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Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research

Domestic violence victims are in frequent contact with the healthcare service yet rarely disclose. Therefore, it is critical to understand victims' experiences and perceptions regarding disclosure in healthcare settings. The goal of this review is to provide an updated synthesis of qualitative...

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Autores principales: Heron, Rebecca L., Eisma, Maarten C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248429/
https://www.ncbi.nlm.nih.gov/pubmed/33440034
http://dx.doi.org/10.1111/hsc.13282
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author Heron, Rebecca L.
Eisma, Maarten C.
author_facet Heron, Rebecca L.
Eisma, Maarten C.
author_sort Heron, Rebecca L.
collection PubMed
description Domestic violence victims are in frequent contact with the healthcare service yet rarely disclose. Therefore, it is critical to understand victims' experiences and perceptions regarding disclosure in healthcare settings. The goal of this review is to provide an updated synthesis of qualitative research identifying barriers and facilitators, advice, and positive and negative outcomes of adult victims' disclosure of domestic violence to healthcare professionals (HCPs). A systematic search of PsychINFO, CINAHL and Web of Science was conducted in January 2018. Thirty‐four eligible studies were identified, including 783 domestic violence victims (781 females). Formal quality assessment indicated variable study quality. Barriers of disclosure included negative HCPs attitudes, victims' perceptions of safety and concerns about the consequences of disclosing. Facilitators of disclosing included a positive relationship with the HCP, HCPs directly asking victims about abuse, and HCPs ensuring that the environment is safe and disclosure is confidential. Victims advised increased awareness of HCPs reactions to disclosure and avoiding mirroring their perpetrators minimization. HCPs were encouraged to engage in direct questioning and maintain a supportive and secure environment. Positive and negative outcomes of abuse were identified, such as being able to leave the abuser or, on the other hand, the victims' situation not changing. Our results indicate that barriers for disclosure of domestic violence in healthcare settings persist despite the widespread implementation of policies and guidelines to counter them. Based on these findings, we provide recommendations for clinical practice and future research to help improve disclosure in healthcare settings.
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spelling pubmed-82484292021-07-06 Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research Heron, Rebecca L. Eisma, Maarten C. Health Soc Care Community Review Articles Domestic violence victims are in frequent contact with the healthcare service yet rarely disclose. Therefore, it is critical to understand victims' experiences and perceptions regarding disclosure in healthcare settings. The goal of this review is to provide an updated synthesis of qualitative research identifying barriers and facilitators, advice, and positive and negative outcomes of adult victims' disclosure of domestic violence to healthcare professionals (HCPs). A systematic search of PsychINFO, CINAHL and Web of Science was conducted in January 2018. Thirty‐four eligible studies were identified, including 783 domestic violence victims (781 females). Formal quality assessment indicated variable study quality. Barriers of disclosure included negative HCPs attitudes, victims' perceptions of safety and concerns about the consequences of disclosing. Facilitators of disclosing included a positive relationship with the HCP, HCPs directly asking victims about abuse, and HCPs ensuring that the environment is safe and disclosure is confidential. Victims advised increased awareness of HCPs reactions to disclosure and avoiding mirroring their perpetrators minimization. HCPs were encouraged to engage in direct questioning and maintain a supportive and secure environment. Positive and negative outcomes of abuse were identified, such as being able to leave the abuser or, on the other hand, the victims' situation not changing. Our results indicate that barriers for disclosure of domestic violence in healthcare settings persist despite the widespread implementation of policies and guidelines to counter them. Based on these findings, we provide recommendations for clinical practice and future research to help improve disclosure in healthcare settings. John Wiley and Sons Inc. 2021-01-13 2021-05 /pmc/articles/PMC8248429/ /pubmed/33440034 http://dx.doi.org/10.1111/hsc.13282 Text en © 2021 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Heron, Rebecca L.
Eisma, Maarten C.
Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research
title Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research
title_full Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research
title_fullStr Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research
title_full_unstemmed Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research
title_short Barriers and facilitators of disclosing domestic violence to the healthcare service: A systematic review of qualitative research
title_sort barriers and facilitators of disclosing domestic violence to the healthcare service: a systematic review of qualitative research
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8248429/
https://www.ncbi.nlm.nih.gov/pubmed/33440034
http://dx.doi.org/10.1111/hsc.13282
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