Type:	Journal Article
Title:	We’ve had training, now what? Qualitative analysis of barriers to domestic violence screening and referral in a health care setting
Other Titles:	Journal of interpersonal violence
Authors:	Wolff, Marie Minsky-Kelly, Debbie Hamberger, L Kevin Pape, Deborah A
Keywords:	Health;Screening;Training
Year:	2005
Publisher:	Sage Publications
Citation:	20 (10), October 2005
Notes:	This article presents the US study that looked at barriers to identification and referral of domestic violence victims by staff at a health care institution after a 3-hour domestic violence training programme in which 752 health care providers participated. Focus groups were done with staff in hospital departments to identify system-wide and individual hospital department barriers. Identified barriers to implementation of domestic violence screening and referrals fall into 5 themes for the US health care system: i) questions about the appropriateness and value of screening, given patient presentation and clinical setting; ii) inadequate provider expertise that ends in feelings of frustration; iii) concerns about time and workload priorities; iv) concerns about the screening process; and v) concerns about the outcome and effectiveness of screening. Identification of barriers specific to individual departments suggests that health care systems are not monolithic institutions. Individual departments face different barriers. The authors question whether emergency departments are adequately equipped to deal with the demands of routine domestic violence screening and referral. Research on prevalence of victims shows that emergency departments are not the only source of help seeking. Family practice settings, internal medicine clinics, obstetrics and gynaecology clinics, and gastrointestinal medical clinics also show large percentages of domestic violence victims. The findings suggest that other departments and entry points into the health care system are also appropriate for screening patients for domestic violence as long as barriers are addressed and training is provided.
URI:	https://anrows.intersearch.com.au/anrowsjspui/handle/1/12432
ISSN:	0886-2605
Appears in Collections:	Journal Articles

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