A Qualitative Study

2014 ◽  
Vol 29 (4) ◽  
pp. 652-669 ◽  
Author(s):  
Kate Joyner ◽  
Bob Mash
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Quality Of Care ◽  
Partner Violence ◽  
Primary Care Providers ◽  
Intimate Partner ◽  
Substantial Contribution ◽  
Western Cape ◽  
Care Providers

Intimate partner violence (IPV) makes a substantial contribution to the burden of disease in South Africa. This article explores the current quality of care for IPV in public sector primary care facilities within the Western Cape. Only 10% of women attending primary care, while suffering from IPV, were recognized. Case studies, based on in-depth interviews and medical records, were used to reflect on the quality of care received among the women who were recognized. Care tended to be superficial, fragmented, poorly coordinated, and lacking in continuity. The recognition, management, and appropriate documentation of IPV should be prioritized within the training of primary care providers. It may be necessary to appoint IPV champions within primary care to ensure comprehensive care for survivors of IPV.

scholarly journals Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Kristin Rizkalla ◽  
Marion Maar ◽  
Roger Pilon ◽  
Lorrilee McGregor ◽  
Maurianne Reade
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
First Nations ◽  
Partner Violence ◽  
Primary Care Providers ◽  
Intimate Partner ◽  
Indigenous Women ◽  
Cultural Safety ◽  
Care Providers ◽  
Referral Network

Abstract Background Some legacies of colonialism are that Indigenous women living in Canada experience higher rates of intimate partner violence (IPV) and that violence is often more severe relative to non-Indigenous women. This results in avoidable physical, psychological, emotional, financial, sexual and spiritual harm in the lives of Indigenous women, families, and communities. Trusted primary care providers are well positioned to provide brief interventions and referrals to treatment and services, but little is known about the providers’ preparedness to support Indigenous women. Information on what enables or prevents providers to respond to Indigenous patients who experience IPV is needed in order to ensure this potential lifeline for support is realized. Methods The purpose of this community-based participatory study was to elucidate the barriers and facilitators to care for rural Indigenous women who experience IPV from the perspectives of primary care providers and to recommend strategies to improve their preparedness. Using a Grounded Theory approach, we conducted qualitative research with 31 providers to discuss their experiences with patients affected by IPV. Results The results showed providers often feel a degree of unpreparedness to deal with IPV in a clinical setting. Underlying the feelings of unpreparedness were: Recognition of patients’ under disclosure of IPV due to stigma, shame and fear Lack of formal provider training on appropriate approaches to IPV Lack of referral network due to fragmented, scarce services for IPV Lack of understanding of jurisdictional complexity of First Nations and non-First Nations specific services for IPV Uncertainty how to negotiate cultural safety around IPV Multiple-role relationship & confidentiality dilemmas characteristic of small communities Risk of jeopardizing patient-provider relationship Conclusions Our recommendations to improve provider preparedness to address IPV include reducing the stigma of IPV; creating effective referral pathways; improving cultural safety within the referral network; developing services for perpetrators; engaging natural helpers in the community, and; developing policies, procedures and continuing education related to patients who experience IPV in the clinical and community setting. We suggest that increasing providers’ comfort to respond to IPV for rural and Indigenous women will ultimately lead to improved safety and health outcomes.

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.

Intimate Partner Violence: Promoting the Need for Adequate Screening, Assessment and Interventions for Physical and Mental Conditions Resulting from Intimate Partner Violence

2017 ◽  
Author(s):  
Bernice Kennedy ◽  
Keyword(s):  
Domestic Violence ◽  
Intimate Partner Violence ◽  
Health Services ◽  
Health Outcomes ◽  
Health Professionals ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Assessment Tools ◽  
Screening Assessment

Intimate partner violence is a public health problem having a tremendous impact on women’s health. Also, intimidate partner violence, also known as domestic violence is the primary cause of injury to women in the United States. Physical and psychiatric problems are the result of domestic violence with victims having increase use of health services compared to those not abused. Often, domestic violence is not identified in the health services organizations when victims access health care. This analytical review of the literature addressed existing research and literature on the current status of intimate partner violence. The Holistic Model Based on Adequate Screening, Assessment and Interventions for Improving the Health Outcomes in Victims of Intimate Partner Violence is a useful model for guiding health professionals in recognizing the relevance of violence when women present certain illnesses in diverse health services organizations. Strategies for improving the health outcomes for this group include: (a) adequate screening, assessment, and interventions; (b) more education for health professionals on assessing victims of violence; (c) domestic violence included in the curriculum of universities and colleges for health professionals; (d) continuing education on domestic violence in the workplace; and (e) assess for signs and symptoms of domestic violence and conduct valid screening and assessment tools on patients in certain health services organizations when women access to care. More policy development is needed for victims of intimate partner violence to improve health outcomes.

scholarly journals Engaging with Uncertainty and Complexity: A Secondary Analysis of Primary Care Responses to Intimate Partner Violence

2021 ◽  
Vol 8 ◽  
pp. 233339362199516
Author(s):  
Claire Gear ◽  
Jane Koziol-McLain ◽  
Elizabeth Eppel
Keyword(s):  
Primary Care ◽  
Intimate Partner Violence ◽  
Health Professionals ◽  
Partner Violence ◽  
Secondary Analysis ◽  
Intimate Partner ◽  
Response Options ◽  
Opportunities To Respond ◽  
Primary Care Professionals ◽  
Patterns Of Interaction

Complex problems generate uncertainty. The number and diversity of interactions between different health professionals, perspectives, and components of the problem makes predicting an outcome impossible. In effort to reduce the uncertainty of intimate partner violence interventions, health systems have developed standardized guidelines and protocols. This paper presents a secondary analysis of 17 New Zealand primary care professional narratives on intimate partner violence as a health issue. We conducted a complexity-informed content analysis of participant narratives to explore uncertainty in greater depth. This paper describes three ways primary care professionals interact with uncertainty: reducing uncertainty, realizing inherent uncertainty, and engaging with uncertainty. We found dynamic patterns of interaction between context and the experience of uncertainty shape possible response options. Primary care professionals that probed into uncertainty generated new understanding and opportunities to respond to intimate partner violence.

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