2.50
Hdl Handle:
http://hdl.handle.net/10755/162918
Type:
Presentation
Title:
The Most Effective Screening Question for Intimate Partner Violence
Abstract:
The Most Effective Screening Question for Intimate Partner Violence
Conference Sponsor:Emergency Nurses Association
Conference Year:2006
Author:Robbins, Marni, RN, MSN, CNS, ENP
Title:Emergency Nurse Practitioner
Contact Address:, TX, USA
Purpose: Two to four percent of female patients seen in hospital emergency departments (ED) throughout the United States are victims of Intimate Partner Violence (IPV). Women are more likely to tell a stranger about their abuse than someone with whom they have an ongoing relationship, and direct questioning increases the likelihood of reporting by four-fold. The purpose of this study was to identify what question registered nurses consider the most effective when screening for IPV in an emergency department setting. Design: This was a cross-sectional, descriptive survey. Setting/Sample: The study was conducted among 68 registered nurses who work in the ED at a non-teaching, Level 3 trauma center in Southwest Houston, Texas with 65,000 annual visits. Methodology: An 11 question survey instrument was distributed to the nurses' mailboxes, with a self-addressed, stamped envelope for return with anonymity. Questions were chosen based on a literature review which included items from the Abuse Assessment Screen that was created by the Nursing Research Consortium on Violence and Abuse. The questions ranged from broad ("Are you safe at home?") to specific ("Have you been hit, slapped, kicked, or punched by a significant other?"). Other questions used words such as "isolated," "controlled," or "victim." Nurses were asked to rank order the questions using a scale of 1(most effective) to 11 (least effective) to elicit a report of IPV. Results: A total of 25 surveys were returned for a response rate of 36.8%. Four surveys were unusable. The question ranked as the most effective was "Are you in a relationship with a person who physically hurts or threatens you?" with a mean rank of 3.16. This finding is consistent with the literature as victims do not generally perceive themselves as being "beaten" and prefer the term "physically hurt" when referring to their abuse. The question ranked the least effective was "Do you feel isolated by your partner?" with a mean rank of 8.47. Questions that ranked lowest used such terms as "isolated," "controlled," and "afraid." Conclusions: Emergency nurses have an important opportunity to identify victims of IPV and to intervene with recommendations for appropriate follow-up care. In addition to screening for IPV with effective questions, the emergency nurse may be able to open a dialogue with victims who may otherwise be reluctant to disclose their history. Consistency in screening with the most effective questions may help implement appropriate interventions and lessen the morbidity and morality rates among victims of IPV throughout the United States. [Research Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Most Effective Screening Question for Intimate Partner Violenceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162918-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Most Effective Screening Question for Intimate Partner Violence</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Robbins, Marni, RN, MSN, CNS, ENP</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Emergency Nurse Practitioner</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, TX, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">isavlvz@houston.rr.com</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Two to four percent of female patients seen in hospital emergency departments (ED) throughout the United States are victims of Intimate Partner Violence (IPV). Women are more likely to tell a stranger about their abuse than someone with whom they have an ongoing relationship, and direct questioning increases the likelihood of reporting by four-fold. The purpose of this study was to identify what question registered nurses consider the most effective when screening for IPV in an emergency department setting. Design: This was a cross-sectional, descriptive survey. Setting/Sample: The study was conducted among 68 registered nurses who work in the ED at a non-teaching, Level 3 trauma center in Southwest Houston, Texas with 65,000 annual visits. Methodology: An 11 question survey instrument was distributed to the nurses' mailboxes, with a self-addressed, stamped envelope for return with anonymity. Questions were chosen based on a literature review which included items from the Abuse Assessment Screen that was created by the Nursing Research Consortium on Violence and Abuse. The questions ranged from broad (&quot;Are you safe at home?&quot;) to specific (&quot;Have you been hit, slapped, kicked, or punched by a significant other?&quot;). Other questions used words such as &quot;isolated,&quot; &quot;controlled,&quot; or &quot;victim.&quot; Nurses were asked to rank order the questions using a scale of 1(most effective) to 11 (least effective) to elicit a report of IPV. Results: A total of 25 surveys were returned for a response rate of 36.8%. Four surveys were unusable. The question ranked as the most effective was &quot;Are you in a relationship with a person who physically hurts or threatens you?&quot; with a mean rank of 3.16. This finding is consistent with the literature as victims do not generally perceive themselves as being &quot;beaten&quot; and prefer the term &quot;physically hurt&quot; when referring to their abuse. The question ranked the least effective was &quot;Do you feel isolated by your partner?&quot; with a mean rank of 8.47. Questions that ranked lowest used such terms as &quot;isolated,&quot; &quot;controlled,&quot; and &quot;afraid.&quot; Conclusions: Emergency nurses have an important opportunity to identify victims of IPV and to intervene with recommendations for appropriate follow-up care. In addition to screening for IPV with effective questions, the emergency nurse may be able to open a dialogue with victims who may otherwise be reluctant to disclose their history. Consistency in screening with the most effective questions may help implement appropriate interventions and lessen the morbidity and morality rates among victims of IPV throughout the United States. [Research Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:36:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:36:23Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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