Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Assessing the use of clinical guidelines against domestic violence in southern Sweden : A mixed-methods study

Wemrell, Maria LU orcid ; Tegel, Emma ; Öberg, Johan LU and Ivert, Anna Karin LU (2023) In Scandinavian Journal of Caring Sciences 37(3). p.828-841
Abstract

Background and Aim: Domestic violence is a prevalent public health issue. While clinical guidelines and care programs for its identification and handling have been formulated in all administrative regions of Sweden, their degree of implementation is largely unknown. This study aims to assess the implementation of one administrative region's care program, including how it is seen to align with and function in clinical practice, and any perceived barriers to or facilitators of its use. Methods: A survey was distributed to first-line managers for healthcare units with patient contact in the region (n = 807). The responses were analysed using descriptive statistics. Open responses were analysed thematically. Group interviews (n = 5) were... (More)

Background and Aim: Domestic violence is a prevalent public health issue. While clinical guidelines and care programs for its identification and handling have been formulated in all administrative regions of Sweden, their degree of implementation is largely unknown. This study aims to assess the implementation of one administrative region's care program, including how it is seen to align with and function in clinical practice, and any perceived barriers to or facilitators of its use. Methods: A survey was distributed to first-line managers for healthcare units with patient contact in the region (n = 807). The responses were analysed using descriptive statistics. Open responses were analysed thematically. Group interviews (n = 5) were held with caregivers (n = 15) working primarily with young patients and analysed thematically. Results: 73% of the survey respondents reported previous awareness of the care program, and 27% reported knowledge of its content. The extent to which their staff knew about and followed the care program was assessed to be relatively low. The survey response rate was 19%. Among interview participants, knowledge of the care program was generally quite low. Survey responses and interview discussions pointed to the importance of developing routines, of collegial and managerial support and of training on domestic violence and the care program. Conclusion: This study indicates that the knowledge and use of the regional care program is limited among healthcare staff, including among those working with young patients. This underscores the importance of information and training for furthering the implementation of clinical guidelines on domestic violence.

(Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
domestic violence, guidelines, healthcare, implementation, screening, Sweden
in
Scandinavian Journal of Caring Sciences
volume
37
issue
3
pages
828 - 841
publisher
Wiley-Blackwell
external identifiers
  • pmid:37002636
  • scopus:85152058836
ISSN
0283-9318
DOI
10.1111/scs.13168
language
English
LU publication?
yes
id
b94f719c-bd56-4e14-9e6d-69f2195c3bdb
date added to LUP
2023-07-19 10:46:26
date last changed
2024-04-19 23:39:12
@article{b94f719c-bd56-4e14-9e6d-69f2195c3bdb,
  abstract     = {{<p>Background and Aim: Domestic violence is a prevalent public health issue. While clinical guidelines and care programs for its identification and handling have been formulated in all administrative regions of Sweden, their degree of implementation is largely unknown. This study aims to assess the implementation of one administrative region's care program, including how it is seen to align with and function in clinical practice, and any perceived barriers to or facilitators of its use. Methods: A survey was distributed to first-line managers for healthcare units with patient contact in the region (n = 807). The responses were analysed using descriptive statistics. Open responses were analysed thematically. Group interviews (n = 5) were held with caregivers (n = 15) working primarily with young patients and analysed thematically. Results: 73% of the survey respondents reported previous awareness of the care program, and 27% reported knowledge of its content. The extent to which their staff knew about and followed the care program was assessed to be relatively low. The survey response rate was 19%. Among interview participants, knowledge of the care program was generally quite low. Survey responses and interview discussions pointed to the importance of developing routines, of collegial and managerial support and of training on domestic violence and the care program. Conclusion: This study indicates that the knowledge and use of the regional care program is limited among healthcare staff, including among those working with young patients. This underscores the importance of information and training for furthering the implementation of clinical guidelines on domestic violence.</p>}},
  author       = {{Wemrell, Maria and Tegel, Emma and Öberg, Johan and Ivert, Anna Karin}},
  issn         = {{0283-9318}},
  keywords     = {{domestic violence; guidelines; healthcare; implementation; screening; Sweden}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{828--841}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Scandinavian Journal of Caring Sciences}},
  title        = {{Assessing the use of clinical guidelines against domestic violence in southern Sweden : A mixed-methods study}},
  url          = {{http://dx.doi.org/10.1111/scs.13168}},
  doi          = {{10.1111/scs.13168}},
  volume       = {{37}},
  year         = {{2023}},
}