How You Screen is as Important as Whether You Screen: A Qualitative Analysis of Violence Screening Practices in Reproductive Health Clinics.

Adolescent and young adult women are disproportionately burdened by violence at the hands of dating and intimate partners. Evidence supports routine screening in clinical settings for detection and intervention. Although screening for intimate partner violence in reproductive health care settings is...

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Publicado en:Journal of Community Health Vol. 38; no. 5; pp. 856 - 864
Autores principales: Ramachandran, Daesha, Covarrubias, Laura, Watson, Catherine, Decker, Michele
Formato: Artículo
Publicado: Springer Nature Oct2013
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2013
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      pub: Springer Nature
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        10.1007/s10900-013-9690-0
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        atl: How You Screen is as Important as Whether You Screen: A Qualitative Analysis of Violence Screening Practices in Reproductive Health Clinics.
      aug:
        au:
          Ramachandran, Daesha
          Covarrubias, Laura
          Watson, Catherine
          Decker, Michele
        affil:
          Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street Baltimore 21205 USA
          Adolescent and Reproductive Health, Baltimore City Health Department, 1515 W. North Avenue Baltimore 21205 USA
      su:
        Maryland
        Women's health services
        Content analysis
        Dating violence
        Interviewing
        Medical personnel
        Qualitative research
        Psychology
        Medical screening evaluation
        Research funding
      sug:
        subj:
          Women's health services
          Content analysis
          Dating violence
          Interviewing
          Medical personnel
          Qualitative research
          Psychology
          Maryland
          All Other Miscellaneous Ambulatory Health Care Services
          Medical screening evaluation
          Research funding
      keyword:
        Adolescence
        Implementation science
        Screening
        Adolescence
        Implementation science
        Screening
      ab: Adolescent and young adult women are disproportionately burdened by violence at the hands of dating and intimate partners. Evidence supports routine screening in clinical settings for detection and intervention. Although screening for intimate partner violence in reproductive health care settings is widely endorsed, little is known about screening practices. We conducted qualitative in-depth interviews with healthcare providers (n = 14) in several urban reproductive health clinics in Baltimore City, Maryland to understand screening practices, including related barriers and motivations. Interviews were transcribed verbatim and analyzed using inductive content analysis. Findings demonstrated substantial variation in screening practices as well as related referral and follow-up, despite the existence of a screening tool. Factors that appeared to undermine consistent and successful screening implementation included lack of a common goal for screening, lack of clarity in staff roles, a gap in on-site support services, as well as lack of time and confidence. Findings affirm the value of applying a systems model to intimate partner violence (IPV) screening programs. This research advances the understanding of the implementation challenges for violence-related screening for high-risk populations such as adolescents and young adults in reproductive health care settings and is particularly relevant given the recent endorsement by the DHHS to cover IPV screening under the Affordable Care Act.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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