ArticleBMC family practice2005
How and why community hospital clinicians document a positive screen for intimate partner violence: a cross-sectional study.
Article in BMC family practice, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse.The Cochrane database of systematic reviews · 2015Pooled it
- Trauma-Informed Personalized Scripts to Address Partner Violence and Reproductive Coercion: Preliminary Findings from an Implementation Randomized Controlled Trial.Journal of women's health (2002) · 2019Trial
- Randomized comparison of 3 methods to screen for domestic violence in family practice.Annals of family medicineTrial
- Screening for intimate partner violence in healthcare settings: An implementation-oriented systematic review.Implementation research and practice · 2021Article
- Intimate partner violence management and referral practices of primary care workers in a selected population in Turkey.Primary health care research & development · 2019Article
- "I Just Keep My Antennae Out": How Rural Primary Care Physicians Respond to Intimate Partner Violence.Journal of interpersonal violence · 2014Article
- Domestic violence: knowledge, attitudes, and clinical practice of selected UK primary healthcare clinicians.The British journal of general practice : the journal of the Royal College of General Practitioners · 2012Article
- Association between emergency department resources and diagnosis of intimate partner violence.European journal of emergency medicine : official journal of the European Society for Emergency Medicine · 2012Article
- Challenges of recognition of the psychiatric aspects of intimate partner violence.Annals of medical and health sciences research · 2012Article
- Instructional curriculum improves medical staff knowledge and efficacy for patients experiencing intimate partner violence.Military medicine · 2011Article
- Lifetime intimate partner violence exposure, attitudes and comfort among Canadian health professions students.BMC research notes · 2009Article
- Does screening in the emergency department hurt or help victims of intimate partner violence?Annals of emergency medicine · 2008Article
- Patient follow-up in primary care after behavioral health screening in an urban public hospital system: a prospective, observational study of 2686 patients.Primary care companion to the Journal of clinical psychiatry · 2008Article
- Birth Outcomes in Relation to Intimate Partner Violence.Journal of the National Medical AssociationArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis two-part study examines primary care clinicians' chart documentation and attitudes when confronted by a positive waiting room screen for intimate partner violence (IPV).
methodsPatients at community hospital-affiliated health centers completed a screening questionnaire in waiting rooms that primary care providers (PCPs) were subsequently given at the time of the visit. We first reviewed the medical records of patients who screened positive for IPV, evaluating the presence and quality of documentation. Next we administered a survey to PCPs that measured their knowledge, attitudes and practice regarding IPV.
resultsSeventy-two percent of charts contained some documentation of IPV, however only 10% contained both a referral and safety plan. PCPs were more likely to refer patients (p < .05) who screened positively for mood or anxiety disorders, disclosed that they feared for their safety or were economically disadvantaged. Those that feared for their safety or endorsed mood or anxiety disorders were more likely to have notation of a safety plan in their records. When surveyed, 81.6% of clinicians strongly agreed that it is their role to inquire about IPV, but only 68% expressed confidence in their ability to manage it. In contrast, 93% expressed confidence in managing depression. Sixty-seven percent identified time constraints as a barrier to care. Predictors of PCP confidence in treating patients who have experienced IPV (p < .05) included hours of recent training and clinical experience with IPV.
conclusionMandatory waiting room screening for IPV does not result in high levels of referral or safety planning by PCPs. Despite the implementation of a screening process, clinicians lack confidence and time to address IPV in their patient populations suggesting that alternative methods of training and supporting PCPs need to be developed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.