ReviewBMC health services research2021
Personal barriers to addressing intimate partner abuse: a qualitative meta-synthesis of healthcare practitioners' experiences.
Review in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Women's experiences and expectations of intimate partner abuse identification in healthcare settings: a qualitative evidence synthesis.BMJ open · 2022Pooled it
- Integrating Intimate Partner Violence Screening Programs in Primary Care: Results from a Hybrid-II Implementation-Effectiveness RCT.American journal of preventive medicine · 2023Trial
- Pathways to Safety: A qualitative evaluation of an Australian domestic violence training program for primary care.BMC primary care · 2026Article
- Sex Differences in Intimate Partner Violence Lethality Risk Screening Administration and Outcomes.JAMA network open · 2025Article
- Living in an invaded existence: a phenomenological lifeworld study of young women's experiences of peer-perpetrated sexual violence in Sweden.International journal of qualitative studies on health and well-being · 2025Article
- Domestic abuse experienced by healthcare practitioners: what about dentists and dental care professionals? A systematised review.British dental journal · 2025Review
- Feasibility and Preliminary Effects of a Culturally Adapted WHO IPV Training for Thai Healthcare Providers: A Quasiexperimental Pilot Study.Nursing research and practice · 2025Article
- Navigating Ethical and Legal Tensions in Mandatory Reporting of Intimate Partner Violence: Insights from Norwegian Assault Centers.Risk management and healthcare policy · 2025Article
- Organizational and systems-level barriers and facilitators to health professionals' readiness to address domestic and sexualized violence: a qualitative study from Nova Scotia, Canada.Frontiers in reproductive health · 2025Article
- Roles of dentistry in identifying and supporting individuals who have experienced gender-based violence: a scoping review.BMJ public health · 2025Article
- Barriers and facilitators to screening for intimate partner violence at a level 1 trauma center.Surgery · 2024Article
- Views from midwives and perinatal nurses on barriers and facilitators in responding to perinatal intimate partner violence in Japan: baseline interview before intervention.BMC health services research · 2024Article
- Pediatricians' Practices and Desired Resources for Addressing Intimate Partner Violence.Partner abuse · 2024Article
- Comparing health systems readiness for integrating domestic violence services in Brazil, occupied Palestinian Territories, Nepal and Sri Lanka.Health policy and planning · 2024Article
- "Counteract the gaslighting" - a thematic analysis of open-ended responses about what women survivors of intimate partner sexual violence need from service providers.BMC women's health · 2024Article
- Reproductive coercion and abuse in intimate relationships: Women's perceptions of perpetrator motivations.PloS one · 2024Article
- "A whole ball of all-togetherness": The interwoven experiences of intimate partner violence, brain injury, and mental health.PloS one · 2024Article
- Using the Matrixed Multiple Case Study approach to identify factors affecting the uptake of IPV screening programs following the use of implementation facilitation.Implementation science communications · 2023Article
- Leveraging Integrated Primary Care to Enhance the Health System Response to IPV: Moving toward Primary Prevention Primary Care.International journal of environmental research and public health · 2023Article
- Healthcare Providers' Perceptions and Experiences of Training to Respond to Violence against Women: Results from a Qualitative Study.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare practitioners (HCPs) play a crucial role in recognising, responding to, and supporting female patients experiencing intimate partner abuse (IPA). However, research consistently identifies barriers they perceive prevent them from doing this work effectively. These barriers can be system-based (e.g. lack of time or training) or personal/individual. This review of qualitative evidence aims to synthesise the personal barriers that impact HCPs' responses to IPA.
methodsFive databases were searched in March 2020. Studies needed to utilise qualitative methods for both data collection and analysis and be published between 2010 and 2020 in order to qualify for inclusion; however, we considered any type of healthcare setting in any country. Article screening, data extraction and methodological appraisal using a modified version of the Critical Appraisal Skills Program checklist for qualitative studies were undertaken by at least two independent reviewers. Data analysis drew on Thomas and Harden's thematic synthesis approach.
resultsTwenty-nine studies conducted in 20 countries informed the final review. A variety of HCPs and settings were represented. Three themes were developed that describe the personal barriers experienced by HCPs: I can't interfere (which describes the belief that IPA is a "private matter" and HCPs' fears of causing harm by intervening); I don't have control (highlighting HCPs' frustration when women do not follow their advice); and I won't take responsibility (which illuminates beliefs that addressing IPA should be someone else's job).
conclusionThis review highlights the need for training to address personal issues in addition to structural or organisational barriers. Education and training for HCPs needs to: encourage reflection on their own values to reinforce their commitment to addressing IPA; teach HCPs to relinquish the need to control outcomes so that they can adopt an advocacy approach; and support HCPs' trust in the critical role they can play in responding. Future research should explore effective ways to do this within the context of complex healthcare organisations.
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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.