000			03018nab a22003137a 4500
999			_c6990 _d6990
005			20250625151543.0
008			210121s2021 ||||| |||| 00| 0 eng d
040			_aAFVC
100			_aSpangaro, Jo _96213
245			_a“It’s not a yes or no question”: Disparities between women’s accounts of disclosing intimate partner violence and patient documentation in antenatal settings : _ba qualitative synthesis _cJo Spangaro, Jane Koziol-McLain, Sigrid Herring and Anthony B. Zwi
260			_bAmerican Psychological Association, _c2021
500			_aPsychology of Violence, 2021, Advance online publication
520			_aObjective: Routine inquiry has been introduced in many health settings to identify women who are experiencing intimate partner violence (IPV). A range of validated tools exist; however, little attention has been given to how health professionals interpret women’s responses and whether they align with women’s own perceptions about whether they disclosed abuse. Method: This qualitative synthesis was undertaken in eight Australian antenatal clinics over 14 months. We invited women in waiting areas to participate in an anonymous interview about antenatal assessment, to identify those with past year IPV and their recollections of disclose abuse to midwives. Accounts were compared with file review data from antenatal records. Focus groups conducted at each site with midwives explored these findings. Results: Eleven Aboriginal and 32 non-Aboriginal antenatal patients who had experienced abuse were interviewed and files reviewed. IPV disclosures were often not recorded in clinical notes, despite protocols for asking and documenting. Of the 43 women, 30 (70%) reported they had disclosed their abuse in response to screening and 13 (30%) reported they did not disclose. Of the 30 who disclosed, only 16 (53%) antenatal records documented a disclosure. Qualitative analysis of patient interviews and focus group discussions with midwives identified two key themes: (a) women’s responses to screening questions were rarely “yes” or “no” and (b) midwives were often unclear whether women’s responses constituted IPV. Conclusions: Screening tools are needed, which recognize that IPV is not a binary construct and support health professionals to interpret women’s responses. (Authors' abstract). Record #6990
650			_aDISCLOSURE _9199
650			_aDOMESTIC VIOLENCE _9203
650			_aHEALTH SERVICES _9290
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aREPRODUCTIVE HEALTH _93274
650			_aSCREENING _93081
650		4	_aVICTIMS OF DOMESTIC VIOLENCE _9624
651			_aiNTERNATIONAL _93624
700			_aKoziol-McLain, Jane _91511
700			_aHerring, Sigrid _98250
700			_92372 _aZwi, Anthony B.
773	0		_tPsychology of Violence, 2021, Advance online publication
830			_aPsychology of Violence _95489
856			_uhttps://psycnet.apa.org/doi/10.1037/vio0000367 _zDOI: 10.1037/vio0000367
942			_2ddc _cARTICLE