Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis
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 Febr...
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BMJ Publishing Group
2020-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/11/e041339.full |
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| author | Claudia Garcia-Moreno Gene Feder Leesa Hooker Kelsey Hegarty Jane Koziol-Mclain Meghan A Bohren Laura Tarzia Jacqui Cameron Lorna O'Doherty Renee Fiolet Molly Wellington Rhian Parker |
| author_facet | Claudia Garcia-Moreno Gene Feder Leesa Hooker Kelsey Hegarty Jane Koziol-Mclain Meghan A Bohren Laura Tarzia Jacqui Cameron Lorna O'Doherty Renee Fiolet Molly Wellington Rhian Parker |
| author_sort | Claudia Garcia-Moreno |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-5c901f30fe01490bbc738b3c6bdf2b1e |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-5c901f30fe01490bbc738b3c6bdf2b1e2024-11-25T22:00:09ZengBMJ Publishing GroupBMJ Open2044-60552020-11-01101110.1136/bmjopen-2020-041339Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesisClaudia Garcia-Moreno0Gene Feder1Leesa Hooker2Kelsey Hegarty3Jane Koziol-Mclain4Meghan A Bohren5Laura Tarzia6Jacqui Cameron7Lorna O'Doherty8Renee Fiolet9Molly Wellington10Rhian Parker11Department of Sexual and Reproductive Health and Research, WHO, Geneva, Switzerlandprofessor of primary care research and developmentLa Trobe Rural Health School, Australia2 Centre for Family Violence Prevention, The Royal Women’s Hospital, Parkville, Victoria, Australia7 Centre for Interdisciplinary Trauma Research, Auckland University of Technology, Auckland, New ZealandCentre for Health Equity, University of Melbourne School of Population and Global Health, Melbourne, Victoria, AustraliaDepartment of General Practice, The University of Melbourne, Melbourne, Victoria, Australia1 Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia1 Institute for Health and Wellbeing, Coventry University, Coventry, UK1 Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia1 Department of General Practice, The University of Melbourne, Melbourne, Victoria, Australia1 Department of General Practice, The University of Melbourne, Melbourne, Victoria, AustraliaObjective 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.https://bmjopen.bmj.com/content/10/11/e041339.full |
| spellingShingle | Claudia Garcia-Moreno Gene Feder Leesa Hooker Kelsey Hegarty Jane Koziol-Mclain Meghan A Bohren Laura Tarzia Jacqui Cameron Lorna O'Doherty Renee Fiolet Molly Wellington Rhian Parker Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis BMJ Open |
| title | Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis |
| title_full | Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis |
| title_fullStr | Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis |
| title_full_unstemmed | Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis |
| title_short | Women’s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider: A qualitative meta-synthesis |
| title_sort | women s experiences and expectations after disclosure of intimate partner abuse to a healthcare provider a qualitative meta synthesis |
| url | https://bmjopen.bmj.com/content/10/11/e041339.full |
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