Date of Award

11-30-2020

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Dr. Tazeen Saeed Ali

Second Advisor

Ms. Rozina Karim Somani

Third Advisor

Ms. Fauzia Basaria Hasnani

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: Intimate Partner Violence (IPV) is a significant public health issue, with serious health consequences for women. Healthcare providers, particularly those working in the Emergency Department (ED), play an important role in screening and providing referrals to IPV victims. However, screening of these victims is not practised in the healthcare settings of Pakistan. Therefore, it is important to identify IPV screening readiness of healthcare providers of ED, in Pakistan.
Purpose: To assess readiness, along with the demographic and occupational factors associated with the readiness of the healthcare providers, regarding screening of IPV among women coming to the ED, at a tertiary care hospital in Karachi, Pakistan.
Method:This Analytical Cross-sectional study utilized the total population sampling method for data collection. Readiness was assessed using the Domestic Violence Healthcare Provider Survey Scale (DVHSS). The instrument was distributed, online, to 184 eligible participants (nurses and doctors), out of which 145 participants responded. Descriptive statistics, t-tests, ANOVA, and simple linear regression was used to analyse the data.
Finding: On an average, the healthcare providers scored moderately on the readiness indicators identified by DVHSS. Moreover, the type of profession and training status were important determinants of readiness to screen for IPV. The nurses had higher perceived self-efficacy (Beta=3.032 units, p=0.0002), system support (Beta=1.05 units, p=0.037), fear of offending v patients (Beta=2.22 units, p=0.014), victim-blaming attitudes (Beta=3.314 units, p=0.001), and lesser provider/patient safety (Beta=1.13 units, p=0.018) concerns, than doctors. Likewise, the trained providers had higher perceived self-efficacy (Beta=3.323 units, p=0.008) and system support (Beta=1.75 units, p=0.019) scores, than untrained providers. However, factors including age, years of experience, marital status, and gender were statistically insignificant with regard to the readiness of the healthcare providers.
Conclusion:Healthcare providers play an important role in screening and responding to IPV. However, in the current study setting, the healthcare providers were not ready to screen patients for IPV. The study findings will help in planning appropriate interventions for enhancing healthcare providers’ readiness to screen for IPV and, ultimately, in improving their response towards IPV victims.

First Page

17

Last Page

127

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