Jane Koziol-McLain

Auckland University of Technology | AUT · Centre for Interdisciplinary Trauma Research

Purpose Emerging evidence suggests that women settling in a country after forced migration are at greater risk of intimate partner violence (IPV). Screening for IPV has been widely implemented in mainstream health services and found to increase identification of IPV and provide opportunities for access to support. The Australian government funds a...

Child abuse and neglect represent significant global health challenges with long‐lasting adverse impacts. Oral health practitioners, who often interact with children, play a key role in detecting and responding to suspected cases. Despite this, there is a notable gap in the systematic child protection measures in dental practices globally. This sco...

Intimate partner violence (IPV) is highly prevalent globally, with increased risk for women in situations of conflict, post conflict and resettlement. The Safety and Health after Arrival (SAHAR) study tested IPV screening with women accessing settlement services in New South Wales, Australia, using the validated ACTS tool, along with brief response...

The Safety and Health after Arrival (SAHAR) study, funded by the Australian Research Council and SSI, introduced and evaluated a culturally tailored domestic violence (DV) screening and response strategy with women attending five Australian refugee settlement services.

Background As a key determinant of ill-health, family violence is inadequately responded to within Aotearoa New Zealand health policy and practice. Without adequate system support, health professionals can often be unsure of what to do, or how to help. Developed in response to this system gap, ‘Atawhai’ aims to make it easier for primary care profe...

Introduction Child abuse and neglect (CAN) poses significant risks, causing severe and long-lasting effects on a child’s well-being, including physical and mental health and learning and socializing capabilities. Oral health practitioners (OHPs) uniquely position themselves to identify signs of maltreatment in the orofacial area, offer appropriate...

Background Workplace violence against medical staff in China is a widespread problem that has negative impacts on medical service delivery. The study aimed to contribute to the prevention of workplace violence against medical staff in China by identifying patterns of workplace violence, key risk factors, and the interplay of risk factors that resul...

Introduction Increasing attention on workplace wellbeing and growth in workplace wellbeing interventions has highlighted the need to measure workers' wellbeing. This systematic review sought to identify the most valid and reliable published measure/s of wellbeing for workers developed between 2010 to 2020. Methods Electronic databases Health and P...

COVID-19 pandemic planning and response has resulted in unprecedented upheaval within health systems internationally. With a concern for increasing frequency and escalation of family violence, the so called “shadow pandemic,” we wondered how health system violence intervention programs were operating during this time. In Aotearoa New Zealand, the M...

Background Child abuse and neglect are significant social and health issues in New Zealand. As the government provides free oral care to children and adolescents, oral health practitioners are positioned to respond to child protection concerns. However, research on the knowledge and attitudes of oral health practitioners is limited. This study aime...

Introduction Child abuse and neglect can seriously impair social development, learning, physical, and psychological health. Oral health practitioners can recognize the orofacial manifestations of maltreatment in a dental setting, provide necessary support, and refer concern to child protection agencies to prevent further harm. There is a need to un...

Seemingly intractable or ‘wicked’ problems are often characterised by the complexity and uncertainty involved. However, these characteristics are not always accounted for within research design. How health care systems may effectively respond to intimate partner violence presents a complex research problem. Researchers have been challenged to accou...

Background We co-designed a smartphone app, Harmonised, with taitamariki (young people aged 13-17 years) to promote healthy intimate partner relationships. The app also provides a pathway for friends and family, or whānau (indigenous Māori extended family networks), to learn how to offer better support to taitamariki. Objective The aim of our tait...

Introduction The impacts of violence have a significant effect on health and well-being, particularly for women and children. Violence within families is widely recognised as a complex problem constituted by constantly interacting and evolving social, economic, health and cultural elements. Calls for integrated services have arisen from growing und...

Background Intimate partner violence (IPV) is a major public health problem with harmful consequences. In Australia, there is no national standard screening tool and screening practice is variable across states. The objectives of this study were to assess in the antenatal healthcare setting: i) the validity of a new IPV brief screening tool and ii)...

Background: Prototype analyses of well-being have identified central characteristics and prototypicality for New Zealand teachers, lawyers, adolescents, and work well-being of nurses. What has not yet been explored is the broad construct of well-being in intensive care nurses. Aims and objectives: To identify intensive care nurses' conceptions o...

Background: Intimate partner violence is a pervasive public health and human rights problem with multidimensional effects on women’s physical, mental and reproductive well-being. The World Health Organization has recommended a first-line response to disclosures of intimate partner violence. However, a strong evidence base of which interventions wor...

Introduction The health and social impacts of the COVID-19 pandemic evident internationally are mirrored in New Zealand.¹With reports of escalating Intimate Partner Violence (IPV), there is a need for services supporting women and families to adapt to the changing COVID-19 environment. An interactive, individualised web-based safety-decision aid ca...

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 protocol...

Background: Intimate partner violence (IPV) is a major public health problem with harmful consequences. In Australia, there is no national standard screening tool and screening practice is variable across states. The objectives of this study were to assess in the antenatal healthcare setting: i) the validity of a new IPV brief screening tool and ii...

Objective: Routine inquiry has been introduced in many health settings to identify women who are experiencing intimate partner violence (IPV). A range of validated tools exist; however, little attention has been given to how health professionals interpret women’s responses and whether they align with women’s own perceptions about whether they discl...

Objective To identify and synthesise the experiences and expectations of women victim/survivors of intimate partner abuse (IPA) following disclosure to a healthcare provider (HCP). Methods The databases MEDLINE, Embase, CINAHL, PsychINFO, SocINDEX, ASSIA and the Cochrane Library were searched in February 2020. Included studies needed to focus on w...

Aim: To explore the effects of resonant leadership, leader exchange relationships and perceived organizational support on work engagement and patient outcomes. Design: A cross-sectional survey design. Methods: Data were collected in June and July 2016 from 252 nurses and clerical staff and institutional patient safety (falls rates) and patient...

Although many Indigenous peoples demonstrate resilience and strength despite the ongoing impact colonization has on their peoples, evidence suggests poor experiences and expectations of health care professionals and access to health care. Health care professionals play an essential role in responding to family violence (FV), yet there is a paucity...

Health practitioners play an important role in identifying and responding to domestic violence and abuse (DVA). Despite a large amount of evidence about barriers and facilitators influencing health practitioners’ care of survivors of DVA, evidence about their readiness to address DVA has not been synthesised. This article reports a meta-synthesis o...

A significant number of people have been displaced from their country of origin and become refugees. Good health is essential for refugees to actively engage and take up opportunities within the society in their host countries. However, negotiating a new and unfamiliar health system hinders refugees’ ability to access and make use of the available...

Refugees are forced to flee their native country to escape war or oppression. They are resilient and generally have a high level of motivation to rebuild their lives, as well as to make a meaningful contribution to the host country. However, refugees in general have complex health needs and they often face significant barriers in accessing health s...

Objective To explore what affects sustainable responses to intimate partner violence within New Zealand primary care settings using complexity theory. Design Primary care professional interviews on intimate partner violence as a health issue are analysed using a complexity theory-led qualitative research methodology grounded in poststructuralism....

Background: There had been little focus on the well-being of intensive care nurses until a recent programme of research found work well-being to be best described as a collection of elements, a multifaceted construct. Strengtheners of intensive care nurses' work well-being were found to extend across individual, relational, and organizational reso...

Title: Exploring Indigenous perspectives on a technological intervention for family violence: addressing the barriers faced by marginalised populations. Abstract:

Aotearoa New Zealand’s high rates of intimate partner violence (IPV) and child abuse and neglect point to a clear need to develop and resource equitable mental health and addiction practices that are responsive both to people experiencing and using violence, and to their families. Current responses to IPV in mental health and addiction settings in...

Background: Intensive care nurse wellbeing is essential to a healthy healthcare workforce. Enhanced wellbeing has widespread benefits for workers. Bibliometrics enables quantitative analysis of bourgeoning online data. Here, a new model is developed and applied to explore empirical knowledge underpinning wellbeing and intensive care nurse wellbein...

While the evidence about the statistical co-occurrence of family violence and problem gambling is growing, the mechanism by which the two behaviours are related is less clear. This study sought to clarify the dynamics of the problem behaviours, including the role of gender in victimisation and perpetration of violence in the family. Two-hundred-and...

Intimate partner violence (IPV) routine screening is widely implemented, yet the evidence for pathways to impact remains unclear. Of the 32 abused women interviewed 16 weeks after antenatal IPV screening, 24 reported positive impact, six reported nil positive impact, and two reported negative impact. Using qualitative comparative analysis (QCA), ke...

Background and purpose: Unique work challenges of intensive care nurses can cause both stress and distress to nurses, evident in prevailing literature regarding burnout, compassion fatigue, and moral distress. Identifying factors contributing to intensive care nurses' well-being would complement this focus on nurse ill-being, supporting the develo...

Aboriginal women globally are disproportionately affected by intimate partner violence (IPV) and face additional barriers to help-seeking. It is crucial that interventions for IPV are made safe for Indigenous women, given inflated rates of statutory intervention and widespread institutional racism. As part of a larger study of antenatal IPV screeni...

Background: Measuring wellbeing has never been so important. With the rapid growth of workplace wellbeing interventions, determining their effectiveness is not only good science but also good practice. A wide variety of wellbeing measures exist in the literature but it is not always clear what they are measuring, nor which measures best meet study...

Health researchers employ health interpreters for research interviews with linguistically diverse speakers. Few studies compare inconsistencies between different interpretations of the same interview data. We compared interpreted with independently reinterpreted English language transcripts from five in-home family interviews conducted in five diff...

Background Integrating sustainable responses to intimate partner violence in health care is a persistent and complex problem internationally. New Zealand holds a leading role, having established national health system infrastructure for responding to intimate partner violence within hospital and selected community settings. However, resources for,...

Background Intensive care nursing is a professionally challenging role, elucidated in the body of research focusing on nurses' ill‐being, including burnout, stress, moral distress and compassion fatigue. Although scant, research is growing in relation to the elements contributing to critical care nurses' workplace well‐being. Little is currently kn...

Background: Accurately conceptualizing intensive care nurse work well-being is fundamental for successful engagement with workplace well-being interventions. Little is currently known about intensive care nurse work well-being. Aims: The aims of this study are to identify intensive care nurses' conceptions of work well-being and ascertain whethe...

Although complexity theory is increasingly used to explain and understand complex health-system behavior, little is known about utilizing complexity theory to augment qualitative research methods. We advance this field by describing our use of complexity theory as a qualitative research methodology to explore sustainable health-care responses to in...

Elevated rates of family violence among treatment-seeking problem gamblers compared to general population estimates have been reported in Spain, Canada and Australia. This study examined the occurrence of family violence among 454 problem gambling help-seeking clients (370 gamblers, 84 affected others) recruited through 3 national gambling treatmen...

Background: Intimate partner violence (IPV) is a human rights violation and leading health burden for women. Safety planning is a hallmark of specialist family violence intervention, yet only a small proportion of women access formal services. A Web-based safety decision aid may reach a wide audience of women experiencing IPV and offer the opportu...

Aims and objectives: The project aimed to develop a unit level quality measurement and improvement programme using evidence based fundamentals of care. Background: Feedback from patients, families, whānau, staff, and audit data in 2014 indicated variability in the delivery of fundamental aspects of care such as monitoring, nutrition, pain manage...

Abstract This study investigated the effect of problem gambler gender on the relationship between the gambler having dependent children (younger than 18 years) living at home and the gambler perpetrating or being a victim of family violence. The sample comprised 164 help-seeking gamblers (43% female; 37% with dependent child/ren) recruited from thr...

Implementing effective and sustainable health care responses to intimate partner violence (IPV) is a complex public health problem internationally. Increasingly scholars are recognizing that research methods which explore health-system responses to IPV obscure the complexity of the problem. This paper discusses the use of complexity theory for rese...

Many people are displaced from their country of origin and become refugees, mostly due to armed conflicts, political violence and human rights abuse. Refugees have complex mental, physical, and social health problems related to their traumatic background and the experiences they have endured during their refugee journey. The aim of this qualitative...

The use of Web-based methods to deliver and evaluate interventions is growing in popularity, particularly in a health care context. They have shown particular promise in responding to sensitive or stigmatized issues such as mental health and sexually transmitted infections. In the field of domestic violence (DV), however, the idea of delivering and...

Background Automated eHealth Web-based research trials offer people an accessible, confidential opportunity to engage in research that matters to them. eHealth trials may be particularly useful for sensitive issues when seeking health care may be accompanied by shame and mistrust. Yet little is known about people’s early engagement with eHealth tri...

Aims and objectives The aim of this study was to explore the consequences of the nurse's use of advanced assessment skills on medical and surgical wards. Background Appropriate, accurate, and timely assessment by nurses is the cornerstone of maintaining patient safety in hospitals. The inclusion of “advanced” physical assessment skills such as aus...

Background Despite primary health care being recognised as an ideal setting to effectively respond to those experiencing family violence, responses are not widely integrated as part of routine health care. A lack of evidence testing models and approaches for health sector integration, alongside challenges of transferability and sustainability, mean...

Objectives: intimate partner violence is a significant global health problem but remains largely hidden. Understanding decisions about whether or not to disclose violence in response to routine enquiry in health settings can inform safe and responsive systems. Elevated rates of violence and systematic disadvantage found among Indigenous women glob...

Background: The use of Web-based interventions to deliver mental health and behavior change programs is increasingly popular. They are cost-effective, accessible, and generally effective. Often these interventions concern psychologically sensitive and challenging issues, such as depression or anxiety. The process by which a person receives and exp...

Objective: To derive novel emergency weight estimation tables for New Zealand children aged 5-10 years using ethnicity and sex to increase accuracy and precision. Methods: Using an existing dataset (collected in five New Zealand primary schools during July 2013; n = 376), body mass index and current emergency weight estimates were calculated. St...

Rationale: Intimate partner violence (IPV) is a significant global public health risk causing premature death and morbidity that largely remains hidden. Understanding decisions about whether or not to disclose abuse when asked about it in health settings is important to ensuring that those experiencing violence are provided with access to services...

The significant co-occurrence between men’s violence against female partners and child abuse and neglect is well documented. It is less clear how child safety should be managed in family violence research with their mothers. This issue is salient to isafe, a New Zealand–based Internet intervention study testing improvement in safety decisions and m...

Consumer eHealth products are often used by people in their own homes or other settings without dedicated clinical supervision, and often with minimal training and limited support - much as eCommerce and eGovernment applications are currently deployed. Internet based self-care systems have been advocated for over a decade as a way to reduce costs a...

Health systems have a crucial role in a multisector response to violence against women. Some countries have guidelines or protocols articulating this role and health-care workers are trained in some settings, but generally system development and implementation have been slow to progress. Substantial system and behavioural barriers exist, especially...

Methods A prospective, observational study. Data were collected in July 2013 at five Auckland schools among children aged 5–10 years. Collected demographic information included age, ethnicity, sex and school decile. Standardised measures included weight, height and Broselow–Luten tape (2011 version, limited to children 43–143 cm) weight. Age-based...

This study tested a model of the process by which women decide whether to disclose past 12 months abuse to their healthcare provider. Previously we found that direct asking, choice, trust and safety from - the offender, institutional control and shame – were key factors in deciding. The current study with 31 disclosing and 19 non-disclosing antenat...

Background: Intimate partner violence (IPV) and its associated negative mental health consequences are significant for women in New Zealand and internationally. One of the most widely recommended interventions is safety planning. However, few women experiencing violence access specialist services for safety planning. A safety decision aid, weighin...

This study provides a systematic review of the empirical evidence related to the association between problem gambling and intimate partner violence (IPV). We identified 14 available studies in the systematic search (8 for victimisation only, 4 for perpetration only and 2 for both victimisation and perpetration). Although there were some equivocal f...

Women experiencing intimate partner violence face complex decisions in navigating their safety. In a feasibility study, we examined the suitability of an intimate partner violence interactive online decision aid developed in the United States for its application in New Zealand, particularly with regard to cultural appropriateness. We conducted focu...

The primary aim of this study was to explore the prevalence and patterns of family violence in treatment-seeking problem gamblers. Secondary aims were to identify the prevalence of problem gambling in a family violence victimisation treatment sample and to explore the relationship between problem gambling and family violence in other treatment-seek...

Background/objectives: To examine the effectiveness, acceptability and sustainability of interventions to reduce vitamin B12 (B12) deficiency in South Asian women before conception. Subjects/methods: A 6-month randomised controlled trial conducted in Auckland, New Zealand. Participants (62 South Asian women, 18-50 years old) were stratified by d...

There exists only a small number of empirical studies investigating the patterns of family violence in problem gambling populations, although some evidence exists that intimate partner violence and child abuse are among the most severe interpersonal correlates of problem gambling. The current article reports on the Australian arm of a large-scale s...

You are concerned about something in your clinical practice; you are aware that the way a certain procedure is performed is, well, archaic. Or, perhaps a process for how patients navigate through the emergency department is so inefficient that it affects patient outcomes. You are sure that there must be a better way that can improve the quality of...

Family violence is identified as a significant yet preventable public health problem internationally and in Aotearoa, New Zealand. Despite this, responses to family violence within New Zealand primary healthcare settings are generally limited and ad hoc. Along with guidelines and resources, a systems approach is indicated to support a safe and effe...