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A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services
BACKGROUND: Healthcare-based Independent Domestic Violence Advisors (hIDVA) are evidence-based programmes that provide emotional and practical support to service users experiencing domestic abuse. hIDVA programmes are found to improve health outcomes for service users and are increasingly delivered...
Autores principales: | , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233538/ https://www.ncbi.nlm.nih.gov/pubmed/37264300 http://dx.doi.org/10.1186/s12884-023-05731-1 |
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author | Forbes, Camilla Alderson, Hayley Domoney, Jill Papamichail, Alexandra Berry, Vashti McGovern, Ruth Sevdalis, Nick Rankin, Judith Newburn, Mary Healey, Andy Easter, Abigail Heslin, Margaret Feder, Gene Hudson, Kristian Wilson, Claire A. Melendez-Torres, G. J. Howard, Louise M. Trevillion, Kylee |
author_facet | Forbes, Camilla Alderson, Hayley Domoney, Jill Papamichail, Alexandra Berry, Vashti McGovern, Ruth Sevdalis, Nick Rankin, Judith Newburn, Mary Healey, Andy Easter, Abigail Heslin, Margaret Feder, Gene Hudson, Kristian Wilson, Claire A. Melendez-Torres, G. J. Howard, Louise M. Trevillion, Kylee |
author_sort | Forbes, Camilla |
collection | PubMed |
description | BACKGROUND: Healthcare-based Independent Domestic Violence Advisors (hIDVA) are evidence-based programmes that provide emotional and practical support to service users experiencing domestic abuse. hIDVA programmes are found to improve health outcomes for service users and are increasingly delivered across a range of healthcare settings. However, it is unclear how hIDVA programmes are implemented across maternity services and the key facilitators and barriers to their implementation. The aim of this study was to identify; how many English National Health Service (NHS) Trusts with maternity services have a hIDVA programme; which departments within the Trust they operate in; what format, content, and variation in hIDVA programmes exist; and key facilitators and barriers of implementation in maternity services. METHODS: A national survey of safeguarding midwives (Midwives whose role specifically tasks them to protect pregnant women from harm including physical, emotional, sexual and financial harm and neglect) within all maternity services across England; descriptive statistics were used to summarise responses. A World Café event (a participatory method, which aims to create a café atmosphere to facilitate informal conversation) with 38 national key stakeholders to examine barriers and facilitators to hIDVA programme implementation. RESULTS: 86/124 Trusts (69%) with a maternity service responded to the survey; 59(69%) of respondents reported that they had a hIDVA programme, and 47(55%) of the hIDVA programmes operated within maternity services. Key facilitators to implementation of hIDVA programmes included training of NHS staff about the hIDVA role and regular communication between Trust staff and hIDVA staff; hIDVA staff working directly from the Trust; co-creation of hIDVA programmes with experts by experience; governance and middle- and senior-management support. Key barriers included hIDVA staff having a lack of access to a private space for their work, insecure funding for hIDVA programmes and issues with recruitment and retention of hIDVA staff. CONCLUSIONS: Despite hIDVA programmes role in improving the health outcomes of service users experiencing domestic abuse, increased funding and staff training is needed to successfully implement hIDVA staff in maternity services. Integrated Care Board commissioning of acute and mental health trust services would benefit from ensuring hIDVA programmes and clinician DVA training are prioritised. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05731-1. |
format | Online Article Text |
id | pubmed-10233538 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-102335382023-06-01 A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services Forbes, Camilla Alderson, Hayley Domoney, Jill Papamichail, Alexandra Berry, Vashti McGovern, Ruth Sevdalis, Nick Rankin, Judith Newburn, Mary Healey, Andy Easter, Abigail Heslin, Margaret Feder, Gene Hudson, Kristian Wilson, Claire A. Melendez-Torres, G. J. Howard, Louise M. Trevillion, Kylee BMC Pregnancy Childbirth Research BACKGROUND: Healthcare-based Independent Domestic Violence Advisors (hIDVA) are evidence-based programmes that provide emotional and practical support to service users experiencing domestic abuse. hIDVA programmes are found to improve health outcomes for service users and are increasingly delivered across a range of healthcare settings. However, it is unclear how hIDVA programmes are implemented across maternity services and the key facilitators and barriers to their implementation. The aim of this study was to identify; how many English National Health Service (NHS) Trusts with maternity services have a hIDVA programme; which departments within the Trust they operate in; what format, content, and variation in hIDVA programmes exist; and key facilitators and barriers of implementation in maternity services. METHODS: A national survey of safeguarding midwives (Midwives whose role specifically tasks them to protect pregnant women from harm including physical, emotional, sexual and financial harm and neglect) within all maternity services across England; descriptive statistics were used to summarise responses. A World Café event (a participatory method, which aims to create a café atmosphere to facilitate informal conversation) with 38 national key stakeholders to examine barriers and facilitators to hIDVA programme implementation. RESULTS: 86/124 Trusts (69%) with a maternity service responded to the survey; 59(69%) of respondents reported that they had a hIDVA programme, and 47(55%) of the hIDVA programmes operated within maternity services. Key facilitators to implementation of hIDVA programmes included training of NHS staff about the hIDVA role and regular communication between Trust staff and hIDVA staff; hIDVA staff working directly from the Trust; co-creation of hIDVA programmes with experts by experience; governance and middle- and senior-management support. Key barriers included hIDVA staff having a lack of access to a private space for their work, insecure funding for hIDVA programmes and issues with recruitment and retention of hIDVA staff. CONCLUSIONS: Despite hIDVA programmes role in improving the health outcomes of service users experiencing domestic abuse, increased funding and staff training is needed to successfully implement hIDVA staff in maternity services. Integrated Care Board commissioning of acute and mental health trust services would benefit from ensuring hIDVA programmes and clinician DVA training are prioritised. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-023-05731-1. BioMed Central 2023-06-01 /pmc/articles/PMC10233538/ /pubmed/37264300 http://dx.doi.org/10.1186/s12884-023-05731-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Forbes, Camilla Alderson, Hayley Domoney, Jill Papamichail, Alexandra Berry, Vashti McGovern, Ruth Sevdalis, Nick Rankin, Judith Newburn, Mary Healey, Andy Easter, Abigail Heslin, Margaret Feder, Gene Hudson, Kristian Wilson, Claire A. Melendez-Torres, G. J. Howard, Louise M. Trevillion, Kylee A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services |
title | A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services |
title_full | A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services |
title_fullStr | A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services |
title_full_unstemmed | A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services |
title_short | A survey and stakeholder consultation of Independent Domestic Violence Advisor (IDVA) programmes in English maternity services |
title_sort | survey and stakeholder consultation of independent domestic violence advisor (idva) programmes in english maternity services |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233538/ https://www.ncbi.nlm.nih.gov/pubmed/37264300 http://dx.doi.org/10.1186/s12884-023-05731-1 |
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