The training needs of Turkish emergency department personnel regarding intimate partner violence

<p>Abstract</p> <p>Background</p> <p>Violence against females is a widespread public health problem in Turkey and the lifetime prevalence of IPV ranges between 34 and 58.7%. Health care workers (HCW) sometimes have the unique opportunity and obligation to identify, treat, and educate females who are abused. The objective of this study was to evaluate the knowledge, attitudes, and experiences of the emergency department (ED) staff regarding intimate partner violence (IPV) at a large university hospital in Turkey.</p> <p>Methods</p> <p>A cross-sectional study was conducted in a large university hospital via questionnaire. The study population consisted of all the nurses and physicians who worked in the ED during a two month period (n = 215). The questionnaire response rate was 80.5% (41 nurses and 132 physicians). The main domains of the questionnaire were knowledge regarding the definition of IPV, clinical findings in victims of IPV, legal aspects of IPV, attitudes towards IPV, knowledge about the characteristics of IPV victims and abusers, and professional and personal experiences and training with respect to IPV.</p> <p>Results</p> <p>One-half of the study group were females, 76.3% were physicians, and 89.8% had no training on IPV. The majority of the nurses (89.5%) and physicians (71.1%) declared that they were aware of the clinical appearance of IPV. The mean of the knowledge scores on clinical knowledge were 8.84 ± 1.73 (range, 0–10) for acute conditions, and 4.51 ± 3.32 for chronic conditions. The mean of the knowledge score on legal procedures and the legal rights of the victims was 4.33 ± 1.66 (range, 0–7). At least one reason to justify physical violence was accepted by 69.0% of females and 84.7% of males, but more males than females tended to justify violence (chi square = 5.96; p = 0.015). However, both genders accepted that females who experienced physical violence should seek professional medical help.</p> <p>Conclusion</p> <p>The study participants' knowledge about IPV was rather low and a training program is thus necessary on this issue. Attention must be given to the legal aspects and clinical manifestations of IPV. The training program should also include a module on gender roles in order to improve the attitudes towards IPV.</p

Manisa Doğumevinde doğum yapan kadınların doğurganlık öyküleri, aile planlaması davranışı ve doğum sonrası aile planlaması danışmanlığı

Aim: To explore the frequencies of; prior use of contraceptive methods before pregnancy period, unintended pregnancies, the willingness to have children and the decisions about the use of the contraceptive methods in the future. Material Method: This study was carried out on women applied to Manisa Maternity Hospital for delivery during 01 ;amp;#8211;30 May 2006. A questionnaire was used by face to face interview to the postnatal women. 266 of 353 women were interviewed in this descriptive study. Data were analyzed via statistical analysis package program . Chi square test was used to statistical analyze and p;lt; 0.05 was accepted as significant. Results: The mean age of the women was 25,5 ;plusmn; 4,7; (17 ;amp;#8211; 40) and 57.1% of the women had primary school education and 89.8% of them was housewife. The percentage of the women who did not use any contraceptive method before pregnancy was 49.6%, and the percentage of the unintended (mistimed) pregnancy was 27.1%. Most of the women had tendency to use intra uterine device (50.8%) as a family planning method and 10.5% of them had no idea. Conclusion: Counseling must be given particular to the women in the early postpartum period in the maternity hospitals, and family planning services should be free of charge.Amaç: Yeni doğum yapan annelerin son gebeliklerinden önce kullandıkları aile planlaması yöntemlerini, istenmeyen gebelik oranını, gelecekte çocuk sahibi olma isteklerini ve kullanmayı düşündükleri aile planlaması yöntemlerini ve etkileyen faktörleri saptamaktır. Gereç ve Yöntem: Kesitsel olarak planlanan bu çalışma Manisa Doğum ve Çocuk Bakımevi Hastanesinde 01 –30 Mayıs 2006 tarihleri arasında doğum yapan ve araştırmaya katılmayı kabul eden 266 kadın ile yapılmıştır. Araştırma evreni 353 kadından oluşmaktadır. Kapsayıcılık %75,7'dir. Loğusa kadınlara 2 bölümden oluşan anket formu yüz yüze görüşme tekniği ile uygulanmıştır. İstatistik analiz paket programı ile Kikare analizi kullanılmış ve p0.05 anlamlı olarak kabul edilmiştir. Bulgular: Kadınların yaş ortalaması 25,5 ± 4,7; (17 – 40) olup, %57,1'i ilkokul mezunu, %89,8'i ev hanımıdır. Kadınların %27,1 i bu gebeliklerini istemediklerini ve % 49,6'sı gebelik öncesi herhangi bir yöntem kullanmadıklarını bildirmişlerdir. Kadınların %60,2'si ileride başka bir çocuk sahibi olmak istemediklerini söylemiştir. Kadınların %35,3'ü ise en az iki sene sonra (başka) çocuk sahibi olmak istemediklerini belirtmişlerdir. Kadınlara bu doğum sonrası hangi yöntemle korunacakları sorulduğunda; kadınların %50.8i RIA ile %18,8'i ise kondom ile korunmayı planladıklarını bildirmiştir. Kadınların %10,5'i ise bilmiyorum yanıtını vermiştir. Sonuç: Doğum yapılan sağlık kuruluşlarında doğum sonrası yapılması gereken eğitimlere aile planlaması konusunun eklenmesi aile planlaması açısından önemli bir fırsat olabilecektir

Factors affecting readiness for discharge and perceived social support after childbirth

Aims and objectives: To evaluate the factors affecting readiness for discharge and perceived social support after childbirth. Background: Many women still die during and following pregnancy and childbirth. Both early and late discharges are conflicting issues in the world. Evaluation of the readiness for discharge in terms of patient safety, satisfaction, physical, emotional, psychological and social aspects is important. Design: Descriptive and cross-sectional study. Methods: The study was carried out with 610 women in the early postpartum period at two hospitals in Turkey between October 2014–March 2015 using Readiness for Hospital Discharge Scale–New Mother Form and Multidimensional Scale of perceived social support. Results: The mean scores for Readiness for Hospital Discharge Scale–New Mother Form and Multidimensional Scale of perceived social support were found as 163.5 (SD: 34.1) and 64.2 (SD: 18.8), respectively. Women who were discharged from Merkezefendi Hospital, women who had one child or one pregnancy and women or baby who experienced complication during or after birth had lower scores on Readiness for Hospital Discharge Scale–New Mother Form. Women who received information about the postpartum period had significantly higher scores on the total Readiness for Hospital Discharge Scale–New Mother Form than women did not (165.5 ± 33.8 vs 151.1 ± 36.1). Personal status, knowledge and total score of the Readiness for Hospital Discharge Scale–New Mother Form were significantly higher in women who were ready for discharge. Conclusions: Findings provide vital information that can inform nursing clinical practice, especially related to readiness for discharge protocols and developing strategies for women, who had low sociodemographic backgrounds, did not have any information about postpartum period and were not ready for discharge. Relevance to Clinical Practice: The mother and family face with postpartum difficulties on their own when early discharge takes place. Providing postpartum care services plays an important role for maternal–child health. © 2017 John Wiley & Sons Lt