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The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

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Improving Provider Readiness for Intimate Partner Violence Screening.

Amy S D Lee¹, Lynn R McDonald², Susan Will²

¹Capstone College of Nursing, University of Alabama, Tuscaloosa, AL, USA.

Worldviews on Evidence-Based Nursing

|April 24, 2019

Summary

Healthcare providers are more ready to screen for intimate partner violence (IPV) after education and EMR tool integration. This intervention improved provider confidence and reduced fears associated with screening for IPV.

Keywords:

abuse/physical gynecology mental nurse-patient relations/nurse-patient relationship obstetrics patient advocacy patient safety violence women's health

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Area of Science:

Public Health
Healthcare Informatics
Clinical Practice

Background:

Intimate partner violence (IPV) is a critical public health concern.
Healthcare providers are vital in preventing and reducing IPV through screening.
Integrating IPV screening into routine care presents an opportunity for early intervention.

Purpose of the Study:

To assess the impact of an educational intervention and an electronic medical record (EMR) integrated screening tool on healthcare provider readiness to screen for IPV.
To evaluate changes in provider attitudes and perceived barriers related to IPV screening.

Main Methods:

An intervention combining EMR-integrated screening tool, automated resource system, and provider education was implemented.
Healthcare provider readiness was measured pre- and post-intervention using the Domestic Violence Health Care Provider Survey Scale (DVHCPSS).
An unpaired Student's t test was used to analyze the data.

Main Results:

Overall readiness for IPV screening significantly increased post-intervention (p = .003).
Significant improvements were observed in reducing "professional role resistance/fear of offending the patient" (p < .0001), "blame victim items" (p = .0029), "perceived self-efficacy" (p = .0064), and "victim/provider safety" (p = .003).

Conclusions:

Integrating a validated IPV screening tool into the EMR, coupled with education, enhances provider readiness for IPV screening.
Standardized, accessible IPV screening tools embedded in EMRs can facilitate universal screening and referral, aiding IPV reduction and prevention.