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Emergency Nurses’ Barriers to Intervention of Domestic Violence in Turkey: A Qualitative Study

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Abstract

Domestic violence is a chronic healthcare problem affecting women from all groups. Nurses play a key role in determining and intervening in domestic violence due to their close relationship with the patients and because they belong to an occupational group that is mostly composed of females. Studies are required on the healthcare needs of battered women and to guide nurses regarding nursing care for these patients in Turkey. This study was a qualitative study where the in-depth interview method was used. Factors that prevent the services provided by nurses to women who have been subjects of domestic violence were investigated. We used the maximum variety sampling method so that we could ensure maximum variety of the individuals to access a larger amount of data in this study. A total of 30 nurses who had worked in emergency departments of hospitals for at least 1 year made up the study sample. We found that factors that prevented the intervention of emergency nurses in domestic violence were: They did not feel adequate to intervene due to their lack of knowledge on domestic violence, they felt that caring for the women subjected to domestic violence was the duty of the psychiatrist or the social worker and not the nurse, they worked in a very busy environment and did not have enough time to intervene in domestic violence, they were unable to be left alone with the women even if they wanted to intervene as there was no suitable environment and they were therefore afraid that the woman’s relatives could hurt them or the woman, they felt that they would be intervening in the family if they intervened in domestic violence, they felt that domestic violence was a problem without a solution and that the nurse could do nothing to solve it.

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References

  1. Goss, G.L.: The process of facilitating disclosure of physical abuse: The role of the nurse clinician. Doctorate Thesis on Philosophy. University of California, San Francisco (1996)

  2. Stinson, C.K., Robinson, R.: Intimate partner violence: continuing education for registered nurses. J. Contin. Educ. Nurs. 37(2), 58–62 (2006)

    PubMed  Google Scholar 

  3. World Health Organization (WHO): World report on violence and health. WHO Press, Geneva (2002)

    Google Scholar 

  4. McCauley, J., Kern, D.E., Kolodner, K., Dill, L., Schroeder, A.F., De Chant, H.K., Ryden, J., Bass, E.B., Derogatis, L.R.: The “Battering Syndrome”: prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann. Intern. Med. 123, 737–746 (1995)

    PubMed  Google Scholar 

  5. McLoughlin, E., Lee, D., Letellier, P., Salber, P.: Emergency department response to domestic violence, 1992. MMWR Morb. Mortal. Wkly Rep. 42(32), 617–620 (1993)

    Google Scholar 

  6. Pakieser, R.A., Lenaghan, P.A., Muelleman, R.L.: Battered women: where they go for help. J. Emerg. Nurs. 24(1), 16–19 (1998)

    Article  PubMed  Google Scholar 

  7. Campbell, J.C.: Health consequences of intimate partner violence. Lancet 359(13), 133–136 (2002)

    Google Scholar 

  8. Feder, G.S., Hutson, M., Ramsay, J., Taket, A.R.: Women exposed to intimate partner violence: expectations and experiences when they encounter health care professionals: a meta-analysis of qualitative studies. Arch. Intern. Med. 166(1), 22–37 (2006)

    Article  PubMed  Google Scholar 

  9. Witting, M.D., Furuno, J.P., Hirshon, J.M., Krugman, S.D., Périssé, A.R.S., Limcangco, R.: Support for emergency department screening for intimate partner violence depends on perceived risk. J. Interpers. Violence. 21(5), 585–596 (2006)

    Article  PubMed  Google Scholar 

  10. Elliott, L., Nerney, M., Jones, T., Friedmann, P.D.: Barriers to screening for domestic violence. J. Gen. Intern. Med. 17(2), 112–116 (2002)

    Article  PubMed  Google Scholar 

  11. Valente, S.M., Jensen, L.: Evaluating and managing intimate partner violence. Nurse Pract. 25(5), 18–30 (2000)

    Article  PubMed  Google Scholar 

  12. Chang, J.C., Cluss, P.A., Ranieri, L., Hawker, L., Buranosky, R., Dado, D., McNeil, M., Scholle, S.H.: Health care interventions for intimate partner violence: what women want. Women’s Health Issues Off. Pub. Jacobs Inst. Women’s Health 15(1), 21–30 (2005)

    Article  Google Scholar 

  13. Hurley, K.F., Brown-Maher, T., Campbell, S.G., Wallace, T., Venugopal, R., Baggs, D.: Emergency department patients’ opinions of screening for intimate partner violence among women. Emerg. Med. J. 22(2), 97–98 (2005)

    Article  PubMed  Google Scholar 

  14. Lutenbacher, M., Cohen, A., Mitzel, J.: Do we really help? Perspectives of abused women. Public Health Nurs. 20(1), 56–64 (2003)

    Article  PubMed  Google Scholar 

  15. Newman, J.D., Sheehan, K.M., Powell, E.C.: Screening for intimate-partner violence in the pediatric emergency department. Pediatr. Emerg. Care 21(2), 79–83 (2005)

    Article  PubMed  Google Scholar 

  16. Zink, T., Regan, S., Goldenhar, L., Pabst, S., Rinto, B.: Intimate partner violence: what are physicians’ perceptions? J. Am. Board Fam. Pract. 17, 332–340 (2004)

    Article  PubMed  Google Scholar 

  17. Hayden, S.R., Barton, E.D., Hayden, M.: Domestic violence in the emergency department: how do women prefer to disclose and discuss the issues? J. Emerg. Med. 15(4), 447–451 (1997)

    Article  PubMed  Google Scholar 

  18. The American Emergency Nurses Association: Position Statement: Domestic Violence, Maltreatment and Neglect; 2006. Retrieved May, 17, 2012, from http://www.ena.org/SiteCollectionDocuments/Position%20Statements/Violence_-_Intimate_Partner_and_Family_-_ENA_PS.pdf

  19. Holloway, I., Wheeler, S.: Qualitative Research for Nurses. Blackwell, Oxford (1996)

    Google Scholar 

  20. Yıldırım, A., Şimşek, H.: Sosyal Bilimlerde Nitel Araştırma Yöntemleri (Qualitative Research Methods in Social Sciences). Ankara, Tıpkı Basım (2004)

    Google Scholar 

  21. Davas Aksan, H.A., Aksu, F.: The training needs of Turkish emergency department personnel regarding intimate partner violence. BMC Public Health 7, 350–359 (2007)

    Article  Google Scholar 

  22. D’Amico, J.B., Nelson, J.: Nursing case management at a shelter-based clinic: an innovative model for care. Prof. Case Manag. 13(1), 26–36 (2008)

    PubMed  Google Scholar 

  23. Davis, R.E., Harsh, K.E.: Confronting barriers to universal screening for domestic violence. J. Prof. Nurs. 17(6), 313–320 (2001)

    Article  PubMed  Google Scholar 

  24. Ellis, J.M.: Barriers to effective screening for domestic violence by registered nurses in the emergency department. Crit. Care Nurs. Q. 22(1), 27–41 (1999)

    PubMed  Google Scholar 

  25. Furniss, K., McCaffrey, M., Parnell, V., Rovi, S.: Nurses and barriers to screening for intimate partner violence. MCN Am. J. Matern. Child Nurs. 32(4), 238–243 (2007)

    Article  PubMed  Google Scholar 

  26. Johnston, B.J.: Intimate partner violence screening and treatment: the importance of nursing caring behaviors. J. Foren. Nurs. 2(4), 184–188 (2006)

    Article  Google Scholar 

  27. Maina, G., Majeke, S.: Intimate partner violence in kenya: expanding healthcare roles. Nurs. Stand. 22(35), 35–39 (2008)

    PubMed  Google Scholar 

  28. Owen-Smith, A., Hathaway, J., Roche, M., Gioiella, M.E., Whall-Strojwas, D., Silverman, J.: Screening for domestic violence in an oncology clinic: barriers and potential solutions. Oncol. Nurs. Forum 35(4), 625–633 (2008)

    Article  PubMed  Google Scholar 

  29. Ernst, A.A., Weiss, S.J.: Intimate partner violence from the emergency medicine perspective. Women Health 35(2–3), 71–81 (2002)

    PubMed  Google Scholar 

  30. Gömbül, Ö., Buldukoğlu, K.: Hemşirelerin Kadın ve Kadına Yönelik Eş Şiddetine İlişkin Görüşleri (The opinions of nurses on females and the violence by the partner on the female). Kriz Dergisi 5(2), 103–114 (1997)

    Google Scholar 

  31. Tunçel, E.K., Dündar, C., Peşken, Y.: Ebelik Ve Hemşirelik Öğrencilerinin Aile İçi Şiddet Konusunda Bilgi Ve Tutumlarının Değerlendirilmesi (Evaluation of the knowledge and attitudes of nursing and midwifery students on domestic violence). Genel Tıp Dergisi 17(2), 105–110 (2007)

    Google Scholar 

  32. Heinzer, M.M.V., Krimm, J.R.: Barriers to screening for domestic violence in an emergency department. Holist. Nurs. Pract. 16(3), 24–33 (2002)

    PubMed  Google Scholar 

  33. Türkiye Büyük Millet Meclisi. (Turkish Grand National Assembly): Türk Ceza Kanunu (Turkish Penal Code); 2005. Retrieved July, 03, 2009, from http://www.tbmm.gov.tr/kanunlar/k5237.html

  34. Yazıcı, S., Mamuk, R.: Sağlık Çalışanlarının Kadına Yönelik Şiddete Yaklaşımları (The approaches of healthcare staff to violence towards women). Bakırköy Tıp Dergisi 6(2), 73–77 (2010)

    Google Scholar 

  35. Ramsden, C., Bonner, M.: A realistic view of domestic violence screening in an emergency department. Accid. Emerg. Nurs. 10(1), 31–39 (2002)

    Article  PubMed  Google Scholar 

  36. Cann, K., Withnell, S., Shakespeare, J., Doll, H., Thomas, J.: Domestic violence: a comparative survey of levels of detection, knowledge, and attitudes in healthcare workers. Public Health 115(2), 89–95 (2001)

    PubMed  Google Scholar 

  37. Akın, A. (ed.): Türkiye’de Kadına Yönelik Aile İçi Şiddetle Mücadelede Sağlık Hizmetleri (Healthcare Services in Turkey in the Fight Against Domestic Violence). Ankara, AB, KSGM, T.C. Sağlık Bakanlığı (Republic of Turkey, Ministry of Health), MFİB, UNFPA; 2008

  38. Aslan, Ö., Lofçalı, A., Uğur, Ş., Tuğlu, A.: Hemşirelerin Acil Serviste Şiddet İçeren Olgu Senaryolarına Yaklaşımları (The approach of the nurses to scenarios containing violence in the emergency). Gülhane Tıp Dergisi 47(1), 18–23 (2005)

    Google Scholar 

  39. Rodriguez, M.A., Bauer, H.M., McLoughlin, E., Grumbach, K.: Screening and intervention for intimate partner abuse: practices and attitudes of primary care physicians. JAMA 282(5), 468–474 (1999)

    Article  PubMed  Google Scholar 

  40. Waalen, J., Goodwin, M.M., Spitz, A.M., Petersen, R., Saltzman, L.E.: Screening for intimate partner violence by health care providers: barriers and interventions. Am. J. Prev. Med. 19(4), 230–237 (2000)

    Article  PubMed  Google Scholar 

  41. Vatandaş, C.: Aile İçi Şiddet: Türkiye’de Eşler Arası Şiddet (Domestic violence: violence among partners in turkey). Ankara, Uyum Ajans (2003)

    Google Scholar 

  42. Hotun, Ş.N., Dişsiz, M., Sömek, A., Dinç, H.: Sağlık Çalışanlarının Aile İçi Şiddet Deneyimleri Ve Bu Konudaki Yaklaşımlarının Belirlenmesi (Definition of domestic violence experiences of healthcare workers and their approaches to the matter). Hemşirelikte Araştırma Geliştirme Dergisi 10(2), 17–31 (2008)

    Google Scholar 

  43. Kim, J., Motsei, M.: “Women enjoy punishment”: attitudes and experiences of gender-based violence among PHC nurses in Rural South Africa. Soc. Sci. Med. 54, 1243–1254 (2002)

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Nursing Department, Faculty of Health Sciences, Gazi University, Ankara, Turkey

    Şengül Yaman Efe

  2. Nursing Department, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey

    Lale Taşkın

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  1. Şengül Yaman Efe
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  2. Lale Taşkın
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Correspondence to Şengül Yaman Efe.

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Efe, Ş.Y., Taşkın, L. Emergency Nurses’ Barriers to Intervention of Domestic Violence in Turkey: A Qualitative Study. Sex Disabil 30, 441–451 (2012). https://doi.org/10.1007/s11195-012-9269-1

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