- Title
- Knowledge and practices of primary health care professional nurses: screening and identification of intimate partner violence
- Creator
- Felix, Rehanna Theresa
- Subject
- Marital violence -- South Africa -- Psychological aspects
- Subject
- Nursing -- Social aspects Primary health care -- Research -- South Africa
- Date Issued
- 2018
- Date
- 2018
- Type
- Thesis
- Type
- Masters
- Type
- MCur
- Identifier
- http://hdl.handle.net/10948/29816
- Identifier
- vital:30781
- Description
- Intimate partner violence is a global concern that affects most countries. In South Africa women are mostly affected by intimate partner violence, which often results in physical injuries or mental disorders. The World Health Organization compiled guidelines to combat the problem of intimate partner violence against women with emphasis on screening for intimate partner violence. However, a screening tool to identify intimate partner violence in female patients was absent in the Nelson Mandela Bay Health District, resulting in cases of intimate partner violence being unidentified. The aim of the research study is to determine the knowledge and practices of professional nurses regarding intimate partner violence and to introduce the use of an intimate partner violence screening tool in primary healthcare facilities to assist professional nurses to identify intimate partner violence. The objectives were firstly, to determine the current knowledge and practices utilized by professional nurses to identify intimate partner violence; secondly, to introduce an intimate partner violence screening tool to identify intimate partner violence; thirdly, to evaluate the knowledge of the professional nurses obtained in the educational session and practices post-implementation of the intimate partner violence screening tool. The researcher conducted a small intervention research study using quantitative, quasi-experimental one group pre-and post-test design. An all-inclusive sample consisting of professional nurses working in primary healthcare facilities in Nelson Mandela Bay Health District was included in the study. The research study was conducted in three phases: Phase one, the pre-test determined the current knowledge and practices of the professional nurses to identify intimate partner violence. Phase two, entailed educational sessions to educate professional nurses that participated in Phase one regarding intimate partner violence and the intimate partner violence screening tool. Phase three, focused on the post-test to evaluate the knowledge of the professional nurses obtained in the educational session and practices post-implementation of the intimate partner violence screening tool. The data was analysed through descriptive and inferential statistics with assistance of the statistician using frequency distribution, central tendency, Chi-square, t-test, Cohens’d and Cramér’s V and Cronbach’s alpha. The researchers ensured reliability and validity throughout the study. The researcher applied the ethical principles of beneficence, non-maleficence iii and autonomy, as well as privacy and confidentiality. Ethical permission was obtained for the study. The response in the pre-test was (n1=128) and the post-test (n2=63). Most participants were between the ages of 41-50 years in both the pre-test (n1=40, 31%) and the post-test (n2=63, 33%). The majority of the participants worked more than 15 years as professional nurses (n1=47, 37%) in the pre-test findings and 11-15 years (n2=19, 30%) in the post-test findings. All the participants were trained in general nursing science in the pre-test (n1=128, 100%), as well as post-test (n2=63, 100%) and the majority of participants were trained in community nursing science in the pre-test (n1=106, 83%) and post-test (n2=58, 92%). However, the majority of participants have indicated to receive no informal intimate partner violence training in the pre-test test (n1=11, 9%) versus the informal training that most participants received in the post-test (n2=50, 79%). Tests scores for knowledge ranged between 29% (n1=37) and 29% (n1=120) in the pre-test and 27% (n2=17) and 94% (n2=59) in the post-test. Test scores for practice ranged between 7% (n1=8) and 46% (n1=59) in the pre-test and 10% (n2=6) and 65% (n2=41) in the post-test. The mean score for knowledge in the pre-test (n1=8,17) and the post-test (n2=8,83) were better than the practice scores in both the pre-test (n1=2,44) and the post-test (n2=2,68). The 20-minutes’ educational session made a slight difference regarding the knowledge as statistically a significant difference was found regarding knowledge between the pre-test and post-test (d.f.=,204; Cohens’d 0.29). However, there is still a gap in knowledge among professional nurses regarding IPV in the Nelson Mandela Bay Health District. Further recommendations for practice, research and education were given.
- Format
- xii, 145 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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|---|---|---|---|---|---|---|---|
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