Primary healthcare response to family violence: a Delphi evaluation tool

Authors: Gear, Claire¹; Koziol-McLain, Jane²; Wilson, Denise³; Rae, Ngaire⁴; Samuel, Hayley⁵; Clark, Faye⁶; McNeill, Edith⁷

Source: Quality in Primary Care, Volume 20, Number 1, February 2012 , pp. 15-30(16)

Publisher: Radcliffe Publishing Ltd.

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Abstract:

Background: Family violence is identified as a significant yet preventable public health problem internationally and in Aotearoa, New Zealand. Despite this, responses to family violence within New Zealand primary healthcare settings are generally limited and ad hoc. Along with guidelines and resources, a systems approach is indicated to support a safe and effective response to those who experience violence in the home.

Aim: To modify an existing United States evaluation tool to guide implementation of family violence intervention programmes within New Zealand primary healthcare.

Methods: Twenty-nine expert panellists, representing diverse family violence prevention and intervention organisations across New Zealand, participated in three rounds of a modified Delphi method to identify ideal primary healthcare family violence response programme indicators. In Round One, tool scope and context issues for New Zealand were identified; in Round Two, expert panellists identified ideal indicators and rated indicator importance, and in Round Three, expert panellists attended a one-day workshop to achieve consensus on tool categories, indicators, scoring and measurement notes. The developed tool was subsequently piloted at six volunteer primary healthcare sites for performance, clarity and usefulness.

Results: The final tool encompasses 143 indicators organised within 10 categories. Pilot sites found the tool and evaluation experience useful in guiding programme development.

Conclusion: The evaluation tool represents a best practice standard enabling focused family violence intervention programme development and quality improvement within primary healthcare settings. A standardised evaluation tool may be useful in guiding programme development. Future evaluations will enable individual and national benchmarking activities, using category, overall and target scores to measure progress across settings and over time.

Keywords: DOMESTIC VIOLENCE; MODIFIED DELPHI TECHNIQUE; NEW ZEALAND; PRIMARY HEALTHCARE; QUALITY INDICATORS

Document Type: Research article

Affiliations: 1: Research Officer, Interdisciplinary Trauma Research Centre, Auckland University of Technology, Auckland, New Zealand 2: Professor of Nursing, Interdisciplinary Trauma Research Centre, Auckland University of Technology, Auckland, New Zealand 3: Associate Professor Maori Health, School of Public Health & Psychosocial Studies, Auckland University of Technology, Auckland, New Zealand 4: Health Promotion Advisor, Manaia Health Primary Health Organisation, Whangarei, New Zealand 5: National Manager, Doctors for Sexual Abuse Care, Auckland, New Zealand 6: Recognition and Response Partner Abuse Trainer in Primary Care, Doctors for Sexual Abuse Care, Auckland, New Zealand 7: Maori Planning and Funding Manager, Waitemata District Health Board, Auckland, New Zealand

Publication date: 2012-02-01

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Primary healthcare response to family violence: a Delphi evaluation tool

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