培训澳大利亚全科医生为遭受亲密伴侣虐待的妇女提供咨询 (WEAVE):培训前后分析
Felicity Young1,2, Mohajer Hameed3, Leesa Hooker4,5
1La Trobe Rural Health School, La Trobe University, Bendigo, VIC, 3552, Australia. f.young@latrobe.edu.au.
BMC primary care
|March 21, 2024
概括
健康关系培训提高了全科医生在处理亲密伴侣虐待方面的知识和信心. 然而,诸如时间和转诊选项之类的系统性障碍仍然阻碍了对受害者-幸存者的全面支持.
科学领域:
- 主要护理是指初级护理.
- 公共卫生 公共卫生
- 医疗教育 医学教育
背景情况:
- 对于全科医生 (GPs) 的亲密伴侣虐待 (IPA) 培训,存在有限的评估.
- 澳大利亚的妇女虐待和暴力护理评估 (WEAVE) 研究试点为全科医生提供健康关系培训.
- 这次培训旨在为从业人员提供支持性咨询和帮助遭受亲密伴侣虐待的妇女的技能.
研究的目的:
- 评估健康关系培训计划对全科医生的有效性.
- 评估从业者的知识,技能,信心和对亲密伴侣虐待支持的态度的变化.
- 识别阻碍和促进全科医生为亲密伴侣虐待的受害者-幸存者提供支持的障碍.
主要方法:
- 进行了一个集群随机对照试验.
- 一般医生完成了基线,培训前和培训后的调查,包括医生准备管理亲密伴侣暴力调查 (PREMIS).
- 收集了定量和定性数据,以评估知识,技能,信心,态度和感知障碍.
主要成果:
- 与对照组相比,干预组在培训后的预备,认知知识,实际知识和对实践相关问题的认识方面显示出明显更高的成绩.
- 定性数据显示,干预GP的知识,意识和信心增加了.
- 时间限制和缺乏转诊途径被确定为解决滥用问题的重大障碍.
结论:
- 健康关系培训计划有效地提高了全科医生的知识,技能和对管理亲密伴侣虐待的信心.
- 持续支持受害者-幸存者需要解决系统性问题,如时间压力和改进推网络.
- 需要进一步的干预措施来促进态度的改变,并确保对受到亲密伴侣虐待影响的人提供全面的护理.
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