The Role of Public Health Nurses in Responding to Abused Women

Leslie Maureen Tutty

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Intimate Partner and Family Violence Nursing Roles and Practices Elder Abuse and Neglect

Abstract

The public health nurse (PHN) has a unique opportunity to identify and provide support to women who are abused by their partners. Earlier studies indicated, however that health professionals identify less than 10% of the abused women in their practice. In this study, a sample of 125 nurses responded to a measure called the Public Health Nurse's Response to Women Who Are Abused (PHNR), which consists of a vignette portraying a home visit to a young mother who showed indicators of abuse. The average PHNR score obtained was 80.8% indicating a high frequency of thoughts, feelings, and interventions that would facilitate abused women feeling helped. High scores were correlated with increased age, personal experience, number of years of public health experience, and workshop attendance. The PHNs' responses to open-ended questions revealed that they experienced a wide range of strong emotions in dealing with these dangerous situations. While the nurses believed that addressing abuse was within their professional role, 55% were unsure of what to say to initiate the topic. Suggestions about how to introduce the subject of family violence and the training needs of PHNs are presented.

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References

1991Scale Development : Theory and Applications 1985Physical abuse in pregnancy.1986Child witnesses to violence between parents: Critical issues in Behavioral and social adjustment 1994Wife assault: the findings of a national survey.1983Marital Violence: The Community Response 1989Battering During Pregnancy:1986Nurses’ and physicians’ attitudes about women abuse: The effects of gender and professional role 2000Abuse During Pregnancy

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1999Public Health Nurses' Responses to Domestic Violence: A Report from the Enhanced Domestic Abuse Intervention Project 2006Addressing Domestic Violence Through Maternal–Child Health Home Visiting: What We Do and Do Not Know 2000Perceptions of Health Status and the Relationship With Abuse History and Mental Health in Low-Income Single Mothers 2010Identification of women exposed to acute physical intimate partner violence in an emergency department setting in Finland 2008Prevalence of Experiences of Partner Violence Among Female Health Staff

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