000			03278nam a22002657a 4500
999			_c6531 _d6531
005			20250625151522.0
008			200218s2019 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_91206 _aGear, Claire
245			_aSustaining primary care responses to intimate partner violence _cClaire Gear
246			_aA thesis submitted to Auckland University of Technology in fulfilment of the degree of Doctor of Philosophy, Centre for Interdisciplinary Trauma Research, Auckland University of Technology
260			_c2019
300			_aelectronic document (205 pages) ; PDF file
500			_aPhD thesis, Auckland University of Technology, 2019
520			_aGlobally, one in three women will experience intimate partner violence in their lifetime. The impact of violence on health and wellbeing is significant, yet, recognition of the relationship between intimate partner violence and ill-health is poor. Implementing and sustaining effective health care responses to intimate partner violence has proven challenging internationally. New Zealand holds a leading role via the Ministry of Health Violence Intervention Programme. Infrastructure supporting health professionals to respond to intimate partner violence and child abuse and neglect has been implemented across hospitals and selected community settings nationally. However, engagement with the primary care sector has been limited. In this study I explore what affects a sustainable response to intimate partner violence within New Zealand primary care settings. I utilise complexity theory to reconceptualise a sustainable primary care response to intimate partner violence as a complex adaptive system. Concurrently, I analyse the function of health system documents informing intimate partner violence responsiveness and interview primary care professionals on responding to intimate partner violence as a health issue. I apply a complexity-led discourse analysis to each data source to explore how system interactions at policy and practice levels influence intimate partner violence responsiveness. I then thread the data sources together to show how sustainable responses to intimate partner violence are emergent from interactions throughout the health system. This thesis argues the under-utilisation of the primary care sector in reducing intimate partner violence is a profound system gap. My use of complexity theory as an innovative qualitative research methodology calls attention to key system interactions challenging the emergence of intimate partner violence responsiveness in primary care. Similarly, I show how complexity may be harnessed to promote intimate partner violence responsiveness. This thesis shows why we need to think differently about how we work to reduce intimate partner violence. Primary care professionals are willing to address intimate partner violence, the next step is to assist the sector in being able to. (Author's abstract). Record #6531
650			_aDOMESTIC VIOLENCE _9203
650			_aFAMILY VIOLENCE _9252
650			_aHEALTH SERVICES _9290
650			_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aTHESES _9606
651		4	_aNEW ZEALAND _92588
856			_uhttp://hdl.handle.net/10292/12789
942			_cTHESIS _2ddc