Abstract
AimThe aim of this study was to explore previous literature related to nurses understanding of Intimate partner violence (IPV) or domestic violence and abuse (DVA) against women and to identify the gaps in nursing education so as to use the findings as a baseline to inform potential intervention strategies, curriculum development and outline implications for future nursing practice.DesignAn Integrative review of literature.MethodsStudies were extracted through a search of the electronic databases, such as Science direct, EBSCO host and PubMed, to identify relevant evidences published between January 2000–January 2017. “Joanna Briggs Institute (JBI) tool” was used to review primary research studies.ResultsSeventeen empirical studies were analysed. Findings supported four themes including: educational and training experiences, identification of IPV/DVA, curriculum and communication skills of nurses. Continued efforts are further needed to highlight and address IPV/DVA in nursing education and training, to scale up nursing understanding to respond and identify IPV/DVA appropriately in a clinical environment.
Highlights
Intimate partner violence (IPV) or domestic violence and abuse (DVA) (UK Home Office, 2013) refers to the victimization of an individual by an intimate companion (Usta, Antoun, Ambuel, & Khawaja, 2012)
Findings of the papers written in English language published from the year January 2000–January 2017 were included, as majority of the studies related to nurse education on IPV/DVA were conducted over the last 17 years and is considered as a golden period
The findings from the studies reviewed in this integrative literature review, evidenced nurses understanding with regard to domestic violence against women and identified the gaps in nursing education
Summary
Intimate partner violence (IPV) or domestic violence and abuse (DVA) (UK Home Office, 2013) refers to the victimization of an individual by an intimate companion (Usta, Antoun, Ambuel, & Khawaja, 2012). The fundamental aspects that influence nurse assessments of IPV/ DVA are reported extensively across the healthcare literature. Previous anecdotal experiences by nurses in different healthcare settings demonstrates that victims of domestic violence often discuss their experience related to violence if inquired about it in a non-judgmental, empathic and direct way. Previous literature identified different factors about why intervention with reference to identification and screening with IPV/DVA victims are not performed reliably (Alvarez, Fedock, Grace, & Campbell, 2016). The primary barriers identified by nurses include language barriers, cultural differences, fear of repercussions of obligatory reporting laws, frustration is associated with the futility of the responses of healthcare systems, history of personal exposure to abuse, low confidence in inquiring questions, fear of offending victims and lack of privacy, resource knowledge available for victims, time constraints and lack of training. Perceived patient-related barriers consist of: fear of police involvement, lack of disclosure, socioeconomic factors, accessing care because of perpetrator’s prevention, shame and fear of retaliation and absence of follow-up on referrals (Beynon, Gutmanis, Tutty, Wathen, & MacMillan, 2012)
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