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Family Violence and Nursing Practice, Second Edition / Edition 2

Nurses therefore have a unique and important role. Shipping may be from multiple locations in the US or from the UK, depending on stock availability.

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Seller Inventory n. Language: English. Brand new Book. Special Features: Chapters on legal and forensic issues address the nurse's role and responsibilities when confronting family violence In-depth attention to cultural issues promote culturally relevant practice Abundant diagrams and tables offer quick access to essential standards for care Practice assessment forms and model interventions give practical strategies for addressing family violence A new chapter describes international work in family violence.

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Family Violence and Nursing Practice 2nd

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Living Languages: Multilingualism across the Lifespan. Data were categorised using the practice—problem—needs analysis model for integrating qualitative findings in the development of nursing interventions. Multiple opportunities to ask about intimate partner violence are valued. The use of structured screening tools at enrolment does not promote disclosure or in-depth exploration of women's experiences of abuse. Women are more likely to discuss experiences of violence when nurses initiate nonstructured discussions focused on parenting, safety or healthy relationships.

Nurses require knowledge and skills to initiate indicator-based assessments when exposure to abuse is suspected as well as strategies for responding to client-initiated disclosures. A tailored approach to intimate partner violence assessment in home visiting is required. Multiple opportunities for exploring women's experiences of violence are required. A clinical pathway outlining a three-pronged approach to identification and assessment was developed.

Bestselling in Child Abuse

The major impact of intimate partner violence IPV on women's physical and mental health has been increasingly recognised over the past 40 years. Findings from a multicountry study conducted by the World Health Organization identified significant associations between women's lifetime experiences of IPV and self-reported poor health and a broad range of specific health problems including difficulty walking, pain, difficulty with daily activities, emotional distress, suicidal thoughts and attempts, among others Ellsberg et al. Despite the morbidity and mortality associated with IPV, relatively little attention has been given to the development and evaluation of strategies for healthcare providers to respond to women exposed to IPV.

During the s, Campbell and Humphreys identified that nurses were ideally positioned to assist women who had experienced family violence, but subsequently, the emphasis on screening appeared to overshadow a broader consideration of ways in which nurses could support women who are experiencing IPV. The role of home visitation in preventing family violence has emphasised reduction of child abuse and neglect over the years Donelan-McCall et al. With increased knowledge about the association between child maltreatment and partner violence between caregivers, as well as better understanding about the importance of reducing children's exposure to IPV, home visitation as an approach to reducing IPV has become a recent focus of investigation.

The Nurse—Family Partnership NFP , an intensive programme of nurse home visitation for low-income first-time mothers, is an intervention shown in US trials to improve maternal and child outcomes, including exposure to child maltreatment Olds et al. The overall purpose of this programme of research was to develop a complex intervention to identify and respond to IPV within the context of NFP Jack et al.

In this article, we present the results from a practice, problem and needs analysis using data from the broader project exploring how nurse home visitors identify and assess for IPV exposure and what conditions foster the safe disclosure and discussion of experiences of abuse. Historically home visitation programmes have addressed IPV through routine screening and referrals to outside agencies after a disclosure or signs of IPV became evident to the home visitor Sharps et al.


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Home visitors report a high likelihood of interacting with clients experiencing IPV in their caseloads Jack et al. The therapeutic home visitor—client relationship that develops over time has been described as a one of the most important facilitators of home visitors' assessment of IPV Jack et al.

Home visitors have reported reluctance to screen for IPV out of fear of jeopardising established rapport and trust with their clients Frost , Sharps et al. Without established therapeutic relationships between nurses and clients, there is an increased risk of high levels of client attrition from the home visiting programmes.

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Identifying and responding to IPV is a time and resource-intensive activity. For example in postpartum home visits, public health nurses report difficulty finding adequate time to address IPV within the context of a content-rich home visit Jack et al. Furthermore, balancing IPV assessment with other complex, pressing needs that clients and their families may be facing e.

An additional concern is the presence of partners, family members and children in the home — a common scenario that may preclude safe and private discussions about IPV between the client and home visitor Shepard et al. While clients enrolled in home visitation programmes report their own set of barriers to disclosing their experiences of abuse to their HV e. Furthermore, studies indicate that even when clients in home visitation programmes are screened for IPV, only a small proportion are referred to and receive needed services Shepard et al. Fortunately, there is evidence to indicate that IPV education that goes beyond providing knowledge and includes skills-based strategies e.

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In a review of the literature on perinatal home visitation and IPV published in , Sharps et al. Given this finding, the aforementioned barriers to screening and assessment in these settings are concerning, yet unsurprising.

The Hard Truth: Bullying and Workplace Violence in Health Care

Fortunately, since this review, increased attention has been focused on home visitation programmes as a potential mechanism for improving health and well-being of abused women Sharps et al. What has emerged from the formative research Jack et al. While it is well-recognised that addressing IPV in home visitation should include processes for identifying IPV in a private, sensitive, nonjudgmental manner within the context of a solidly established provider—client relationship, a more nuanced description of the specific strategies for incorporating assessments into the home visitation schedule and practical techniques for initiating conversations with clients is needed.

This contextual information is important for improving assessment and supportive nursing practices related to IPV Hooker et al. Although the goals of many home visitation programmes are similar, programme model elements may vary by frequency of home visits, length of programme tenure and the qualifications of the home visitor. NFP is a targeted home visiting programme delivered to young, low-income first-time pregnant women and mothers. The home visits, delivered by registered nurses, begin early in pregnancy before the end of the 28th week of pregnancy and continue until the child's second birthday.

The establishment of a therapeutic relationship is central, and during home visits, nurses and clients discuss content from across six broad domains: personal health, environmental health, friends and family, the maternal role, the use of healthcare and human services and maternal life course development Dawley et al.

NFP has been evaluated in three US-based randomised controlled trials and has demonstrated consistent effects in improving a range of maternal and child health outcomes Olds et al. However, findings from the first study conducted in Elmira, New York, indicated that in households where women reported moderate to severe levels of IPV exposure, the positive effect of the NFP in reducing rates of child abuse and neglect was not found Eckenrode et al. An exploratory multiple-case study design Yin informed the qualitative work that was conducted to develop and pilot test the NFP IPV intervention.

An in-depth description of the research design, sample and methods used to develop the NFP IPV intervention has been detailed in a previous publication Jack et al. Informed consent to participate in the study was obtained from each study participant. Triangulation of data sources is a characteristic of case study research Yin To increase our understanding of how IPV is identified and explored in NFP home visits, data collected from a purposeful sample of NFP supervisors, nurse home visitors and clients who had self-reported current or past IPV were included in this analysis Table 1.

From the intervention development sites, data from 27 nurse home visitors, four NFP supervisors and 20 NFP clients were analysed. Additional data from the pilot study i.