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Women's experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis

Tarzia, L, Bohren, MA, Cameron, J, Garcia-Moreno, C, O'Doherty, L, Fiolet, Renee, Hooker, L, Wellington, M, Parker, R, Koziol-McLain, J, Feder, G and Hegarty, K 2020, Women's experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis, BMJ Open, vol. 10, no. 11, pp. 1-23, doi: 10.1136/bmjopen-2020-041339.

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Title Women's experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis
Author(s) Tarzia, L
Bohren, MA
Cameron, J
Garcia-Moreno, C
O'Doherty, L
Fiolet, ReneeORCID iD for Fiolet, Renee orcid.org/0000-0001-5503-9875
Hooker, L
Wellington, M
Parker, R
Koziol-McLain, J
Feder, G
Hegarty, K
Journal name BMJ Open
Volume number 10
Issue number 11
Article ID e041339
Start page 1
End page 23
Total pages 23
Publisher BMJ
Place of publication London, Eng.
Publication date 2020-01-01
ISSN 2044-6055
2044-6055
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
qualitative research
public health
quality in healthcare
DOMESTIC VIOLENCE
PSYCHIATRIC-CARE
HELP-SEEKING
SURVIVORS
BARRIERS
PROFESSIONALS
INTERVENTION
PERCEPTIONS
SETTINGS
CONTACT
Summary Objective: To identify and synthesise the experiences and expectations of women victim/survivors of intimate partner abuse (IPA) following disclosure to a healthcare provider (HCP). Methods: The databases MEDLINE, Embase, CINAHL, PsychINFO, SocINDEX, ASSIA and the Cochrane Library were searched in February 2020. Included studies needed to focus on women’s experiences with and expectations of HCPs after disclosure of IPA. We considered primary studies using qualitative methods for both data collection and analysis published since 2004. Studies conducted in any country, in any type of healthcare setting, were included. The quality of individual studies was assessed using an adaptation of the Critical Appraisal Skills Programme checklist for qualitative studies. The confidence in the overall evidence base was determined using Grading of Recommendations, Assessment, Development and Evaluations (GRADE)-Confidence in the Evidence from Reviews of Qualitative Research methods. Thematic synthesis was used for analysis. Results: Thirty-one papers describing 30 studies were included in the final review. These were conducted in a range of health settings, predominantly in the USA and other high-income countries. All studies were in English. Four main themes were developed through the analysis, describing women’s experiences and expectations of HCPs: (1) connection through kindness and care; (2) see the evil, hear the evil, speak the evil; (3) do more than just listen; and (4) plant the right seed. If these key expectations were absent from care, it resulted in a range of negative emotional impacts for women. Conclusions: Our findings strongly align with the principles of woman-centred care, indicating that women value emotional connection, practical support through action and advocacy and an approach that recognises their autonomy and is tailored to their individual needs. Drawing on the evidence, we have developed a best practice model to guide practitioners in how to deliver woman-centred care. This review has critical implications for practice, highlighting the simplicity of what HCPs can do to support women experiencing IPA, although its applicability to low-income and-middle income settings remains to be explored.
Language eng
DOI 10.1136/bmjopen-2020-041339
Indigenous content off
Field of Research 1103 Clinical Sciences
1117 Public Health and Health Services
1199 Other Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30146302

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.