Emergency department protocols of care for women abused by partners : development, implementation and evaluation
Fanslow, Janet L.
Emergency department protocols of care for women abused by partners : development, implementation and evaluation A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy, University of Auckland, 1995. Fanslow, Janet L. - Auckland University of Auckland 1995
A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy, University of Auckland, 1995.
The purpose of the study discussed in this thesis was to develop, implement and evaluate a protocol of care for use in hospital emergency departments (EDs), to increase the identification and improve the acute management of women who are abused by their partners. Formative, process and outcome evaluations were undertaken. The study design employed for the outcome evaluation of the project was that of a community intervention trial. The study population of interest were the staff at the intervention and comparison EDs. Their behaviour in terms of identification and acute management of abused women was assessed on the basis of information documented on the medical records. A random sample record review of women aged 15 years and older was conducted at both the intervention ED and the comparison ED, prior to the implementation of the protocol (October - December 1992) and immediately following the implementation of the protocol (October - December 1993). It was found that there was an increase in positive identification of women abused by their partners. The results also indicated that implementation of the protocol resulted in improved acute management. These findings suggest that nationwide implementation of protocols of care for women abused by partners has the potential to prevent an escalation of partner abuse.
nz
DOMESTIC VIOLENCE
EMERGENCY MEDICAL SERVICES
HEALTH SERVICES
INTERVENTION
PHYSICAL ABUSE
PSYCHOLOGICAL ABUSE
SCREENING
VICTIMS
INTIMATE PARTNER VIOLENCE
362.18 EME
Emergency department protocols of care for women abused by partners : development, implementation and evaluation A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy, University of Auckland, 1995. Fanslow, Janet L. - Auckland University of Auckland 1995
A thesis submitted in fulfilment of the requirements for the degree of Doctor of Philosophy, University of Auckland, 1995.
The purpose of the study discussed in this thesis was to develop, implement and evaluate a protocol of care for use in hospital emergency departments (EDs), to increase the identification and improve the acute management of women who are abused by their partners. Formative, process and outcome evaluations were undertaken. The study design employed for the outcome evaluation of the project was that of a community intervention trial. The study population of interest were the staff at the intervention and comparison EDs. Their behaviour in terms of identification and acute management of abused women was assessed on the basis of information documented on the medical records. A random sample record review of women aged 15 years and older was conducted at both the intervention ED and the comparison ED, prior to the implementation of the protocol (October - December 1992) and immediately following the implementation of the protocol (October - December 1993). It was found that there was an increase in positive identification of women abused by their partners. The results also indicated that implementation of the protocol resulted in improved acute management. These findings suggest that nationwide implementation of protocols of care for women abused by partners has the potential to prevent an escalation of partner abuse.
nz
DOMESTIC VIOLENCE
EMERGENCY MEDICAL SERVICES
HEALTH SERVICES
INTERVENTION
PHYSICAL ABUSE
PSYCHOLOGICAL ABUSE
SCREENING
VICTIMS
INTIMATE PARTNER VIOLENCE
362.18 EME