scholarly journals Identifying the Turning Point: Using the Transtheoretical Model of Change to Map Intimate Partner Violence Disclosure in Emergency Department Settings

ISRN Nursing ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Cristina Catallo ◽  
Susan M. Jack ◽  
Donna Ciliska ◽  
Harriet L. MacMillan
Keyword(s):  
Emergency Department ◽  
Intimate Partner Violence ◽  
Transtheoretical Model ◽  
Partner Violence ◽  
Turning Point ◽  
Secondary Analysis ◽  
Intimate Partner ◽  
Transtheoretical Model Of Change ◽  
Significant Life ◽  
Chaotic Nature

Background. The transtheoretical model of change (TTM) was used as a framework to examine the steps that women took to disclose intimate partner violence (IPV) in urban emergency departments. Methods. Mapping methods portrayed the evolving nature of decisions that facilitated or inhibited disclosure. This paper is a secondary analysis of qualitative data from a mixed methods study that explored abused women’s decision making process about IPV disclosure. Findings. Change maps were created for 19 participants with movement from the precontemplation to the maintenance stages of the model. Disclosure often occurred after a significant “turning point event” combined with a series of smaller events over a period of time. The significant life event often involved a weighing of options where participants considered the perceived risks against the potential benefits of disclosure. Conclusions. Abused women experienced intrusion from the chaotic nature of the emergency department. IPV disclosure was perceived as a positive experience when participants trusted the health care provider and felt control over their decisions to disclose IPV. Practice Implications. Nurses can use these findings to gauge the readiness of women to disclose IPV in the emergency department setting.

scholarly journals Intimate partner violence against women on the Colombia Ecuador border: a mixed-methods analysis of the liminal migrant experience

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Colleen Keating ◽  
Sarah Treves-Kagan ◽  
Ana Maria Buller
Keyword(s):  
Intimate Partner Violence ◽  
Mixed Methods ◽  
International Development ◽  
Partner Violence ◽  
Secondary Analysis ◽  
Intimate Partner ◽  
Psychological Consequences ◽  
Colombian Women ◽  
Restricted Mobility

Abstract Background Intimate partner violence (IPV) has serious long-term health and psychological consequences and is highly prevalent in Latin America and among displaced populations. Liminality - the ambiguous in-between state of individuals completing a migratory journey - represents a state of legal, economic, and physical insecurity. Through the framework of liminality, this analysis seeks to understand the unique challenges faced by displaced Colombian women in Ecuador including their experience of IPV. Methods We performed a secondary analysis of 15 in-depth interviews and 319 longitudinal surveys, conducted on the border of Ecuador and Colombia, following a sequential explanatory mixed-methods design. We analysed interviews thematically and mapped the main themes onto complementary quantitative variables. We conducted logistic regression with identified risk and protective factors (measured at time 1) and recent IPV (measured at time 2), controlling for demographic characteristics and IPV at time 1. Results Our mixed-methods analysis revealed four main mechanisms by which displacement influenced the social and economic realities of Colombian women years after crossing the border, compounding their risk of IPV and limiting their ability to escape it. Lack of legal residence and documentation, violence experienced along life course and migratory continuums which increased their risk for later revictimisation, social isolation including loss of support networks and restricted mobility and lastly, financial stress. Conclusions This research highlights the critical importance of supporting the economic and social integration of migrants and refugees in host communities, as well as the need to carefully consider migration-related vulnerabilities in IPV prevention and response interventions. As the regional refugee crisis grows, policy makers must consider how the long-term marginalisation of refugee women contributes to their victimisation. This research also supports the idea of incorporating gender synchronised, transformative IPV prevention and response programmes into migration-related and poverty alleviation international development efforts.

scholarly journals Intimate Partner Violence Documentation and Awareness in an Urban Emergency Department

Cureus ◽  
2019 ◽  
Author(s):  
Janeske Vonkeman ◽  
Paul Atkinson ◽  
Jacqueline Fraser ◽  
Rose McCloskey ◽  
Adrian Boyle
Keyword(s):  
Emergency Department ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Intimate Partner ◽  
Urban Emergency Department

Development of a Screen for Ongoing Intimate Partner Violence

2003 ◽  
Vol 18 (2) ◽  
pp. 131-141 ◽  
Author(s):  
Steve J. Weiss ◽  
Amy A. Ernst ◽  
Elaine Cham ◽  
Todd G. Nick
Keyword(s):  
Emergency Department ◽  
Intimate Partner Violence ◽  
Positive Predictive Value ◽  
Partner Violence ◽  
Predictive Value ◽  
Spouse Abuse ◽  
Assessment Tool ◽  
Positive Likelihood Ratio ◽  
Intimate Partner ◽  
Survey Tool

A five-question Ongoing Abuse Screen (OAS) was developed to evaluate ongoing intimate partner violence. Our hypothesis was that the OAS was more accurate and more likely to reflect ongoing intimate partner violence than the AAS when compared to the Index of Spouse Abuse (ISA). The survey included the ISA, the OAS, and the AAS. During the busiest emergency department hours, a sampling of 856 patients completed all aspects of the survey tool. Comparisons were made between the two scales and the ISA. The accuracy, positive predictive value, and positive likelihood ratio were 84%, 58%, and 6.0 for the OAS and 59%, 33%, and 2.0 for the AAS. The OAS was more accurate, had a better positive predictive value, and was three times more likely to detect victims of ongoing intimate partner violence than the AAS. Because the OAS was still not accurate enough, we developed a new screen, based on the ISA, titled the Ongoing Violence Assessment Tool (OVAT).

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