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Nurse practitioner interventions for domestic violence
M J Gagan1, T A Badger, M de Leon Baker
1College of Nursing, University of Arizona, Tucson 85721-0203, USA. MGagan@RN1.nursing.arizona.edu
Summary
Nurse practitioners (NPs) often underdiagnose domestic violence. While many interventions exist, few have strong theoretical or empirical backing, highlighting a need for better training and evidence-based practices in domestic violence care.
Area of Science:
- Nursing Practice
- Domestic Violence Research
- Healthcare Interventions
Background:
- Domestic violence is a significant public health issue.
- Accurate diagnosis and effective interventions by healthcare providers are crucial.
- Nurse practitioners (NPs) play a key role in identifying and managing domestic violence cases.
Purpose of the Study:
- To identify interventions used by adult and family nurse practitioners (NPs) for suspected domestic violence.
- To determine the theoretical and empirical support for these interventions.
Main Methods:
- Content analysis of 60 vignette responses from 20 NPs.
- Comparison of identified interventions with existing literature.
- Evaluation of theoretical and empirical support for intervention categories.
Main Results:
- NPs diagnosed domestic violence in only 60% of suspected cases.
- Twelve categories of interventions were identified.
- All 12 categories had theoretical support, but only one had empirical support.
Conclusions:
- There is a need to improve NPs' diagnostic accuracy for domestic violence.
- Interventions for domestic violence require stronger theoretical and empirical validation.
- Enhanced training for NPs on domestic violence is recommended.