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Open Access Registered Nurses' Self-Efficacy for Assessing and Responding to Woman Abuse in Emergency Department Settings Autoefficacité des infirmières autoriséestravaillant en salle d'urgence en matière d'évaluation et de prise en charge des femmes victimes de violence

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Enhanced knowledge regarding the factors that influence and support the self-efficacy of emergency department (ED) registered nurses and their provision of care to women who have experienced abuse is necessary for the promotion of optimal health care. The purpose of this study was to examine the self-efficacy of registered nurses with respect to assessing and responding to woman abuse in the ED. Study hypotheses and research questions were derived from Bandura's theory of self-efficacy. A secondary analysis ( = 158) of data from the Violence against Women: Health Care Provider Survey was completed. Originally, survey questions were not developed to operationalize the concepts outlined by Bandura. However, they were found to be good indicators. Four scales were developed from the item pool, validated through factor analysis and used to operationalize study variables. Positive relationships were found between self-efficacy information available to ED registered nurses and their self-efficacy for assessing and responding to woman abuse ( = .73, < .001), self-efficacy expectations, and actual clinical responses related to woman abuse ( = .55, < .001) and outcome expectancies related to assessing and responding to woman abuse ( = .56, < .001). Hierarchical multiple regression examined the extent to which self-efficacy information, self-efficacy expectations and outcome expectancies predicted ED registered nurses' clinical responses to woman abuse. Overall, the model explained 40% of the variance in ED registered nurses' clinical responses to woman abuse. Results provide additional support for Bandura's theory and demonstrate that the clinical responses of ED registered nurses are complex and must be understood in terms of self-efficacy and the factors that support its development.

L'avancement des connaissances au sujet des facteurs qui influent sur l'autoefficacité des infirmières autorisées intervenant en salle d'urgence auprès des femmes victimes de violence ne peut que contribuer à l'amélioration des soins. La présente étude avait pour but d'analyser cette question en rapport avec l'évaluation et la prise en charge. Les questions et les hypothèses de recherche retenues découlent de la théorie de Bandura sur l'autoefficacité. On a d'abord effectué une analyse secondaire (N = 158) des données d'une étude intitulée Violence against Women: Health Care Provider Study. Même si les questions de l'enquête n'avaient pas été formulées à l'origine dans le but d'opérationnaliser les concepts décrits par Bandura, elles se sont avérées de bons indicateurs. On a ensuite établi quatre échelles à partir du bassin d'éléments recueillis, pour ensuite les valider par une analyse factorielle et les utiliser pour opérationnaliser les variables de l'étude. On a constaté une corrélation positive entre l'information sur l'autoefficacité dont disposaient les infirmières autorisées des services d'urgence et leur autoefficacité réelle en matière d'évaluation et de prise en charge des femmes victimes de violence (r = .73, p < .001), leurs attentes et leurs interventions effectives (r = .55, p < .001), ainsi que les résultats attendus (r = .56, p < .001). Enfin, on a effectué une analyse par régression multiple hiérarchique pour évaluer la mesure dans laquelle l'information et les attentes en matière d'autoefficacité, de même que les résultats attendus, pouvaient permettre de prédire les interventions pratiquées par les intéressées. Le modèle aura permis d'expliquer la variance dans une proportion de 40 %. Les résultats confirment l'utilité de la théorie de Bandura et révèlent une complexité des réactions qui doit être compr ise à la lumière de l'autoefficacité et des facteurs qui en favorisent le développement.


Document Type: Research Article

Publication date: 2006-12-01

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