Does Training and Documentation Improve Emergency Department Assessments of Domestic Violence Victims?
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This study aimed to determine whether training and documentation led to improved assessment of female victims of assault due to domestic violence presenting to an emergency department. Eighty clinical records were audited using a valid and reliable audit tool over four time periods for variables including history, risk assessment, and examination. Documentation differed across the four groups (p = 0.011). Between group analysis found there was a difference (p = 0.055) between Groups 1 (before training) and 2 (after training), and Group 3 (with a specialist form in place), and there was a difference (p = 0.009) between Groups 1 and 4 (8 years later). Training alone did not lead to change. Introducing specialist documentation with training was associated with an improvement in the standard of clinical assessment of female victims of assault due to domestic violence and this change increased over time.
KeywordsPractice change Intimate partner violence Workforce development Evaluation Health professionals
This research was supported by funding provided by the New Zealand Ministry of Health and the Hawke’s Bay Medical Research Foundation.
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