title: We've had training, now what? Qualitative analysis of barriers to domestic violence screening and referral in a health care setting.
abstract: The present study assesses barriers to identification and referral of domestic violence (DV) victims by staff at a health care institution following a 3-hr DV training program in which 752 health care providers participated. Focus groups are conducted with staff in hospital departments that serve a high volume of women. Responses to focus group questions identify system-wide and individual hospital department barriers. These barriers have implications for health care organizations trying to implement DV screening protocols through training alone to change staff behavior in diverse clinical settings. Limitations of this study and future research recommendations are also discussed.
authors.affiliation: All Saint's Healthcare, Inc., USA.
authors.forename: Debbie
authors.initials: D
authors.lastname: Minsky-Kelly
authors.forename: L Kevin
authors.initials: LK
authors.lastname: Hamberger
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Pape
authors.forename: Marie
authors.initials: M
authors.lastname: Wolff
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D018585:Battered Women / Q000523:psychology; D002648:Child; D003144:Communication Barriers; D019548:Crime Victims / Q000523:psychology; D017579:Domestic Violence / Q000517:prevention & control*; D005260:Female; D017144:Focus Groups; D006801:Humans; D007318:Inservice Training / Q000592:standards*; D008487:Medical History Taking / Q000379:methods; D008875:Middle Aged; D011369:Professional-Patient Relations; D012017:Referral and Consultation / Q000592:standards*; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014481:United States; D016387:Women's Health