Red flags and gut feelings-Midwives' perceptions of domestic and family violence screening and detection in a maternity department.

Baird, K; Creedy, DK; Branjerdporn, G; Gillespie, K

Red flags and gut feelings-Midwives' perceptions of domestic and family violence screening and detection in a maternity department.

Baird, K

Creedy, DK Branjerdporn, G Gillespie, K

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Women and birth : journal of the Australian College of Midwives, 2020
Issue Date:: 2020-10-05

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Field	Value	Language
dc.contributor.author	Baird, K https://orcid.org/0000-0003-0142-6962
dc.contributor.author	Creedy, DK
dc.contributor.author	Branjerdporn, G
dc.contributor.author	Gillespie, K
dc.date.accessioned	2021-01-11T06:32:45Z
dc.date.available	2020-09-28
dc.date.available	2021-01-11T06:32:45Z
dc.date.issued	2020-10-05
dc.identifier.citation	Women and birth : journal of the Australian College of Midwives, 2020
dc.identifier.issn	1871-5192
dc.identifier.issn	1878-1799
dc.identifier.uri	http://hdl.handle.net/10453/145301
dc.description.abstract	BACKGROUND:Domestic and family violence (DFV) is known to escalate during pregnancy. Routine screening for DFV in maternity departments is a widely acceptable practice according to staff and women. This study is part of a 3-year follow-up of an organisational intervention evaluation and aimed to identify clinicians' perceptions of current practices, as well as barriers and enablers to DFV antenatal screening. METHOD:Semi-structured interviews were conducted with ten midwives about conducting DFV screening within the maternity department of a large tertiary public hospital in Queensland, Australia. Interview transcripts were read and thematically analysed by two independent researchers. RESULTS:Four main themes emerged from the data: uncertainty despite education and training; fear of opening Pandora's Box; working with 'red flags' and 'gut feelings'; and it's all about the relationship. CONCLUSION:Although clinicians identified the importance of guidelines for managing DFV and knowledge of resources and services, confidence varied. Ongoing, formal, mandatory training in the area of DFV was highlighted. Managing partner presence in the room, building rapport with the woman, and time constraints continue to be challenging barriers to DFV detection. Routine screening, continuity of care, and staff knowledge and experience were major enablers to successful detection and response.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier BV
dc.relation.ispartof	Women and birth : journal of the Australian College of Midwives
dc.relation.isbasedon	10.1016/j.wombi.2020.09.023
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.title	Red flags and gut feelings-Midwives' perceptions of domestic and family violence screening and detection in a maternity department.
dc.type	Journal Article
utslib.location.activity	Netherlands
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
dc.date.updated	2021-01-11T06:32:14Z
pubs.publication-status	Published

Abstract:

BACKGROUND:Domestic and family violence (DFV) is known to escalate during pregnancy. Routine screening for DFV in maternity departments is a widely acceptable practice according to staff and women. This study is part of a 3-year follow-up of an organisational intervention evaluation and aimed to identify clinicians' perceptions of current practices, as well as barriers and enablers to DFV antenatal screening. METHOD:Semi-structured interviews were conducted with ten midwives about conducting DFV screening within the maternity department of a large tertiary public hospital in Queensland, Australia. Interview transcripts were read and thematically analysed by two independent researchers. RESULTS:Four main themes emerged from the data: uncertainty despite education and training; fear of opening Pandora's Box; working with 'red flags' and 'gut feelings'; and it's all about the relationship. CONCLUSION:Although clinicians identified the importance of guidelines for managing DFV and knowledge of resources and services, confidence varied. Ongoing, formal, mandatory training in the area of DFV was highlighted. Managing partner presence in the room, building rapport with the woman, and time constraints continue to be challenging barriers to DFV detection. Routine screening, continuity of care, and staff knowledge and experience were major enablers to successful detection and response.

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http://hdl.handle.net/10453/145301