Evidence map›Paper›PMID 39174441›Full record

ArticleSurgery2024

Barriers and facilitators to screening for intimate partner violence at a level 1 trauma center.

Caroline Melhado, Hannah Decker, Marisa Schwab, Dahlia A Kaki, Shirley Shao, James D Harrison, Tasce Bongiovanni

Abstract read
In one paragraph

Article in Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

7 authors.

Caroline MelhadoDepartment of Surgery, University of California, San Francisco, CA.
Hannah DeckerDepartment of Surgery, University of California, San Francisco, CA. Electronic address: Hannah.decker@ucsf.edu.
Marisa SchwabDepartment of Surgery, University of California, San Francisco, CA.
Dahlia A KakiSchool of Medicine, University of California, San Francisco, CA.
Shirley ShaoSchool of Medicine, University of California, San Francisco, CA.
James D HarrisonDivision of Hospital Medicine, University of California, San Francisco, CA.
Tasce BongiovanniDepartment of Surgery, University of California, San Francisco, CA.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Placing patient preferences at the center of care plans for older adults transitioning from the hospital to a skilled nursing facilityK01AG073533 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HARRISON, JAMES DAVID · 2021 to 2025
$660k
Prolonged Use of Pain Medication Past the Postoperative Period in Older AdultsK23AG073523 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BONGIOVANNI, TASCE RIIKA SIMON · 2022 to 2025
$653k
NCATS NIH HHS KL2 TR001870NIA NIH HHS K01 AG073533NIA NIH HHS K23 AG073523
6 · The paper itself

Abstract

backgroundIntimate partner violence (IPV) is a significant public health problem that is associated with substantial health sequelae, including traumatic injury. Surgical professional societies recommend universal intimate partner violence screening in patients presenting after trauma, but this recommendation is not uniformly implemented. We designed and implemented a quality improvement project at our institution in July 2020 to enhance intimate partner violence screening. Although screening rates improved, they remained suboptimal. Therefore, we sought to examine barriers and facilitators to intimate partner violence screening from trauma clinicians' perspectives. STUDY

designWe conducted a qualitative study using in-depth, semistructured interviews to understand the perspectives and experiences of trauma clinicians conducting intimate partner violence screening. A constructivist paradigm informed our study whereby our data collection approaches aimed to understand intimate partner violence screening from the perspectives of those tasked with implementing screening within real-world clinical settings. We used thematic analysis to analyze our data and generate themes related to barriers and facilitators to screening.

resultsWe conducted interviews with 12 resident physicians and 2 advance practice providers. We identified 6 themes, 3 reflecting facilitator themes as (1) standardized education and workflow, (2) benefits of interdisciplinary teamwork, and (3) context of screening, and 3 reflecting barrier themes as (1) lack of time, (2) language misinterpretation, and (3) perceived inappropriateness of universal screening.

conclusionTrauma clinicians described multiple facilitators and barriers to screening for intimate partner violence following traumatic injury, some of which were unique to the trauma setting. Projects seeking to achieve universal screening following traumatic injury may benefit from accounting for these factors when designing interventions.

Indexed as

Intimate Partner ViolenceMass ScreeningQualitative ResearchTrauma CentersAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleQuality Improvement

Identifiers

PMID39174441
PMCPMC11890200

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Registered trials

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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.