查焦虑和亲密伴侣暴力的障碍和促进者
Amy G Cantor1, Chrystal Barnes2, Sonja Likumahuwa-Ackman2
1From the Department of Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, MP, KB); Department of Family Medicine, Oregon Health & Science University, Portland, OR, USA (AGC, SL-A, TW-L); Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA (AGC); Oregon Rural Practice-based Research Network, Oregon Health & Science University, Portland, OR, USA (CB); and Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA (HDN). cantor@ohsu.edu.
对焦虑和亲密伴侣暴力 (IPV) 的初级护理查由于不清楚的协议和查疲劳等障碍而较低. 有针对性的资源和教育可以改善这些对妇女和青少年女孩至关重要的查实践.
科学领域:
- 公共卫生 公共卫生
- 临床实践 临床实践
- 定性研究是指质量研究.
背景情况:
- 已有国家建议,针对妇女和青少年女孩的焦虑和亲密伴侣暴力 (IPV) 进行定期的普遍查.
- 在初级保健机构的查率仍然很低,这表明实施中的差距.
- 这项研究旨在确定障碍和促进因素,以提高查意识和采用率.
研究的目的:
- 在初级保健中识别焦虑和IPV查的障碍和促进者.
- 帮助开发临床资源,以提高查率.
- 加强对妇女和青少年女孩的推查实践的采用.
主要方法:
- 进行了两阶段的定性研究.
- 半结构面试用于从临床医生和工作人员那里收集数据.
- 用快速评估方法对面试数据进行了专题分析.
主要成果:
- 临床医生认识到查的重要性,但往往不知道建议,覆盖和临床政策.
- 关键障碍包括查疲劳,缺乏指标,文件/报告不清楚,以及未定义的转诊/后续程序.
- 促进者包括利用现有实践,EHR工具和明确的普遍查指南.
结论:
- 在初级保健中,日常焦虑和IPV查的低实施率可以通过有针对性的临床医生资源和教育来改善.
- 建议制定工作流程图和资源指南,解决已识别的障碍.
- 澄清保险覆盖范围,并为协议,文件和转诊提供资源,可以加强查实践.
相关概念视频
Barriers to Effective Communication II
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...
Theory of Romantic Attachment in Adulthood
Generalized Anxiety Disorder
Social Anxiety Disorder
Anxiety: Overview
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Barriers to Effective Communication I
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...


