Evaluation of an intimate partner violence curriculum in a pediatric hospital. Pediatrics 2009 Feb;123(2):562-8
Date
01/28/2009Pubmed ID
19171623DOI
10.1542/peds.2007-3121Scopus ID
2-s2.0-61549107577 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
OBJECTIVE: Intimate partner violence harms victims as well as families and communities. Many barriers account for limited intimate partner violence screening by nurses. The purpose of this study was to measure how participation in a curriculum about screening parents for intimate partner violence, at a pediatric hospital, affects a nurse's knowledge, attitudes, behaviors, and self-efficacy for intimate partner violence screening.
METHODS: In this interventional, longitudinal study, data were collected before participation in an intimate partner violence screening curriculum, after participation, and 3 months later. The measurement tool was adapted from Maiuro's (2000) Self-efficacy for Screening for Intimate Partner Violence Questionnaire.
RESULTS: Sixty-eight pediatric nurses completed all aspects of the study. At baseline, 18 (27%) nurses self-reported seeing a parent with an injury, and of those only 7 (39%) followed up with intimate partner violence screening. Factor analysis was performed on the baseline Self-efficacy for Screening for Intimate Partner Violence Questionnaire by using varimax rotation. Five factors were identified: conflict, fear of offending parent, self-confidence, appropriateness, and attitude. Only fear of offending parent was significantly different from times 1 to 3, indicating that nurses were less fearful after the training. Cronbach's alpha value for the total questionnaire at baseline was .85. Nurses reported significant improvement (baseline to 3-month follow-up) in several self-efficacy items.
CONCLUSIONS: Participation in a 30-minute curriculum on intimate partner violence screening was associated with improvements in self-efficacy and significantly lower fear of offending parents 3 months after training. Nurses also showed improvement in the perception of resources available for nurses to manage intimate partner violence. Thirty-minute hospital-based curriculums that include victim testimonial video and practice role-playing to simulate parent interactions are recommended.
Author List
Johnson NL, Klingbeil C, Melzer-Lange M, Humphreys C, Scanlon MC, Simpson PAuthors
Norah Johnson PhD Assistant Professor in the College ofnursing department at Marquette UniversityMarlene D. Melzer-Lange MD Adjunct Professor in the Pediatrics department at Medical College of Wisconsin
Matthew C. Scanlon MD Professor in the Pediatrics department at Medical College of Wisconsin
Pippa M. Simpson PhD Adjunct Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdolescentAdult
Curriculum
Domestic Violence
Education, Nursing
Female
Hospitals, Pediatric
Humans
Male
Middle Aged
Self Efficacy
Surveys and Questionnaires
Young Adult
