在临床文档中概念化家庭暴力
María Atiénzar-Prieto1, Shannon Dhollande2, Silke Meyer3
1University of the Sunshine Coast, Sippy Downs, QLD, Australia.
Global qualitative nursing research
|November 1, 2024
概括
医疗保健专业人员有时犹不决,在紧急部门 (ED) 记录中记录家庭和家庭暴力 (DFV). 需要改善培训,以确保受害者-幸存者获得一致的支持.
科学领域:
- 公共卫生 公共卫生
- 医学社会学 医学社会学
- 紧急医疗 紧急医疗
背景情况:
- 家庭和家庭暴力 (DFV) 是一个普遍存在的全球问题,对受害者-幸存者产生深远的影响.
- 紧急部门 (ED) 是个体体验DFV的关键初始联系点.
- 在临床笔记中有效记录DFV对于患者管理和专业间沟通至关重要.
研究的目的:
- 探索医疗保健专业人员如何在向急诊部 (ED) 提交妇女的医疗记录中记录家庭和家庭暴力 (DFV).
- 在紧急护理环境中识别DFV文档中的模式和挑战.
主要方法:
- 进行了一项定性描述性研究.
- 分析了来自43次介绍的临床笔记,其中包括32名在区域ED报告DFV的妇女 (18-56岁).
- 诱导性内容分析被用来对DFV的文档进行分类.
主要成果:
- 通过直接的患者引文,明确的描述,未经证实的实例和对有问题的关系的引用来记录DFV.
- 虽然许多DFV实例被清楚地记录下来,但很大一部分临床笔记在承认DFV动态方面表现出不情愿或谨慎.
- 出现了四种类型的DFV文档:直接语音,明确的DFV,未经证实的DFV和有问题的关系.
结论:
- 调查结果强调,需要为医疗保健提供者提供加强和一致的专业培训,以识别,记录和应对DFV披露和怀疑.
- 改进的文档实践对于在ED和其他医疗机构更好地支持受害者-幸存者至关重要.
- 解决DFV文档中的细微差别可以改善受家庭暴力和家庭暴力影响的患者的护理和安全.
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