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01-11-2013 | RESPONSES TO INTIMATE PARTNER VIOLENCE

Healthcare Can Change from Within: Sustained Improvement in the Healthcare Response to Intimate Partner Violence

Authors: Bruce Ambuel, L. Kevin Hamberger, Clare E. Guse, Marlene Melzer-Lange, Mary Beth Phelan, Amy Kistner

Published in: Journal of Family Violence | Issue 8/2013

Abstract

There is a great need to demonstrate sustained improvement in healthcare-based inquiry, intervention, and prevention provided to patients exposed to intimate partner violence (IPV). We evaluated implementation of the Healthcare Can Change from Within model (HCCW) in three primary care clinics and an emergency department within a large healthcare system, using two other primary care clinics for a usual-care comparison on selected variables. Outcome measures included individual-level variables (staff knowledge and attitudes) and system characteristics (clinic policies, procedures, patient education materials, and IPV documentation in patient records). Doctors and nurses reported increased self-efficacy, understanding of referral resources, and understanding of legal issues; IPV knowledge was unchanged. Intervention clinics implemented new policies and procedures, increased patient education, and increased documentation of IPV screening, an improvement which was sustained at 2-year follow-up. Results suggest HCCW is a promising practice for improving the healthcare response to IPV.

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Title: Healthcare Can Change from Within: Sustained Improvement in the Healthcare Response to Intimate Partner Violence
Authors: Bruce Ambuel
L. Kevin Hamberger
Clare E. Guse
Marlene Melzer-Lange
Mary Beth Phelan
Amy Kistner
Publication date: 01-11-2013
Publisher: Springer US
Published in: Journal of Family Violence / Issue 8/2013
Print ISSN: 0885-7482
Electronic ISSN: 1573-2851
DOI: https://doi.org/10.1007/s10896-013-9550-9

At a glance: The STEP trials

Springer Medicine

Healthcare Can Change from Within: Sustained Improvement in the Healthcare Response to Intimate Partner Violence

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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