对亲密伴侣暴力的创伤和暴力知情护理的可接受性和可行性
Gunjan Tiyyagura1, John M Leventhal2, Paula Schaeffer2
1Yale University School of Medicine, United States of America; Department of Emergency Medicine, Yale University School of Medicine, United States of America.
一个创伤和暴力信息化护理 (TVIC) 模型有效评估了暴露在亲密伴侣暴力 (IPV) 的儿童,并将照顾者连接到支持. 这种方法是可行的和可接受的,改善了对虐待儿童评估和IPV服务的参与.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 公共卫生 公共卫生
- 社会工作 社会工作
背景情况:
- 亲密伴侣暴力 (IPV) 和儿童身体虐待往往同时发生,但暴露于IPV的儿童并没有定期评估虐待.
- 儿科访问是解决IPV的关键机会,因为护理人员经常为他们的孩子寻求医疗护理,而不是自己.
研究的目的:
- 评估基于创伤和暴力信息化的护理 (TVIC) 模型的可行性和可接受性.
- 该模型旨在评估暴露于IPV的儿童,并将幸存者护理人员与IPV倡导者联系起来.
主要方法:
- 这项研究包括3岁以下的儿童,因IPV暴露而向儿童保护服务 (CPS) 报告,以及他们的幸存者护理人员.
- 可行性是通过评估符合条件的儿童和护理人员与IPV倡导者会面/跟踪的百分比来衡量的.
- 通过与护理人员就他们对模型的看法进行定性访谈来评估可接受性.
主要成果:
- 在216名符合条件的儿童中,有49名 (22.7%) 被评估. 在41名护理人员中,68.6%与IPV倡导者会面,91.7%进行了后续访问.
- 由于儿童行为问题和CPS合规性,护理人员出席了会议.
- 关键主题包括访问的动机,通过亲密关系和非判断性支持促进的参与,以及承认IPV的影响和立即宣传联系等好处.
结论:
- 基于TVIC的模型是可行的和可接受的,用于评估暴露于IPV的儿童.
- 该模型显示了增强护理人员参与儿童虐待评估和IPV服务的潜力.
- 这种方法可以提高安全性,促进受IPV影响的儿童和家庭的福祉.
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