在1级创伤中心进行亲密伴侣暴力查的障碍和促进者
Caroline Melhado1, Hannah Decker1, Marisa Schwab1
1Department of Surgery, University of California, San Francisco, CA.
Surgery
|August 22, 2024
概括
创伤医生在查亲密伴侣暴力 (IPV) 时面临时间限制和语言问题等障碍. 标准化的教育和团队合作可以提高创伤环境中的IPV查率.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 定性研究是指质量研究.
背景情况:
- 亲密伴侣暴力 (IPV) 是一个重大的公共卫生问题,具有严重的健康后果,包括创伤性伤害.
- 专业指南建议对创伤患者进行普遍的IPV查,但实施不一致.
- 一个质量改进项目旨在增加IPV查,但率仍然低于最佳水平,需要进一步调查.
研究的目的:
- 从创伤临床医师的角度探索亲密伴侣暴力查的障碍和促进者.
- 了解在创伤护理中实施IPV查协议的现实挑战和推动因素.
主要方法:
- 一个定性研究,采用深入的,半结构化的面试与创伤临床医生.
- 专题分析用于分析采访数据并确定关键主题.
- 采访了14名参与者 (12名住院医生,2名先进实践提供者).
主要成果:
- 六个主题出现了:三个促进者 (标准化的教育/工作流程,跨学科的团队合作,查背景) 和三个障碍 (缺乏时间,语言误解,普遍查的不适当性).
- 临床医生确定了影响查实践的创伤环境独特的因素.
- 查率有所改善,但仍未达到最佳水平.
结论:
- 创伤临床医生遇到特定的促进者和障碍,亲密伴侣暴力查.
- 加强创伤机构普遍查的干预措施应考虑这些已识别的因素.
- 解决这些障碍和利用促进者对于在创伤护理中有效的IPV查至关重要.
相关概念视频
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Specialized Care Centers and Settings-I
936
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
936
Bystander Effect
9.5K
The discussion of bullying highlights the problem of witnesses not intervening to help a victim. This is a common occurrence, as the following well-publicized event demonstrates. In 1964, in Queens, New York, a 19-year-old woman named Kitty Genovese was attacked by a person with a knife near the back entrance to her apartment building and again in the hallway inside her apartment building. When the attack occurred, she screamed for help numerous times and eventually died from her stab wounds.
9.5K
Barriers to Effective Communication I
8.7K
A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
8.7K
Preventive Healthcare Services
974
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
974


