title: Screening for domestic violence in an oncology clinic: barriers and potential solutions.
abstract: OBJECTIVE
  To evaluate the implementation of a domestic violence screening protocol in an oncology clinic.
  
  
  METHODS
  A retrospective review of a random sample of clinic medical records and qualitative surveys of nursing staff.
  
  
  METHODS
  A gynecologic oncology clinic in a large teaching hospital.
  
  
  METHODS
  204 charts were abstracted and six oncology nurses completed surveys.
  
  
  METHODS
  A random sample of patients from clinic appointment schedules was selected 6 and 12 months after the implementation of a domestic violence screening protocol. A brief written survey of nursing staff also was conducted.
  
  
  METHODS
  Documentation of domestic violence screening, barriers to screening and documentation, and potential solutions to the barriers.
  
  
  RESULTS
  Sixty-three percent of the charts reviewed had a domestic violence screening record present, but only 12% of the charts with a screening record had documentation. Patients with domestic violence screening documentation were more likely to have had five or more clinic visits during the study period. The most frequent barriers to protocol implementation cited by nursing staff were forgetting to screen or document domestic violence screening. Nursing staff recommended adding domestic violence screening questions to forms and providing reminders to screen.
  
  
  CONCLUSIONS
  Several barriers to successful implementation of a domestic violence screening protocol in a gynecologic oncology clinic, including documentation issues, were encountered.
  
  
  CONCLUSIONS
  Nurses interested in implementing a domestic violence screening protocol in their oncology clinic should consider reviewing the barriers to domestic violence screening and documentation and the potential solutions identified in this study.
authors.affiliation: Department of Behavioral Science and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
authors.forename: Ashli
authors.initials: A
authors.lastname: Owen-Smith
authors.forename: Jeanne
authors.initials: J
authors.lastname: Hathaway
authors.forename: Maria
authors.initials: M
authors.lastname: Roche
authors.forename: Marie Elena
authors.initials: ME
authors.lastname: Gioiella
authors.forename: Denise
authors.initials: D
authors.lastname: Whall-Strojwas
authors.forename: Jay
authors.initials: J
authors.lastname: Silverman
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D004282:Documentation; D005260:Female; D005833:Genital Neoplasms, Female / Q000150:complications / Q000451:nursing*; D006301:Health Services Needs and Demand; D006784:Hospitals, Teaching; D006801:Humans; D008403:Mass Screening / Q000451:nursing / Q000458:organization & administration*; D008404:Massachusetts / Q000453:epidemiology; D008875:Middle Aged; D009730:Nursing Assessment / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009737:Nursing Records; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology*; D009859:Oncology Nursing / Q000193:education / Q000458:organization & administration; D010044:Outpatient Clinics, Hospital; D015397:Program Evaluation; D036301:Qualitative Research; D012189:Retrospective Studies; D013179:Spouse Abuse / Q000175:diagnosis* / Q000517:prevention & control / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires