Intimate partner violence in Pakistan: Ethical implications in an emergency case

2021 ◽  
pp. 147775092110524
Author(s):  
Anum Khan ◽  
Fahad Ahmed ◽  
Müge Demir ◽  
Önder İlgili
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Healthcare Workers ◽  
Tertiary Care ◽  
Legal Protection ◽  
Intimate Partner ◽  
Care Hospital ◽  
Ethical Challenges ◽  
Emergency Case ◽  
Ethical Implications

In developing countries, the patriarchal social construct, unsatisfactory legal protection, and underlying cultural bias against women have resulted in increasing intimate partner violence, which largely goes unaddressed, undocumented, and unreported in healthcare settings. This case study presents a common scenario of intimate partner violence and carefully analyzes its ethical implications in an emergency case at a tertiary care hospital in Karachi, Pakistan. In this study, basic ethical principles are used to discuss important ethical challenges faced daily by healthcare workers in the medical, social, and legal context. It further highlights the dire need of patient education, safety, and a solid framework for addressing, documenting, and reporting intimate partner violence for healthcare workers.

scholarly journals P013: Management of intimate partner violence in the emergency department

CJEM ◽  
2018 ◽  
Vol 20 (S1) ◽  
pp. S61-S61
Author(s):  
R. Brown ◽  
K. Sampsel ◽  
I.G. Stiell
Keyword(s):  
Intimate Partner Violence ◽  
Sexual Assault ◽  
Partner Violence ◽  
Tertiary Care ◽  
Final Diagnosis ◽  
Intimate Partner ◽  
Health Concern ◽  
Care Hospital ◽  
Patient Disposition ◽  
Wide Range

Introduction: Intimate partner violence (IPV) is a serious public health concern with complex medico-legal implications and a wide range of morbidity. While the ED is often the primary access point for these patients, IPV is under-recognized. Our objectives were to describe the characteristics of female IPV patients in the ED and determine the assessment and management patterns of physicians at a tertiary care academic ED. Methods: We conducted a health records review of adult (>18years) female patients seen at a tertiary care hospital ED presenting with evidence of IPV from January to September 2016. A combined search strategy of hospital records and Sexual Assault and Partner Abuse Care Program (SAPACP) patient rosters was used to identify study subjects. Data were collected for patient demographic/presenting characteristics, assault characteristics, and patterns of referral, management and patient disposition/discharge. Descriptive statistics were generated. Results: 100 patients met inclusion criteria with; mean age 35.1, female 100.0%, arrival by ambulance 53.0%, and mean CTAS level of 2.4. Abuse screening was completed at triage only 24.0% of the time. Presenting complaints were varied, with the most common being injury or trauma (32.0%). Most patients were only identified from the SAPACP roster. Patients reported strangulation, a strong predictor of future homicide, in 34.0% of cases. Admission to hospital occurred in 7.0% of cases with 19.0% involving specialist consultation and 7.0% leaving against medical advice or without being seen. Legal interactions including police involvement occurred 72.0% of the time and Childrens Aid Society was involved in 26.0% of cases. The final diagnosis was recorded as IPV or equivalent in only 49.0% of cases; the remainder were discharged with a final diagnosis of injury/trauma (26.0%), sexual assault (6.0%), somatic complaint (6.0%), mental health (8.0%), substance use/abuse (3.0%) or other (2.0%). Conclusion: Our study highlights that IPV is a common and heterogeneous entity with a wide spectrum of presentations and morbidity. Strangulation rates were high and are associated with increased risk of homicide. IPV is currently under-recognized and continues to carry stigma as ER physicians only recorded a discharge diagnosis of IPV or equivalent in half of cases. Educational strategies are required to highlight the importance of IPV to ED staff.

scholarly journals Intimate Partner Violence, Lifetime Victimization, and Sociodemographic and Clinical Profile of Women with Psychiatric Illness at a Tertiary Care Psychiatric Hospital in India

2020 ◽  
pp. 025371762093887
Author(s):  
Mysore Narasimha Vranda ◽  
Channaveerachari Naveen Kumar ◽  
Dalibonia Muralidhar ◽  
Navaneetham Janardhana ◽  
Palanimuthu Thangaraju Sivakumar
Keyword(s):  
Intimate Partner Violence ◽  
Childhood Abuse ◽  
Partner Violence ◽  
Tertiary Care ◽  
Intimate Partner ◽  
Intimate Violence ◽  
History Of Childhood ◽  
Psychiatric Setting ◽  
Mental Health Settings ◽  
History Of

Background: Intimate partner violence (IPV) is one of the major public health problems. Little is known about the extent of violence experienced, its severity, or history of childhood abuse or exposure to intergenerational family violence in women with mental illness. Methods: One hundred women seeking in-patients (IP) or out-patients (OP) services at a tertiary care psychiatric setting were recruited using consecutive sampling. IPV Questionnaire and Danger Assessment Questionnaire were administered. Results: The data revealed a moderate level of IPV experienced by the women. In their childhood, more than one-third had undergone physical abuse by their fathers and witnessed violence by fathers toward mothers. Conclusion: Screening for intimate violence is essential in women attending mental health settings.

Ascertainment of intimate partner violence in women seeking legal protection

2005 ◽  
Vol 28 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Amy E. Bonomi ◽  
Victoria L. Holt ◽  
Robert S. Thompson ◽  
Diane P. Martin
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Legal Protection ◽  
Intimate Partner

scholarly journals Methodological and Ethical Considerations in Research With Immigrant and Refugee Survivors of Intimate Partner Violence

2019 ◽  
pp. 088626051987795
Author(s):  
Veronica P. S. Njie-Carr ◽  
Bushra Sabri ◽  
Jill T. Messing ◽  
Allison Ward-Lasher ◽  
Crista E. Johnson-Agbakwu ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
The United States ◽  
Intimate Partner ◽  
Active Participation ◽  
Evidence Based ◽  
Ethical Challenges ◽  
Positive Health ◽  
Refugee Women ◽  
Immigrant And Refugee

To promote safe and positive health outcomes by utilizing culturally relevant evidence-based interventions for immigrant and refugee women survivors of intimate partner violence, their active participation in research is critical. With 43.6 million immigrants and refugees living in the United States, there is a need for research studies to eliminate health disparities in these populations. However, barriers to recruiting and retaining these populations in research prevent the provision of quality and culturally informed services to meet their needs. The aim of this article is to discuss the recruitment and retention strategies employed and analyze the methodological and ethical challenges in the context of the weWomen Study. The use of a multifaceted approach informed by best practices maximized recruitment efforts and active participation that generated high numbers of immigrant and refugee women participants. The study also substantiated the need for more community-based participatory approaches to engage community members in the development of culturally appropriate approaches that instill a sense of ownership over the research process. Active research participation of immigrant and refugee survivors will help investigators understand their unique needs and facilitate the implementation of targeted evidence-based interventions.

scholarly journals Barriers to Disclosure of Intimate Partner Violence among Female Patients Availing Services at Tertiary Care Psychiatric Hospitals: A Qualitative Study

2018 ◽  
Vol 09 (03) ◽  
pp. 326-330 ◽  
Author(s):  
Mysore Narasimha Vranda ◽  
Channaveerachari Naveen Kumar ◽  
D. Muralidhar ◽  
N. Janardhana ◽  
P. T. Sivakumar
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Intimate Partner Violence ◽  
Mental Health Care ◽  
Mental Health Professionals ◽  
Health Care Professionals ◽  
Partner Violence ◽  
Tertiary Care ◽  
Intimate Partner ◽  
Psychiatric Setting

ABSTRACT Background: Intimate partner violence (IPV)/domestic violence is one of the significant public health problems, but little is known about the barriers to disclosure in tertiary care psychiatric settings. Methodology: One hundred women seeking inpatient or outpatient services at a tertiary care psychiatric setting were recruited for study using purposive sampling. A semi-structured interview was administered to collect the information from women with mental illness experiencing IPV to know about their help-seeking behaviors, reasons for disclosure/nondisclosure of IPV, perceived feelings experienced after reporting IPV, and help received from the mental health professionals (MHPs) following the disclosure of violence. Results: The data revealed that at the patient level, majority of the women chose to conceal their abuse from the mental health-care professionals, fearing retaliation from their partners if they get to know about the disclosure of violence. At the professional level, lack of privacy was another important barrier for nondisclosure where women reported that MHPs discussed the abuse in the presence of their violent partners. Conclusion: The findings of the study brought out the need for mandatory screening of violence and designing tailor-made multicomponent interventions for mental health care professionals at psychiatric setting in India.

scholarly journals Intimate Partner Violence and a Pandemic: What Healthcare Workers Need to Know

2020 ◽  
pp. 58-63
Author(s):  
Bethany Davis
Keyword(s):  
Domestic Violence ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Healthcare Workers ◽  
Intimate Partner ◽  
Entire World ◽  
Precautionary Measures ◽  
The Impact

Our nation and the entire world have been experiencing the impact of quarantine due to COVID-19. Patients and families of Virginia Mason have limited their travel to and from procedures and appointments due to restrictions and precautionary measures. COVID has the dual risk of both increasing domestic violence (DV) and intimate partner violence (IPV), as well as preventing victims from receiving help due to quarantine.

scholarly journals Intimate partner violence among HIV-positive service users of a tertiary care and treatment facility in Enugu State, Nigeria

2021 ◽  
Vol 20 (4) ◽  
pp. 275-280
Author(s):  
Ifeoma M. Obionu ◽  
Chinwendu O. Echefu ◽  
Vina U. Chinweokwu ◽  
Winifred O. Chineme ◽  
Azodo U. Gabriel ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Tertiary Care ◽  
Intimate Partner ◽  
Hiv Positive ◽  
Service Users ◽  
Treatment Facility ◽  
Enugu State ◽  
Care And Treatment

Ethical Issues in Couple and Family Research and Therapy

2019 ◽  
pp. 226-242
Author(s):  
Maria Nicoleta Turliuc ◽  
Octav Sorin Candel
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Ethical Issues ◽  
Family System ◽  
Ethical Dilemmas ◽  
Intimate Partner ◽  
Family Research ◽  
Ethical Implications ◽  
The Family ◽  
The Individual

In couple and family research and therapy, the perspective changes from the individual to the dyad or group. As such, professionals in this field discuss some new ethical dilemmas that are particular to their line of work. While some authors present problems such as confidentiality and allegiance to only one part of the family system, others address a series of ethical consideration caused by the state of current research. The aim of this chapter is to present an overview of modern research topics such as intimate partner violence, illness, or multiculturalism and their ethical implications and effects on the family functioning, child development, and the research results. Also, the authors want to present the most relevant ways in which professionals can work within such ethical dilemmas without damaging either the outcomes of therapy or research or to cause harm to the participants.

Ethical Implications of Mandatory Reporting of Intimate Partner Violence

2014 ◽  
Vol 20 (4) ◽  
pp. 254-257
Author(s):  
Kathy Grimley-Baker
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Care Setting ◽  
Intimate Partner ◽  
Mandatory Reporting ◽  
Safe Haven ◽  
Ethical Implications ◽  
Trust Relationships ◽  
Privacy And Confidentiality

Nurses are expected to provide a safe haven for clients. When clients seek the services of nurses, they are vulnerable, and they expect privacy and confidentiality. Reporting acknowledged or suspected intimate partner violence (IPV) to authorities can impact nurse–client trust relationships. This article discusses the legal ramifications of reporting of IPV and their implications in a health care setting.

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