Abstract
Session presented on: Wednesday, July 24, 2013:
Purpose: To explore the current quality of care for intimate partner violence (IPV) in South African public sector primary care facilities of the Western Cape.
Methods: This is a subsection of a larger project which implemented, modified and evaluated a screening and management protocol for IPV in South African primary care. In the larger study, 168 women were identified as having lived with IPV while attending primary care for the previous two years. Yet only 11 (9.6%) were recognized. A structured record of the protocol consultation and semi-structured follow up interview captured each patient's story verbatim or paraphrased it in a narrative style. This qualitative data was triangulated with an inspection of their medical records to construct detailed case studies of their experience of IPV, health seeking behavior and experience of health care. A thematic content analysis of the case studies was performed using Atlas.ti software.
Results: Only 10% of women who attended primary health care, while suffering from IPV, were recognized. Their care tended to be superficial, fragmented and mostly involved referral to other service providers. Key themes for exploration are poor recognition of mental health problems and quality of counseling; recognition of IPV without action; inadequate suicide prevention; poor record keeping, continuity and coordination of care; cultural entrapment; and intimate terrorism.
Conclusion: Despite lip service to holistic care, the training and subsequent practice of South African primary care practitioners remains biomedical and task-oriented. Providers struggle to provide a patient-centred approach, with significant repercussions for the provision of IPV care. By implication, training of clinical nurse and medical practitioners should focus on developing a biopsychosocial approach so that relevant psychological and social problems can be identified and a response initiated.
Sigma Membership
Tau Lambda at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
Qualitative Research
Keywords:
Intimate Partner Violence, Quality of Care, South African Primary Health Care
Recommended Citation
Joyner, Kate, "Quality of care for intimate partner violence in South African primary care: Qualitative study" (2013). INRC (Congress). 64.
https://www.sigmarepository.org/inrc/2013/presentations_2013/64
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
Rights Holder
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Acquisition
Proxy-submission
Quality of care for intimate partner violence in South African primary care: Qualitative study
Prague, Czech Republic
Session presented on: Wednesday, July 24, 2013:
Purpose: To explore the current quality of care for intimate partner violence (IPV) in South African public sector primary care facilities of the Western Cape.
Methods: This is a subsection of a larger project which implemented, modified and evaluated a screening and management protocol for IPV in South African primary care. In the larger study, 168 women were identified as having lived with IPV while attending primary care for the previous two years. Yet only 11 (9.6%) were recognized. A structured record of the protocol consultation and semi-structured follow up interview captured each patient's story verbatim or paraphrased it in a narrative style. This qualitative data was triangulated with an inspection of their medical records to construct detailed case studies of their experience of IPV, health seeking behavior and experience of health care. A thematic content analysis of the case studies was performed using Atlas.ti software.
Results: Only 10% of women who attended primary health care, while suffering from IPV, were recognized. Their care tended to be superficial, fragmented and mostly involved referral to other service providers. Key themes for exploration are poor recognition of mental health problems and quality of counseling; recognition of IPV without action; inadequate suicide prevention; poor record keeping, continuity and coordination of care; cultural entrapment; and intimate terrorism.
Conclusion: Despite lip service to holistic care, the training and subsequent practice of South African primary care practitioners remains biomedical and task-oriented. Providers struggle to provide a patient-centred approach, with significant repercussions for the provision of IPV care. By implication, training of clinical nurse and medical practitioners should focus on developing a biopsychosocial approach so that relevant psychological and social problems can be identified and a response initiated.