000 03512nab a22004217a 4500
999 _c7123
_d7123
005 20250625151549.0
008 210504s2021 ||||| |||| 00| 0 eng d
040 _aAFVC
100 _aCullen, Patricia
_99911
245 _aIntegrating trauma and violence informed care in primary health care settings for First Nations women :
_ba systematic review
_cPatricia Cullen, Tamara Mackean, Natasha Walker, Julieann Coombes, Keziah Bennett-Brook, Kathleen Clapham, Rebecca Ivers, Maree Hackett, Faye Worner and Marlene Longbottom
260 _bSage,
_c2021
490 0 _aTrauma, Violence & Abuse
500 _aTrauma, Violence & Abuse, 2021, Advance online publication, 12 February 2021
520 _aIt is imperative that access to primary health care services is equitable as health care practitioners are often the first responders to women who experience violence. This is of particular importance for First Nations women who disproportionately experience interpersonal and structural violence when compared to non-First Nations women, as well as the ongoing impact of colonization, racism, and intergenerational trauma. To understand how primary health care services can provide equitable and effective care for First Nations women, we explored how trauma and violence informed care is integrated in primary health care settings through the lens of an equity-oriented framework. A systematic search of electronic databases included Medline (via Ovid), Scopus, Informit, and PubMed and grey literature. Six studies were included in the review and we undertook a narrative synthesis using the equity-oriented framework to draw together the intersection of trauma and violence informed care with culturally safe and contextually tailored care. This review demonstrates how equity-oriented primary health care settings respond to the complex and multiple forms of violence and intergenerational trauma experienced by First Nations women and thus mitigate shame and stigma to encourage disclosure and help seeking. Key attributes include responding to women’s individual contexts by centering family, engaging elders, encouraging community ownership, which is driven by a culturally competent workforce that builds trust, reduces retraumatization, and respects confidentiality. This review highlights the importance of strengthening and supporting the workforce, as well as embedding cultural safety within intersectoral partnerships and ensuring adequate resourcing and sustainability of initiatives. (Authors' abstract). Record #7123
650 _aDOMESTIC VIOLENCE
_9203
650 4 _9290
_aHEALTH SERVICES
650 _aINTIMATE PARTNER VIOLENCE
_9431
650 _aINTERVENTION
_9326
650 _aINDIGENOUS PEOPLES
_9307
650 0 _aSYSTEMATIC REVIEWS
_93140
650 4 _aTRAUMA
_9612
650 _aIWI TAKETAKE
_95589
650 4 _aVICTIMS OF DOMESTIC VIOLENCE
_9624
651 _aINTERNATIONAL
_93624
651 4 _aAUSTRALIA
_92597
700 _aMackean, Tamara
_99964
700 _aWalker, Natasha
_99965
700 _aCoombes, Julieann
_99966
700 _aBennett-Brook, Keziah
_99967
700 _aClapham, Kathleen
_99968
700 _aIvers, Rebecca
_99969
700 _aHackett, Maree
_99970
700 _aWorner, Faye
_99971
700 _aLongbottom, Marlene
_99972
773 0 _tTrauma, Violence & Abuse, 2021, Advance online publication, 12 February 2021
856 _uhttps://doi.org/10.1177/1524838020985571
_zDOI: 10.1177/1524838020985571
942 _2ddc
_cARTICLE