Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study
BACKGROUND: Some legacies of colonialism are that Indigenous women living in Canada experience higher rates of intimate partner violence (IPV) and that violence is often more severe relative to non-Indigenous women. This results in avoidable physical, psychological, emotional, financial, sexual and...
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ftpubmed:oai:pubmedcentral.nih.gov:7507614 2023-05-15T16:16:09+02:00 Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study Rizkalla, Kristin Maar, Marion Pilon, Roger McGregor, Lorrilee Reade, Maurianne 2020-09-21 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507614/ https://doi.org/10.1186/s12905-020-01053-y en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507614/ http://dx.doi.org/10.1186/s12905-020-01053-y © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. CC0 PDM CC-BY BMC Womens Health Research Article Text 2020 ftpubmed https://doi.org/10.1186/s12905-020-01053-y 2020-09-27T00:42:30Z BACKGROUND: Some legacies of colonialism are that Indigenous women living in Canada experience higher rates of intimate partner violence (IPV) and that violence is often more severe relative to non-Indigenous women. This results in avoidable physical, psychological, emotional, financial, sexual and spiritual harm in the lives of Indigenous women, families, and communities. Trusted primary care providers are well positioned to provide brief interventions and referrals to treatment and services, but little is known about the providers’ preparedness to support Indigenous women. Information on what enables or prevents providers to respond to Indigenous patients who experience IPV is needed in order to ensure this potential lifeline for support is realized. METHODS: The purpose of this community-based participatory study was to elucidate the barriers and facilitators to care for rural Indigenous women who experience IPV from the perspectives of primary care providers and to recommend strategies to improve their preparedness. Using a Grounded Theory approach, we conducted qualitative research with 31 providers to discuss their experiences with patients affected by IPV. RESULTS: The results showed providers often feel a degree of unpreparedness to deal with IPV in a clinical setting. Recognition of patients’ under disclosure of IPV due to stigma, shame and fear. Lack of formal provider training on appropriate approaches to IPV. Lack of referral network due to fragmented, scarce services for IPV. Lack of understanding of jurisdictional complexity of First Nations and non-First Nations specific services for IPV. Uncertainty how to negotiate cultural safety around IPV. Multiple-role relationship & confidentiality dilemmas characteristic of small communities. Risk of jeopardizing patient-provider relationship. CONCLUSIONS: Our recommendations to improve provider preparedness to address IPV include reducing the stigma of IPV; creating effective referral pathways; improving cultural safety within the referral network; ... Text First Nations PubMed Central (PMC) Canada BMC Women's Health 20 1 |
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Research Article Rizkalla, Kristin Maar, Marion Pilon, Roger McGregor, Lorrilee Reade, Maurianne Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study |
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Research Article |
description |
BACKGROUND: Some legacies of colonialism are that Indigenous women living in Canada experience higher rates of intimate partner violence (IPV) and that violence is often more severe relative to non-Indigenous women. This results in avoidable physical, psychological, emotional, financial, sexual and spiritual harm in the lives of Indigenous women, families, and communities. Trusted primary care providers are well positioned to provide brief interventions and referrals to treatment and services, but little is known about the providers’ preparedness to support Indigenous women. Information on what enables or prevents providers to respond to Indigenous patients who experience IPV is needed in order to ensure this potential lifeline for support is realized. METHODS: The purpose of this community-based participatory study was to elucidate the barriers and facilitators to care for rural Indigenous women who experience IPV from the perspectives of primary care providers and to recommend strategies to improve their preparedness. Using a Grounded Theory approach, we conducted qualitative research with 31 providers to discuss their experiences with patients affected by IPV. RESULTS: The results showed providers often feel a degree of unpreparedness to deal with IPV in a clinical setting. Recognition of patients’ under disclosure of IPV due to stigma, shame and fear. Lack of formal provider training on appropriate approaches to IPV. Lack of referral network due to fragmented, scarce services for IPV. Lack of understanding of jurisdictional complexity of First Nations and non-First Nations specific services for IPV. Uncertainty how to negotiate cultural safety around IPV. Multiple-role relationship & confidentiality dilemmas characteristic of small communities. Risk of jeopardizing patient-provider relationship. CONCLUSIONS: Our recommendations to improve provider preparedness to address IPV include reducing the stigma of IPV; creating effective referral pathways; improving cultural safety within the referral network; ... |
format |
Text |
author |
Rizkalla, Kristin Maar, Marion Pilon, Roger McGregor, Lorrilee Reade, Maurianne |
author_facet |
Rizkalla, Kristin Maar, Marion Pilon, Roger McGregor, Lorrilee Reade, Maurianne |
author_sort |
Rizkalla, Kristin |
title |
Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study |
title_short |
Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study |
title_full |
Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study |
title_fullStr |
Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study |
title_full_unstemmed |
Improving the response of primary care providers to rural First Nation women who experience intimate partner violence: a qualitative study |
title_sort |
improving the response of primary care providers to rural first nation women who experience intimate partner violence: a qualitative study |
publisher |
BioMed Central |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507614/ https://doi.org/10.1186/s12905-020-01053-y |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Womens Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507614/ http://dx.doi.org/10.1186/s12905-020-01053-y |
op_rights |
© The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
op_rightsnorm |
CC0 PDM CC-BY |
op_doi |
https://doi.org/10.1186/s12905-020-01053-y |
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BMC Women's Health |
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20 |
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1 |
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