Evidence map›Paper›PMID 33247027›Full record

ArticleBMJ open2020

Women's experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis.

Laura Tarzia, Meghan A Bohren, Jacqui Cameron, Claudia Garcia-Moreno, Lorna O'Doherty, Renee Fiolet, Leesa Hooker, Molly Wellington, Rhian Parker, Jane Koziol-McLain and 2 more

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Laura TarziaDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia laura.tarzia@unimelb.edu.au.ORCID 0000-0002-0220-4985
Meghan A BohrenCentre for Health Equity, School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Jacqui CameronDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Claudia Garcia-MorenoDepartment of Reproductive Health and Research, WHO, Geneva, Switzerland.
Lorna O'DohertyDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Renee FioletDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Leesa HookerJudith Lumley Centre, La Trobe University, Melbourne, Victoria, Australia.ORCID 0000-0002-4499-1139
Molly WellingtonDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Rhian ParkerDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.
Jane Koziol-McLainCentre for Interdisciplinary Trauma Research, Auckland University of Technology, Auckland, New Zealand.
Gene FederSchool of Social and Community Medicine, University of Bristol, Bristol, UK.
Kelsey HegartyDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify and synthesise the experiences and expectations of women victim/survivors of intimate partner abuse (IPA) following disclosure to a healthcare provider (HCP).

methodsThe databases MEDLINE, Embase, CINAHL, PsychINFO, SocINDEX, ASSIA and the Cochrane Library were searched in February 2020. Included studies needed to focus on women's experiences with and expectations of HCPs after disclosure of IPA. We considered primary studies using qualitative methods for both data collection and analysis published since 2004. Studies conducted in any country, in any type of healthcare setting, were included. The quality of individual studies was assessed using an adaptation of the Critical Appraisal Skills Programme checklist for qualitative studies. The confidence in the overall evidence base was determined using Grading of Recommendations, Assessment, Development and Evaluations (GRADE)-Confidence in the Evidence from Reviews of Qualitative Research methods. Thematic synthesis was used for analysis.

resultsThirty-one papers describing 30 studies were included in the final review. These were conducted in a range of health settings, predominantly in the USA and other high-income countries. All studies were in English. Four main themes were developed through the analysis, describing women's experiences and expectations of HCPs: (1) connection through kindness and care; (2) see the evil, hear the evil, speak the evil; (3) do more than just listen; and (4) plant the right seed. If these key expectations were absent from care, it resulted in a range of negative emotional impacts for women.

conclusionsOur findings strongly align with the principles of woman-centred care, indicating that women value emotional connection, practical support through action and advocacy and an approach that recognises their autonomy and is tailored to their individual needs. Drawing on the evidence, we have developed a best practice model to guide practitioners in how to deliver woman-centred care. This review has critical implications for practice, highlighting the simplicity of what HCPs can do to support women experiencing IPA, although its applicability to low-income and-middle income settings remains to be explored.

Indexed as

DisclosureIntimate Partner ViolenceAdolescentAdultAustraliaChildFemaleHealth PersonnelHumansMotivationPregnancyQualitative ResearchYoung Adultpublic healthqualitative researchquality in healthcare

Identifiers

PMID33247027
PMCPMC7703445

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.