Abstract
Purpose
This study examines policies and procedures for identifying and responding to intimate
partner violence (IPV) among different types of health care settings.
Methods
This epidemiologic, cross-sectional, observational study design collected data from
June 2014 to January 2015 through a telephone questionnaire from a stratified random
sample of 288 health care facilities in Miami-Dade County, Florida. An overall response
rate of 76.2% was achieved from 72 primary care clinics, 93 obstetrics/gynecology
clinics, 106 pediatric clinics, and 17 emergency departments (EDs).
Results
There is a general awareness of the importance of IPV screening with 78.1% of facilities
(95% CI, 73.9%–82.3%) reporting some type of IPV screening procedures. Wide variation
exists, however, in how practices are implemented, with only 35.3% of facilities (95%
CI, 29.5%–41.1%) implementing multicomponent, comprehensive IPV screening and response
programs. Differences were also observed by setting with EDs reporting the most comprehensive
programs.
Conclusions
This study yields important empirical information regarding the extent to which IPV
screening and response procedures are currently being implemented in both clinic and
acute health care settings along with areas where improvements are needed.
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Biography
Jessica R. Williams, PhD, MPH, APHN-BC, is an Assistant Professor at the University of Miami School of Nursing and Health Studies. Her research focuses on improving methods for the dissemination and implementation of evidence-based practices for the prevention of gender-based violence.
Biography
Valerie Halstead, BSN, RN, is a PhD candidate at the University of Miami School of Nursing and Health Studies. Her research focuses on understanding and improving health services related to sexual assault on college campuses.
Biography
Deborah Salani, DNP, ARNP, CPON, BC-NE, is Assistant Professor, Clinical, University of Miami School of Nursing and Health Studies. She has over 25 years of experience as a pediatric nurse in a variety of settings include emergency, intensive care, hemodialysis, and psychiatric.
Biography
Natasha Koermer is an undergraduate student at the University of Miami majoring in Biomedical Engineering with minors in Public Health and Spanish. Her interests include exploring the intersections of public health, service, and engineering to create sustainable solutions in communities of need.
Article info
Publication history
Published online: April 01, 2016
Accepted:
March 8,
2016
Received in revised form:
February 29,
2016
Received:
August 13,
2015
Footnotes
Funding Statement: This study was funded through a University of Miami Provost Award. The authors declare that they have no conflicts of interest.
Identification
Copyright
© 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc.