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Intimate Partner Violence Prenatal and Postpartum Screening at Waianae Coast Comprehensive Health Center

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Item Summary

Title:Intimate Partner Violence Prenatal and Postpartum Screening at Waianae Coast Comprehensive Health Center
Authors:Morita, Jennifer
Keywords:Intimate Partner Violence
Domestic Violence
Pregnant Women
Date Issued:May 2015
Publisher:[Honolulu] : [University of Hawaii at Manoa], [May 2015]
Abstract:BACKGROUND: Intimate partner violence (IPV) is a worldwide epidemic that is often overlooked, ignored, and underreported. However, it greatly affects the health of women, especially in pregnancy. Healthcare providers and other staff may be in the optimal positions to
screen and to identify victims of IPV. The objective of this project is to implement an evidencebased
IPV screening tool and protocol for all pregnant and postpartum women, visiting the Women’s Health Department at Waianae Coast Comprehensive Health Center (WCCHC).
METHODS: Based on a literature review, the Abuse Assessment Screen (AAS), a five-item tool that assesses for physical, emotional, and sexual abuse, was implemented in the Women’s Health department from August to November 2014. In addition, an updated IPV screening and intervention protocol was implemented. Data was collected prior to and after the implementation of the new screening tool and protocol. Descriptive statistics and trend analysis was completed.
OUTCOMES: The AAS, used to screen pregnant women during initial OB visits, revealed an overall IPV rate of 14.6% (6% current IPV, 9% history of IPV), when screened by APRNs. The APRNs had an overall 90.2% screening rate. The perinatal case managers revealed a 6.7% current IPV rate and 10.8% history of IPV in pregnant women, with an overall 63.2% screening rate. Postpartum screening by APRNs revealed an overall 56.5% screening rate, with a 9.8% IPV rate. The most common interventions for women who screened positive for IPV were being counseled directly by the provider and being given a phone resource card, which includes the IPV shelter numbers and local IPV information line. A small percentage of women were referred to Behavioral Health.
CONCLUSION: Routine IPV screening for all women seeking prenatal and postpartum care is critical in order to identify and help victims of IPV. Use of the AAS and the new screening and intervention protocol has increased the identification of victims of IPV. Providers should continue to screen for IPV and provide services to pregnant and postpartum women.
Description:D.N.P. University of Hawaii at Manoa 2015.
Includes bibliographical references.
Appears in Collections: D.N.P. - Nursing Practice

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