一个混合方法评估一个护士带领的家庭暴力和家庭暴力服务
Jane Currie1,2,3, Claire Nelson1, Leanne Papas4
1School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia.
Journal of advanced nursing
|April 1, 2025
概括
由护士领导的服务显著改善了遭受家庭和家庭暴力的妇女获得医疗保健的机会. 灵活,以人为中心的护理导航是解决未满足需求和将妇女与基本的健康和社会支持联系起来的关键.
科学领域:
- 公共卫生 公共卫生
- 护理 护理 护理
- 社会工作 社会工作 社会工作
背景情况:
- 家庭和家庭暴力 (DFV) 对妇女获得医疗保健构成重大障碍.
- 一个大都会非营利性组织实施了一项由护士领导的多学科服务,以解决遇到DFV和无家可归的妇女和儿童的复杂需求.
- 该服务整合了专业社区支持,用于安全规划,住房和心理健康.
研究的目的:
- 评估专业护士领导服务对改善遭受家庭暴力和家庭暴力的妇女获得医疗保健的感知影响.
- 了解多学科方法如何影响弱势群体的护理参与.
主要方法:
- 这是一项混合方法,单站点研究,利用例行患者出勤数据和与服务提供商和利益相关者进行半结构面试.
- 分析了超过2.5年的233名妇女的服务使用数据,其中包括大量的第一民族妇女和有子女的妇女.
- 定性探索包括护理环境,宏观上下文因素,护理结果和以人为中心的主题.
主要成果:
- 护士领导的服务有效地通过直接推,护理导航和陪同妇女到预约,促进了访问.
- 以人为中心和创伤为基础的方法对于建立信任和参与至关重要.
- 确定的主要主题包括护理环境的重要性,更广泛的社会因素,获得的护理成果和个人的中心地位.
结论:
- 护士主导的服务对于改善澳大利亚DFV妇女获得医疗保健至关重要.
- 提高卫生专业人员对DFV披露的反应能力至关重要.
- 扩大护士的实践范围,包括转诊权力和处方能力,可以进一步优化获得护理的机会.
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