1. Barriers and facilitators to screening for intimate partner violence at a level 1 trauma center.
- Author
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Melhado C, Decker H, Schwab M, Kaki DA, Shao S, Harrison JD, and Bongiovanni T
- Subjects
- Humans, Female, Male, Quality Improvement, Adult, Attitude of Health Personnel, Interviews as Topic, Intimate Partner Violence, Trauma Centers, Mass Screening methods, Qualitative Research
- Abstract
Background: Intimate partner violence (IPV) is a significant public health problem that is associated with substantial health sequelae, including traumatic injury. Surgical professional societies recommend universal intimate partner violence screening in patients presenting after trauma, but this recommendation is not uniformly implemented. We designed and implemented a quality improvement project at our institution in July 2020 to enhance intimate partner violence screening. Although screening rates improved, they remained suboptimal. Therefore, we sought to examine barriers and facilitators to intimate partner violence screening from trauma clinicians' perspectives., Study Design: We conducted a qualitative study using in-depth, semistructured interviews to understand the perspectives and experiences of trauma clinicians conducting intimate partner violence screening. A constructivist paradigm informed our study whereby our data collection approaches aimed to understand intimate partner violence screening from the perspectives of those tasked with implementing screening within real-world clinical settings. We used thematic analysis to analyze our data and generate themes related to barriers and facilitators to screening., Results: We conducted interviews with 12 resident physicians and 2 advance practice providers. We identified 6 themes, 3 reflecting facilitator themes as (1) standardized education and workflow, (2) benefits of interdisciplinary teamwork, and (3) context of screening, and 3 reflecting barrier themes as (1) lack of time, (2) language misinterpretation, and (3) perceived inappropriateness of universal screening., Conclusion: Trauma clinicians described multiple facilitators and barriers to screening for intimate partner violence following traumatic injury, some of which were unique to the trauma setting. Projects seeking to achieve universal screening following traumatic injury may benefit from accounting for these factors when designing interventions., Competing Interests: Conflict of Interest/Disclosure Hannah Decker is a National Clinician Scholar with salary support from the Veterans Affairs and receives personal fees from Moon Surgical unrelated to the present work. James Harrison is supported in part by the National Institute of Aging under Award Number K01AG073533 and the National Center for Advancing Translational Sciences under Award Number KL2TR001870. Tasce Bongiovanni was funded by the National Institute of Aging of the National Institutes of Health under the award K23AG073523 and the Robert Wood Johnson Foundation under the award P0553126. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the Robert Wood Johnson Foundation., (Copyright © 2024. Published by Elsevier Inc.)
- Published
- 2024
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