Reframing Intimate Partner Violence Response Through a BE-KNOW-DO Praxis: Integrating Evidence-Based Practices,...

Intimate partner violence (IPV) continues to be inconsistently identified, documented, and referred within healthcare settings, reflecting misalignments in clinicians' beliefs, knowledge, and clinical actions.

This brief report evaluates the BE-KNOW-DO praxis model as a mechanism‑based framework for clarifying how these multilevel barriers shape forensic‑nursing response and for identifying opportunities to strengthen culturally responsive, trauma‑informed practice.

A convergent integrative approach synthesized quantitative findings from prior mixed‑methods research with qualitative themes from interdisciplinary forensic‑nursing literature. Quantitative analyses examined relationships among evidence‑based practices, culturally responsive practice, and practitioner effectiveness. Qualitative themes were drawn from trauma‑informed, culturally responsive, and systems‑based studies. All data were mapped onto core forensic‑nursing processes-screening, trauma‑informed assessment, documentation, and referral-and organized using the BE-KNOW-DO model.

The synthesis identified "three recurring barriers: belief‑level distortions, knowledge gaps, and methodological inconsistencies". Belief‑level assumptions limited recognition of IPV indicators. Knowledge gaps undermined documentation accuracy and interpretation. Methodological inconsistencies fragmented care and reduced timely forensic‑nursing consultation. Evidence‑based practices were positively associated with practitioner effectiveness, partially mediated by culturally responsive practice.

Inconsistent IPV response arises from systemic misalignment across belief systems, knowledge structures, and clinical actions. The BE-KNOW-DO model offers a concise mechanism‑based lens for guiding culturally responsive practice, standardized workflows, and adaptive leadership to strengthen continuity, equity, and timeliness of IPV identification and referral.