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Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services

BACKGROUND: Identifying and responding to patients affected by domestic violence and abuse (DVA) is vital in primary care. There may have been a rise in the reporting of DVA cases during the COVID-19 pandemic and associated lockdown measures. Concurrently general practice adopted remote working that...

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Autores principales: Emsley, Elizabeth, Szilassy, Eszter, Dowrick, Anna, Dixon, Sharon, De Simoni, Anna, Downes, Lucy, Johnson, Medina, Feder, Gene, Griffiths, Chris, Panovska-Griffiths, Jasmina, Barbosa, Estela Capelas, Wileman, Vari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal College of General Practitioners 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285687/
https://www.ncbi.nlm.nih.gov/pubmed/37308305
http://dx.doi.org/10.3399/BJGP.2022.0570
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author Emsley, Elizabeth
Szilassy, Eszter
Dowrick, Anna
Dixon, Sharon
De Simoni, Anna
Downes, Lucy
Johnson, Medina
Feder, Gene
Griffiths, Chris
Panovska-Griffiths, Jasmina
Barbosa, Estela Capelas
Wileman, Vari
author_facet Emsley, Elizabeth
Szilassy, Eszter
Dowrick, Anna
Dixon, Sharon
De Simoni, Anna
Downes, Lucy
Johnson, Medina
Feder, Gene
Griffiths, Chris
Panovska-Griffiths, Jasmina
Barbosa, Estela Capelas
Wileman, Vari
author_sort Emsley, Elizabeth
collection PubMed
description BACKGROUND: Identifying and responding to patients affected by domestic violence and abuse (DVA) is vital in primary care. There may have been a rise in the reporting of DVA cases during the COVID-19 pandemic and associated lockdown measures. Concurrently general practice adopted remote working that extended to training and education. IRIS (Identification and Referral to Improve Safety) is an example of an evidence-based UK healthcare training support and referral programme, focusing on DVA. IRIS transitioned to remote delivery during the pandemic. AIM: To understand the adaptations and impact of remote DVA training in IRIS-trained general practices by exploring perspectives of those delivering and receiving training. DESIGN AND SETTING: Qualitative interviews and observation of remote training of general practice teams in England were undertaken. METHOD: Semi-structured interviews were conducted with 21 participants (three practice managers, three reception and administrative staff, eight general practice clinicians, and seven specialist DVA staff), alongside observation of eight remote training sessions. Analysis was conducted using a framework approach. RESULTS: Remote DVA training in UK general practice widened access to learners. However, it may have reduced learner engagement compared with face-to-face training and may challenge safeguarding of remote learners who are domestic abuse survivors. DVA training is integral to the partnership between general practice and specialist DVA services, and reduced engagement risks weakening this partnership. CONCLUSION: The authors recommend a hybrid DVA training model for general practice, including remote information delivery alongside a structured face-to-face element. This has broader relevance for other specialist services providing training and education in primary care.
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spelling pubmed-102856872023-06-23 Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services Emsley, Elizabeth Szilassy, Eszter Dowrick, Anna Dixon, Sharon De Simoni, Anna Downes, Lucy Johnson, Medina Feder, Gene Griffiths, Chris Panovska-Griffiths, Jasmina Barbosa, Estela Capelas Wileman, Vari Br J Gen Pract Research BACKGROUND: Identifying and responding to patients affected by domestic violence and abuse (DVA) is vital in primary care. There may have been a rise in the reporting of DVA cases during the COVID-19 pandemic and associated lockdown measures. Concurrently general practice adopted remote working that extended to training and education. IRIS (Identification and Referral to Improve Safety) is an example of an evidence-based UK healthcare training support and referral programme, focusing on DVA. IRIS transitioned to remote delivery during the pandemic. AIM: To understand the adaptations and impact of remote DVA training in IRIS-trained general practices by exploring perspectives of those delivering and receiving training. DESIGN AND SETTING: Qualitative interviews and observation of remote training of general practice teams in England were undertaken. METHOD: Semi-structured interviews were conducted with 21 participants (three practice managers, three reception and administrative staff, eight general practice clinicians, and seven specialist DVA staff), alongside observation of eight remote training sessions. Analysis was conducted using a framework approach. RESULTS: Remote DVA training in UK general practice widened access to learners. However, it may have reduced learner engagement compared with face-to-face training and may challenge safeguarding of remote learners who are domestic abuse survivors. DVA training is integral to the partnership between general practice and specialist DVA services, and reduced engagement risks weakening this partnership. CONCLUSION: The authors recommend a hybrid DVA training model for general practice, including remote information delivery alongside a structured face-to-face element. This has broader relevance for other specialist services providing training and education in primary care. Royal College of General Practitioners 2023-06-13 /pmc/articles/PMC10285687/ /pubmed/37308305 http://dx.doi.org/10.3399/BJGP.2022.0570 Text en © The Authors https://creativecommons.org/licenses/by/4.0/This article is Open Access: CC BY 4.0 licence (http://creativecommons.org/licences/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Research
Emsley, Elizabeth
Szilassy, Eszter
Dowrick, Anna
Dixon, Sharon
De Simoni, Anna
Downes, Lucy
Johnson, Medina
Feder, Gene
Griffiths, Chris
Panovska-Griffiths, Jasmina
Barbosa, Estela Capelas
Wileman, Vari
Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services
title Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services
title_full Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services
title_fullStr Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services
title_full_unstemmed Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services
title_short Adapting domestic abuse training to remote delivery during the COVID-19 pandemic: a qualitative study of views from general practice and support services
title_sort adapting domestic abuse training to remote delivery during the covid-19 pandemic: a qualitative study of views from general practice and support services
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285687/
https://www.ncbi.nlm.nih.gov/pubmed/37308305
http://dx.doi.org/10.3399/BJGP.2022.0570
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