Why do certain primary health care teams respond better to intimate partner violence than others? A multiple case study.
نویسندگان
چکیده
OBJECTIVE To analyse how team level conditions influenced health care professionals' responses to intimate partner violence. METHODS We used a multiple embedded case study. The cases were four primary health care teams located in a southern region of Spain; two of them considered "good" and two s "average". The two teams considered good had scored highest in practice issues for intimate partner violence, measured via a questionnaire (PREMIS - Physicians Readiness to Respond to Intimate Partner Violence Survey) applied to professionals working in the four primary health care teams. In each case quantitative and qualitative data were collected using a social network questionnaire, interviews and observations. RESULTS The two "good" cases showed dynamics and structures that promoted team working and team learning on intimate partner violence, had committed social workers and an enabling environment for their work, and had put into practice explicit strategies to implement a women-centred approach. CONCLUSIONS Better individual responses to intimate partner violence were implemented in the teams which: 1) had social workers who were knowledgeable and motivated to engage with others; 2) sustained a structure of regular meetings during which issues of violence were discussed; 3) encouraged a friendly team climate; and 4) implemented concrete actions towards women-centred care.
منابع مشابه
Author's response to reviews Title:Developing a programme theory to explain how primary health care teams learn to respond to intimate partner violence: A realist case-study Authors:
متن کامل
Mechanisms that Trigger a Good Health-Care Response to Intimate Partner Violence in Spain. Combining Realist Evaluation and Qualitative Comparative Analysis Approaches
BACKGROUND Health care professionals, especially those working in primary health-care services, can play a key role in preventing and responding to intimate partner violence. However, there are huge variations in the way health care professionals and primary health care teams respond to intimate partner violence. In this study we tested a previously developed programme theory on 15 primary heal...
متن کاملUsing realist evaluation to assess primary healthcare teams' responses to intimate partner violence in Spain.
OBJECTIVE Few evaluations have assessed the factors triggering an adequate health care response to intimate partner violence. This article aimed to: 1) describe a realist evaluation carried out in Spain to ascertain why, how and under what circumstances primary health care teams respond to intimate partner violence, and 2) discuss the strengths and challenges of its application. METHODS We ca...
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BACKGROUND Despite the existence of ample literature dealing, on the one hand, with the integration of innovations within health systems and team learning, and, on the other hand, with different aspects of the detection and management of intimate partner violence (IPV) within healthcare facilities, research that explores how health innovations that go beyond biomedical issues-such as IPV manage...
متن کاملDeveloping a programme theory to explain how primary health care teams learn to respond to intimate partner violence: a realist case-study
BACKGROUND Despite the progress made on policies and programmes to strengthen primary health care teams' response to Intimate Partner Violence, the literature shows that encounters between women exposed to IPV and health-care providers are not always satisfactory, and a number of barriers that prevent individual health-care providers from responding to IPV have been identified. We carried out a...
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عنوان ژورنال:
- Gaceta sanitaria
دوره شماره
صفحات -
تاریخ انتشار 2017