ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2017
Juggling confidentiality and safety: a qualitative study of how general practice clinicians document domestic violence in families with children.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Predictive value of indicators for identifying child maltreatment and intimate partner violence in coded electronic health records: a systematic review and meta-analysis.Archives of disease in childhood · 2021Pooled it
- Changes in Documentation After Implementing Open Notes in Mental Health Care: Pre-Post Mixed Methods Study.Journal of medical Internet research · 2025Article
- Impact of Patient Online Record Access on Documentation: Scoping Review.Journal of medical Internet research · 2025Article
- Development of Recommendations for the Digital Sharing of Notes With Adolescents in Mental Health Care: Delphi Study.JMIR mental health · 2024Article
- Risk Factors Associated With Primary Care-Reported Domestic Violence for Women Involved in Family Law Care Proceedings: Data Linkage Observational Study.Journal of medical Internet research · 2023Observational
- Screening for and Disclosure of Domestic Violence during the COVID-19 Pandemic: Results of the PRICOV-19 Cross-Sectional Study in 33 Countries.International journal of environmental research and public health · 2023Article
- Article
- Review
- Reaching everyone in general practice? Feasibility of an integrated domestic violence training and support intervention in primary care.BMC family practice · 2021Article
- Sharing reports about domestic violence and abuse with general practitioners: a qualitative interview study.BMC family practice · 2020Article
- "From taboo to routine": a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse.BMC health services research · 2020Article
- Health needs of a hidden group: child residents of domestic abuse refuges.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Exposure to domestic violence and abuse and consultations for emergency contraception: nested case-control study in a UK primary care dataset.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Article
- Article
- Assessing for domestic violence in sexual health environments: a qualitative study.Sexually transmitted infections · 2018Article
- Making the links between domestic violence and child safeguarding: an evidence-based pilot training for general practice.Health & social care in the community · 2017Article
- Training on domestic violence and child safeguarding in general practice: a mixed method evaluation of a pilot intervention.BMC family practice · 2017Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDomestic violence and abuse (DVA) and child safeguarding are interlinked problems, impacting on all family members. Documenting in electronic patient records (EPRs) is an important part of managing these families. Current evidence and guidance, however, treats DVA and child safeguarding separately. This does not reflect the complexity clinicians face when documenting both issues in one family.
aimTo explore how and why general practice clinicians document DVA in families with children. DESIGN AND
settingA qualitative interview study using vignettes with GPs and practice nurses (PNs) in England.
methodSemi-structured telephone interviews with 54 clinicians (42 GPs and 12 PNs) were conducted across six sites in England. Data were analysed thematically using a coding frame incorporating concepts from the literature and emerging themes.
resultsMost clinicians recognised DVA and its impact on child safeguarding, but struggled to work out the best way to document it. They described tensions among the different roles of the EPR: a legal document; providing continuity of care; information sharing to improve safety; and a patient-owned record. This led to strategies to hide information, so that it was only available to other clinicians.
conclusionManaging DVA in families with children is complex and challenging for general practice clinicians. National integrated guidance is urgently needed regarding how clinicians should manage the competing roles of the EPR, while maintaining safety of the whole family, especially in the context of online EPRs and patient access.
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