隐藏在众目睽睽之下

Vijeta Venkataraman, T. Rudge, J. Currie
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摘要

澳大利亚亲密伴侣暴力(IPV)的发生率正在上升。经历IPV的妇女通过急诊科寻求帮助。妇女对在紧急情况下工作的护士表现出寻求帮助的行为,而不是医疗或专职保健专业人员。护士认识到需要照顾经历IPV的妇女的能力至关重要。本研究的目的是通过概述限制护理的抑制因素并创建有助于解决这些因素的话语,探讨护士照顾经历过IPV的妇女的能力。前(n=10)和后(n=6)焦点小组(fg)是在急诊科工作的护士进行的。在fg之间,采用干预措施来促进护理实践的改变。从后结构女性主义的视角出发,对FGs产生的话语进行了福柯式的话语分析。研究发现,参与者的护理能力取决于他们在IPV上形成的价值观,这是他们在注册后接受的培训形成的。边界的形成是抑制参与者关怀能力的根本因素。通过对护理价值观的教育探究挑战界限可以有效地改变IPV的观点。在我们的社区中提高对IPV的认识是引发急诊科和护理文化中文化行为改变的重要工具。
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Hiding in Plain Sight
The incidence of Intimate Partner Violence (IPV) in Australia is rising. Women experiencing IPV seek assistance through Emergency Departments (ED). Women exhibit help-seeking behaviours to nurses who work in emergency over medical or allied health professionals. Nurses’ capacity to recognise the need to care for women experiencing IPV is essential. The aim of this study was to explore nurses’ capacity to care for women who have experienced IPV through outlining inhibiting factors that limit care and create a discourse that contributes to addressing these factors. Pre (n=10) and post (n=6) focus groups (FGs) were undertaken with nurses who work in ED. In between the FGs an intervention was applied to prompt change to caring practices. The discourse generated from the FGs was subjected to a Foucauldian discourse analysis from a poststructural feminist perspective. Participants’ capacity to care was found to be based on the values they formed on IPV, as shaped by their post-registration training. The formation of boundaries was fundamental in inhibiting the participants’ capacity to care. Challenging boundaries through educational inquiry into nursing values can be effective in shifting perspectives of IPV. The raising of awareness of IPV in our communities serves as a vital tool in eliciting cultural behaviour change within EDs and within nursing culture.
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