作为家庭虐待幸存者的医疗保健专业人员:工作场所的影响和寻求支持。

IF 2.4 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Occupational Medicine-Oxford Pub Date : 2024-10-01 DOI:10.1093/occmed/kqae070
Sandi Dheensa, Janine Doughty, Alison Gregory
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引用次数: 0

摘要

背景:医疗保健专业人员(HCPs)应识别并应对其病人中的家庭虐待(DA)。目的:评估英国医疗保健专业人员的家庭虐待经历,广泛了解其对工作的影响以及医疗保健专业人员的支持需求:通过多种专业渠道推广在线横断面调查(2022 年 10 月至 12 月)。我们采用了方便抽样法,并对数据进行了描述性分析:在 192 位作出回复的 HCP 幸存者中,所有虐待亚型--心理、性、经济和身体虐待--都很常见。90%的施虐者为男性(前)伴侣。85%的幸存者称施虐者直接干扰了他们的工作,92%的幸存者称他们的工作和事业受到了影响。几乎所有人都报告说身心健康受到了影响。89% 的人报告说,他们自身的经历影响了他们对病人幸存者的反应。据 HCP 幸存者报告,由于伤残津贴,他们平均每年有 13 天病假、5 天事假、10 天迟到和 6 天早退。只有 20% 的人报告他们的工作场所制定了员工伤残津贴政策,超过 50% 的人不确定工作场所有哪些支持机制。仅有一半多的人在工作中披露了自己的情况;担心他人会质疑自己是否适合执业是普遍现象。22%的人报告说,工作的某些方面(如工作时间长)阻碍了他们在工作之外寻求支持:医疗保健人员在披露和寻求支持时面临着独特的障碍,他们可能会从了解伤残和医疗保健背景的专家提供的量身定制的支持中受益。
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Healthcare professionals as domestic abuse survivors: workplace impact and support-seeking.

Background: Healthcare professionals (HCPs) are expected to identify and respond to domestic abuse (DA) among their patients. Although research suggests that a high proportion of HCPs are affected by DA, the impact of their experiences has been under-researched.

Aims: To assess UK HCPs' experiences of DA and develop a broad understanding of its impact on work and HCPs' support needs.

Methods: An online cross-sectional survey was promoted via multiple professional channels (October to December 2022). We adopted convenience sampling and analysed data descriptively.

Results: Among the 192 HCP survivors who responded, all abuse subtypes-psychological, sexual, economic and physical-were common. Ninety per cent of abusers were male (ex)partners. Eighty-five per cent reported abusers directly interfered with their work and 92% reported their work and career were affected. Almost all reported physical and mental health consequences. Eighty-nine per cent reported their own experiences shaped their responses to patient survivors. On average, per year, HCP survivors reported they had 13 sick days, 5 days' leave, 10 days' lateness and 6 days' early departure due to DA. Only 20% reported their workplace had a staff DA policy, and over 50% were unsure what workplace support mechanisms were available. Just over half disclosed at work; concerns that others would question their fitness to practice were common. Twenty-two per cent reported aspects of work, for example, long hours, stopped them from seeking support outside work.

Conclusions: HCPs face unique barriers to DA disclosure and support-seeking and may benefit from tailored support from specialists who understand both DA and the healthcare context.

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来源期刊
Occupational Medicine-Oxford
Occupational Medicine-Oxford 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.80
自引率
3.90%
发文量
120
审稿时长
4-8 weeks
期刊介绍: Occupational Medicine is an international peer-reviewed journal which provides vital information for the promotion of workplace health and safety. The key strategic aims of the journal are to improve the practice of occupational health professionals through continuing education and to raise the profile of occupational health with key stakeholders including policy makers and representatives of employers and employees. Topics covered include work-related injury and illness, accident and illness prevention, health promotion, occupational disease, health education, the establishment and implementation of health and safety standards, monitoring of the work environment, and the management of recognized hazards. Contributions are welcomed from practising occupational health professionals and research workers in related fields.
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