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Erschienen in: Journal of Family Violence 7/2023

04.11.2022 | Review Article

Strategies for Identification of Intimate Partner Violence in Healthcare Settings: Overview of Reviews and Realist Synthesis

verfasst von: G. J. Melendez-Torres, Elizabeth Burgess Dowdell, Susan J. Kelley, Annie Lewis-O’Connor

Erschienen in: Journal of Family Violence | Ausgabe 7/2023

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Abstract

Purpose

Healthcare settings remain important contexts for the identification of intimate partner violence (IPV); however, identification strategies for IPV are diverse and work in complex ways that may differ across contexts. To understand how, rather than if, IPV identification strategies work, we undertook a systematic review of reviews with realist synthesis.

Methods

We undertook a search of five databases for full-text, peer-reviewed systematic reviews addressing identification strategies for IPV in healthcare contexts. We screened titles and full texts in duplicate and independently, appraised included systematic reviews and synthesized them using methods from realist synthesis to develop context-mechanism-outcome configurations (CMOCs).

Results

We included 29 reviews reported in 32 publications. Our findings were summarized in four CMOCs at system, system–clinician, clinician and patient levels. CMOCs underscored the role of supportive clinical and practice contexts, patient-provider relationships and continuity of care to ensure the benefits, and reduce the potential harms, of a range of identification strategies. CMOCs also highlighted the importance of supporting clinicians through clinical policies and protocols to ensure a consistent, safe and effective response to IPV.

Conclusions

Future work should address how supportive clinical contexts that facilitate effective inquiry, disclosure, and referral to services can be created, acknowledging that what works in one context may not work in another. Included systematic reviews did not permit exploration of how racial and ethnic diversity relate to identification strategies. This is an area requiring urgent research to inform clinical practice.
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Metadaten
Titel
Strategies for Identification of Intimate Partner Violence in Healthcare Settings: Overview of Reviews and Realist Synthesis
verfasst von
G. J. Melendez-Torres
Elizabeth Burgess Dowdell
Susan J. Kelley
Annie Lewis-O’Connor
Publikationsdatum
04.11.2022
Verlag
Springer US
Erschienen in
Journal of Family Violence / Ausgabe 7/2023
Print ISSN: 0885-7482
Elektronische ISSN: 1573-2851
DOI
https://doi.org/10.1007/s10896-022-00463-w

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