Quality of Care for Intimate Partner Violence in South African Primary Care: Qualitative Study

2.50
Hdl Handle:
http://hdl.handle.net/10755/304167
Category:
Full-text
Type:
Presentation
Title:
Quality of Care for Intimate Partner Violence in South African Primary Care: Qualitative Study
Author(s):
Joyner, Kate
Lead Author STTI Affiliation:
Tau Lambda
Author Details:
Kate Joyner, DPhil, MSocSci, BSocSci, DipNsgMidwifery, kjoy@sun.ac.za
Abstract:

Session presented on: Wednesday, July 24, 2013

Purpose: To explore the current quality of care for intimate partner violence (IPV) in South African public sector primary care facilities of the Western Cape.

Methods: This is a subsection of a larger project which implemented, modified and evaluated a screening and management protocol for IPV in South African primary care. In the larger study, 168 women were identified as having lived with IPV while attending primary care for the previous two years. Yet only 11 (9.6%) were recognized. A structured record of the protocol consultation and semi-structured follow up interview captured each patient's story verbatim or paraphrased it in a narrative style. This qualitative data was triangulated with an inspection of their medical records to construct detailed case studies of their experience of IPV, health seeking behavior and experience of health care. A thematic content analysis of the case studies was performed using Atlas.ti software.

Results: Only 10% of women who attended primary health care, while suffering from IPV, were recognized. Their care tended to be superficial, fragmented and mostly involved referral to other service providers. Key themes for exploration are poor recognition of mental health problems and quality of counseling; recognition of IPV without action; inadequate suicide prevention; poor record keeping, continuity and coordination of care; cultural entrapment; and intimate terrorism.''

Conclusion: 'Despite lip service to holistic care, the training and subsequent practice of South African primary care practitioners remains biomedical and task-oriented. Providers struggle to provide a patient-centred approach, with significant repercussions for the provision of IPV care. By implication, training of clinical nurse and medical practitioners should focus on developing a biopsychosocial approach so that relevant psychological and social problems can be identified and a response initiated.

Keywords:
intimate partner violence; quality of care; South African primary health care
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleQuality of Care for Intimate Partner Violence in South African Primary Care: Qualitative Studyen
dc.contributor.authorJoyner, Kateen
dc.contributor.departmentTau Lambdaen
dc.author.detailsKate Joyner, DPhil, MSocSci, BSocSci, DipNsgMidwifery, kjoy@sun.ac.zaen
dc.identifier.urihttp://hdl.handle.net/10755/304167-
dc.description.abstract<p>Session presented on: Wednesday, July 24, 2013</p><b>Purpose: </b>To explore the current quality of care for intimate partner violence (IPV) in South African public sector primary care facilities of the Western Cape. <p><b>Methods: </b>This is a subsection of a larger project which implemented, modified and evaluated a screening and management protocol for IPV in South African primary care. In the larger study, 168 women were identified as having lived with IPV while attending primary care for the previous two years. Yet only 11 (9.6%) were recognized. A structured record of the protocol consultation and semi-structured follow up interview captured each patient's story verbatim or paraphrased it in a narrative style. This qualitative data was triangulated with an inspection of their medical records to construct detailed case studies of their experience of IPV, health seeking behavior and experience of health care. A thematic content analysis of the case studies was performed using Atlas.ti software. <p><b>Results: </b>Only 10% of women who attended primary health care, while suffering from IPV, were recognized. Their care tended to be superficial, fragmented and mostly involved referral to other service providers. Key themes for exploration are poor recognition of mental health problems and quality of counseling; recognition of IPV without action; inadequate suicide prevention; poor record keeping, continuity and coordination of care; cultural entrapment; and intimate terrorism.'' <p><b>Conclusion: </b>'Despite lip service to holistic care, the training and subsequent practice of South African primary care practitioners remains biomedical and task-oriented. Providers struggle to provide a patient-centred approach, with significant repercussions for the provision of IPV care. By implication, training of clinical nurse and medical practitioners should focus on developing a biopsychosocial approach so that relevant psychological and social problems can be identified and a response initiated.en
dc.subjectintimate partner violenceen
dc.subjectquality of careen
dc.subjectSouth African primary health careen
dc.date.available2013-10-22T20:30:26Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:30:26Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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