scholarly journals The knowledge, attitudes and preparedness of Australian paramedics to manage intimate partner violence patients – a pilot study

2018 ◽  
Vol 15 (2) ◽  
Author(s):  
Simon Sawyer ◽  
Angela Williams ◽  
Auston Rotheram ◽  
Brett Williams

IntroductionAustralian ambulance services are currently attempting to improve their capacity to respond to intimate partner violence (IPV) patients, which is a significant contributing factor to the morbidity and mortality of women. Leading health organisations have called for increased training for frontline health care workers, however there is a paucity of literature on the current preparedness of Australian paramedics. A description of the preparedness of Australian paramedics to manage IPV patients has the potential to inform curricula and practice development.MethodsWe surveyed a cohort of qualified Australian paramedics using the modified Physician Readiness to Manage Intimate Partner Violence Survey.ResultsWe received 28 completed surveys (16.5% response rate), that revealed most respondents (89.3%) believed they had encountered IPV patients while working as a paramedic, yet only one participant reported comprehensive education or training on the management of such patients. Participants reported low knowledge and preparedness to manage IPV patients. Participant attitudes were poor for self-efficacy, confidence and preparation, and generally neutral for items regarding attitudes toward women and IPV patients.ConclusionsThis study adds to mounting evidence that paramedics frequently encounter IPV patients, have insufficient education and training, and are not prepared to manage such patients. While the results of this study should be interpreted with caution due to a low response rate and small sample, it appears that Australian paramedics would benefit from targeted educational packages that provide the necessary knowledge to recognise and refer patients, modify inappropriate or insufficient attitudes, and prepare paramedics to effectively manage IPV patients.

Author(s):  
Bosena Tebeje Gashaw ◽  
Berit Schei ◽  
Kari Nyheim Solbraekke ◽  
Jeanette H. Magnus

Violence against women is a global pandemic, with the potential to spread through generations. Intimate partner violence has impacts on women’s sexual, reproductive, and psycho-social health. It can occur during pregnancy and adversely affect the health of both mother and child. Health care workers involved in antenatal care can have a unique role in identifying intimate partner violence and in intervening, preventing, and mitigating its consequences. In this study, the objective was to explore Ethiopian health care workers’ insights of and responses to intimate partner violence in pregnancy. Using an exploratory design, this qualitative study includes ten semi-structured interviews of health care workers representing different antenatal care centers in Jimma, Ethiopia. The content analyses of translated interview notes were conducted with Atlas.ti7 software, (Atlas.ti Scientific Software Development Gmbh, Berlin). The health care workers shared their insights of the consequences of intimate partner violence during pregnancy in addition to their experience with and responses to the victims. There was a limited understanding of the extent of the adverse impacts of intimate partner violence on pregnancy outcomes, as well as the potential long-term health implications. The informants described how they only gave medical treatment for obstetric complications or visible trauma during pregnancy. There was no formal referral to or linkages with other resources. Women’s empowerment and systemic changes in the health care, including training and capacity building, clear guidelines addressing management of intimate partner violence in pregnancy, and inclusion of intimate partner violence screening tools in the Ethiopian antenatal care chart/card, were recommended by the informants. The adverse impacts of intimate partner violence on pregnancy outcomes were poorly understood by the Ethiopian health care workers in this study. They offered limited assistance to the victims and recommended changes in the routine antenatal care (ANC) and health care systems. They identified various policy initiatives focusing on women’s empowerment to reduce intimate partner violence and its complications especially during pregnancy.


2008 ◽  
Vol 23 (6) ◽  
pp. 683-696 ◽  
Author(s):  
Christina DeJong ◽  
Amanda Burgess-Proctor ◽  
Lori Elis

This article explores police officer perceptions of intimate partner violence (IPV) using observational data from police ride-alongs. We performed a qualitative analysis of narrative data from the Project on Policing Neighborhoods (POPN) to examine officers’ views of IPV as well as whether policing philosophy is related to officers’ attitudes toward IPV. Results indicate that POPN officers expressed problematic views of IPV (including simplification of IPV, victim blaming, patriarchal attitudes toward women, and presumption of victim noncooperation) as well as progressive views of IPV (including recognition of the complexity of IPV, awareness of barriers to leaving, and consideration of IPV as serious and worthy of police intervention). Additionally, our analysis offers tentative support for a relationship between policing philosophy and officers’ attitudes toward IPV. While this study is largely exploratory, we address the implications of our findings both for police practice and training and for future research.


2011 ◽  
Vol 26 (1) ◽  
pp. 130-144 ◽  
Author(s):  
Jo Spangaro ◽  
Roslyn G. Poulos ◽  
Anthony B. Zwi

Routine screening for intimate partner violence (IPV) has been widely introduced in health settings, yet screening rates are often low. A screening policy was introduced statewide in Australia in antenatal, mental health, and substance abuse services. Annual snapshot indicates a sustained screening rate of 62%–75% since 2003. Focus group research with health care workers from 10 services found that initial introduction of screening was facilitated by brief, scripted questions embedded into assessment schedules, training, and access to referral services. Over time, familiarity and women’s favorable reactions reinforced practice. Barriers remain, including lack of privacy, tensions about limited confidentiality, and frustration when women remain unsafe. Screening added to the complexity of work, but was well accepted by workers, and increased awareness of and responsiveness to IPV.


2012 ◽  
Vol 32 (1) ◽  
pp. 29-45 ◽  
Author(s):  
Pamela D. Connor ◽  
Simonne S. Nouer ◽  
SeeTrail N. Mackey ◽  
Megan S. Banet ◽  
Nathan G. Tipton

2020 ◽  
Vol 44 (2) ◽  
pp. 203-216 ◽  
Author(s):  
Thekia Cheeseborough ◽  
Nicole Overstreet ◽  
L. Monique Ward

Sexual objectification and Jezebel stereotype endorsement, a racialized characterization of Black women as promiscuous, have been linked to harmful violence attitudes toward women. Although Black women’s experiences of sexual objectification may be compounded by racialized stereotypes, research has yet to examine how these processes intersect to influence justification of intimate partner violence toward women. This study fills this gap in the objectification literature by examining associations between interpersonal sexual objectification, endorsement of racialized stereotypes, and justification of violence toward women in a sample of Black men and women. Participants were 432 Black Americans who completed an online survey. Among Black men, we found that greater objectifying behaviors and greater endorsement of the Jezebel stereotype were associated with greater justification of violence toward women. We did not find evidence of an interaction between these two processes. Among Black women, we found an interaction between objectification experiences and stereotype endorsement, such that justification of violence was highest for Black women who endorsed the Jezebel stereotype and had more frequent experiences of sexual objectification. Violence prevention work, such as perpetrator rehabilitation programs and victim support groups, should explicitly address how stereotypical images of Black women impact their experiences of violence.


Author(s):  
Aysegul Catak Taskiran ◽  
Aysun Ozsahin ◽  
Tamer Edirne

Abstract Background: Violence against women is a significant public health problem and primary care workers (PCWs) have a crucial role in managing violence against women. However, though intimate partner violence (IPV) is frequently seen in primary care, most cases remain unreported. Aims: This study aims to investigate family physicians’ (FPs’) and co-working midwifes/nurses’ (M/Ns’) explanations about their responses to women disclosing IPV and the reasons for their actions. Methods: We conducted a cross-sectional survey via a face-to-face administered questionnaire interview involving 266 PCWs in a selected area in Turkey. We questioned the reasoning behind inappropriate responses such as not examining the patient and document findings, not recording a code of violence, and not notifying the police in the case of a disclosure of IPV. Results: We surveyed 129 FPs and 137 M/Ns. We found that the disclosure of IPV in primary care is very high, but more than one-third of physicians and half of M/Ns respond inappropriately. Reasons for inappropriate response varied. The majority believed that the victim would continue to live with her batterer, making any report ineffective. Some expressed concern for the women’s and their own personal safety, citing an increase in assault cases by perpetrators in the last few years. Many indicated a lack of knowledge about management of violence cases. Conclusion: Multiple barriers challenge PCWs in helping abused women. Common behaviours, safety concerns, and a lack of knowledge seem to be the major barriers to responding appropriately to IPV. To address this issue appropriately, protective measures for both parties – PCWs and violence victims – need to be enacted and a supportive constitutional and societal organization is required. Screening and identification should lead to interventions that benefit the victims rather than harming them.


2020 ◽  
Vol 2 (3-4) ◽  
pp. 265-269
Author(s):  
Advaita Nigudkar ◽  
Jagruti Wandrekar ◽  
David Osrin ◽  
Nayreen Daruwalla

Background: Personality psychopathology, substance abuse, family of origin experiences, and patriarchal attitudes are variables associated with intimate partner violence. Aim: This pilot study aimed to explore clinical and personality profiles and psychosocial variables in a small cohort of male perpetrators of intimate partner violence. Methodology: 20 men from informal settlements presenting to crisis counseling centers in Mumbai were administered the Millon Clinical Mulitiaxial Inventory III, the Revised Conflict Tactics Scale Short Form, and the Attitudes toward Women scale. Results: Millon Clinical Mulitiaxial Inventory III profiles and scores on Grossman Facet scales suggest personality psychopathology in the profiles of 95% of the men, and 85% reported anxiety. Less than 20% reported substance abuse. The men reported mutuality of violence in the relationship and espoused moderately liberal attitudes toward women. 55% of them reported violence in the family of origin. Conclusion: Our findings are helpful in providing therapeutic pointers for working with male perpetrators of violence.


Sign in / Sign up

Export Citation Format

Share Document