Article

When closeness breeds cruelty: Helping victims of intimate partner violence

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... Both the AAS (McFarlane & Parker, 1994a, 1994b) instrument and the Danger Assessment (DA) (Campbell, 2004) were inspired by Dutton " s model of empowerment and both are readily available in English and Spanish. Furthermore it is important to note that these instruments are currently endorsed in several continuing education modules and guidelines on care of victims of IPV for nurses and other health care professionals (AWHONN, 2002; Campbell & Furniss, 2003; Berlinger, 2004; Dienemann, et al., 2002; FVPF, 2004; Schwartz, 2007). It is also of interest to note that both the IOM (Cohn, Salmon, & Stabo, 2002 ...
... For example, it has been recommended that faculty intentionally engage students in advocacy projects, facilitating development of communication skills necessary to implement the concept of empowerment among actual victims of family violence (Campbell, 1992; Woodtli, 2000). Within the discipline of nursing, several self-study continuing education modules and guidelines for teaching nurses to assess for intimate partner violence have been made available through The March Of Dimes (); the Association for Women " s Health, Obstetric and Neonatal Nurses (AWHONN, 2002; McFarlane & Furniss, 2003) and others (Berlinger, 2004; Dienemann, et al., 2002; FVPF, 2004; Krieger, 2008; Schwartz, 2007). However, the availability of a structured curriculum does not necessarily translate into improved practice or implementation with the targeted population (Hinderliter, et al., 2003; Schoening, et al., 2004). ...
Article
Indiana University-Purdue University Indianapolis (IUPUI) Intimate partner violence (IPV) has been declared a public health epidemic. Initial and annual training of healthcare providers regarding guidelines for identification and response to intimate partner violence has been mandated by the Joint Commission and endorsed by the Institute of Medicine. However, many providers/institutions lack the preparation necessary to implement such guidelines. The purpose of the feasibility study was to test the efficacy of an existing IPV training curriculum on participants’ perception of knowledge, cultural competence, confidence (self-efficacy), and attitudes related to identifying and responding to victims of IPV. A sample of convenience including twenty-three registered nurse home-visitors and one social work intern participated in the mandatory one-day training program. However, consent to enroll in the study was voluntary and indicated by completing the study instruments. Participants were asked to complete three evaluative measures: The 11-item Plunkett Demographic Questionnaire (pre-training), a 15-item Training Program Evaluation (post-training), and the 21-item Instructional Measurement Subscales across three time points (pre-Training, post-Training, and six weeks follow-up). All items were numerically coded so the higher the score, the more favorable the response. Data were analyzed using descriptive and inferential statistics (percentages; minimum-maximum, mean, and composite scores; standard deviations; repeated measures analysis of variance; and, paired samples dependent t tests). Four hypothesis statements were made regarding participation in the training program on IPV: “There will be an overall increase in healthcare providers’ perceived level of knowledge and cultural competence,” (hypothesis 1); “There will be an overall increase in healthcare providers’ perceived level of confidence in implementing routine enquiry,” (hypothesis 2); “There will be an overall positive change in healthcare providers’ attitudes towards routine enquiry,” (hypothesis 3); and, “There will be an overall positive change in healthcare providers’ attitudes towards victims of abuse following participation in Improving the Health Care Response to Domestic Violence,” (hypothesis 4). Findings supported previous research outcomes that presently recognized barriers to routine screening/ assessment for IPV can be overcome and positive changes can persist over time as a result of participation in a standard IPV training program. Future research involving larger, random sample populations, are needed to confirm these results.
Article
Purpose: This study was conducted in order to investigate the level of intimate partner violence (IPV), beliefs and attitudes toward IPV and depression in victims of IPV and to identify factors influencing their depression. Methods: This was a descriptive study using a questionnaire. The Woman Abuse Screening Tool was used for examination of IPV, and the tool developed by Saunders, Lynch, Grayson & Linz(1987) and Haj - Yahia (2003) was used for examination of beliefs and attitudes toward IPV. The CES -D Scale was used for evaluation of depression. Results: A total of 172 victims were recruited. The level of IPV was low (1.36?0.30 out of 3) and the level depression was mild depression (11.57?11.30, out of 60). Beliefs and attitudes toward IPV were not positive (2.51 out of 5). A significant relationship was observed between beliefs and attitudes toward IPV, level of IPV and depression. Factor influencing depression was physical abuse, and that was explained by 13.5% (F
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Pregnancy and motherhood traditionally represent evolution of the next generation; yet, contemporary research and analyses confirm that this time can also be manifested in fear by the expectant mother within an environment of battering, cruelty, physical and emotional abuse, and sexual assault. Often to the surprise of many healthcare providers, the Centers for Disease Control and Prevention have consistently reported that Interpersonal Violence (IPV) related homicide is a leading cause of traumatic death among new and expectant mothers. In spite of these staggering statistical and anecdotal findings, universal screening for violence during pregnancy continues to be minimal. Forensic nurses might be prompted to respond to the consequences of violence and its resultant negative effects on expectant mothers by strategically incorporating systematic and consistent assessment into foundational nursing curricula regarding IPV as a leading risk factor for injury or death.
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