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Open Access The Feasibility of Screening for Intimate Partner Violence during Postpartum Home Visits La faisabilité du dépistage de la violence conjugale effectué dans le cadre des visites à domicile post-partum

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There is ongoing debate and limited evidence on the effectiveness of universal screening for intimate partner violence (IPV). The objectives of this descriptive qualitative study were to examine public health nurses' (PHNs') perceptions of screening for IPV; explore the feasibility, from the perspective of PHNs, of IPV screening during home visits; describe PHNs' screening practices; and describe PHN training in relation to IPV. Six PHNs discussed their experiences of addressing IPV both in the context of a randomized trial to evaluate screening methods and in the context of their general home visitation practices. The findings indicate that universal screening for IPV using a standard set of questions is difficult to implement during home visits to a general population of new mothers. For PHNs visiting high-risk families as part of the targeted Healthy Babies Healthy Children program, the standard practice is to assess for mothers' exposure to IPV during in-depth assessment of the family; the nature of in-depth assessment favours a case-finding rather than a screening approach to identifying women exposed to IPV.

French
Il existe peu de preuve démontrant l'efficacité du dépistage systématique de la violence conjugale et un débat est présentement en cours à ce sujet. Cette étude descriptive et qualitative vise les objectifs suivants : étudier les perceptions des infirmières en santé publique (ISP) en matière de dépistage de violence conjugale; explorer la faisabilité, selon le point de vue des ISP, du dépistage de la violence conjugale dans le cadre des visites à domicile; et décrire les pratiques de dépistages des ISP et la formation qu'elles reçoivent sur le thème de la violence conjugale. Six ISP discutent de leurs expériences d'intervention en lien avec la violence conjugale, tant dans un contexte d'essai randomisé destiné à évaluer les méthodes de dépistage que dans un contexte de visite à domicile générale. Selon les résultats, le dépistage systématique de la violence conjugale, effectué à l'aide d'un questionnaire standard, est difficilement réalisable dans un contexte de visite à domicile auprès d'une population générale de femmes nouvellement mères. Les ISP qui visitent les familles à grand risque dans le cadre du programme Bébés en santé, enfants en santé ont pour pratique courante d'identifier les mères à risque de subir de la violence conjugale à l'étape de l'évaluation familiale approfondie. Cette approche évaluative, utilisée pour identifier les femmes à risque de subir ce type de violence, est axée sur la recherche de cas plutôt que sur le dépistage.

36 References.

No Supplementary Data.
No Data/Media
No Metrics

Keywords: DOMESTIC VIOLENCE; HOME CARE SERVICES; MOTHERS; PUBLIC HEALTH NURSING; UNIVERSAL SCREENING

Document Type: Research Article

Publication date: 2008-06-01

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