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Screening for abuse during pregnancy: implementing a multisite program.

Loretta P Higgins1, Joellen W Hawkins

  • 1Boston College, William F. Connell School of Nursing, USA. loretta.higgins@bc.edu

MCN. the American Journal of Maternal Child Nursing
|March 19, 2005
PubMed
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Implementing routine abuse screening in healthcare settings is crucial. This study details challenges and lessons learned from a large-scale clinical nursing research project involving 13 sites and the Abuse Assessment Screen tool.

Area of Science:

  • Nursing Research
  • Public Health
  • Clinical Practice

Background:

  • Routine screening for abuse is a recommended healthcare practice.
  • Intimate partner violence contributes to maternal mortality and significant costs.
  • Previous research highlights the need for effective abuse screening protocols.

Purpose of the Study:

  • To describe the implementation of a standardized abuse screening tool in a clinical nursing research project.
  • To identify and discuss challenges encountered during the implementation of abuse screening across 13 healthcare sites.
  • To share lessons learned from a large-scale clinical practice change initiative.

Main Methods:

  • A clinical nursing research project was conducted across 13 different healthcare sites.

Related Experiment Videos

  • The Abuse Assessment Screen, a standardized tool, was implemented for abuse screening.
  • Close collaboration with clinical agencies and nursing staff was essential.

    • Main Results:

    • Implementation of a standardized abuse screening tool presented challenges across multiple clinical sites.
    • Establishing and maintaining relationships with clinical staff was key to the research process.
    • The study identified practical lessons for large-scale changes in clinical practice.

    Conclusions:

    • Successful implementation of abuse screening requires addressing site-specific challenges.
    • Effective communication and collaboration with healthcare providers are vital for research integration.
    • Lessons learned can inform future efforts to integrate abuse screening into routine care.