Best Practice in APN Education for Domestic Violence Screen - PowerPoint Presentation

Slide1

Best Practice in APN Education for Domestic Violence Screening Expectations and Opportunity for Change

Beth Knox DNP APN AOCN

October 13, 2016Slide2

Current APN Practice of Screening for IPVSlide3

APN Practice by Specialty

n

=245

Primary Care 17.6% (43)

Internal Medicine 11.8% (29)

Family Practice 21.2% (52)

Other Specialties 49.3% (121)

Slide4

Evidence-Based Screening Guidelines for Domestic Violence

U.S. Preventive Services Task Force

(USPSTF, 2013)

Screen women of childbearing age ( 14-46)

Plan for support and safety

Screening tools

Patient Protection and Affordable Care Act

(USDHHS,2014)

Incorporates USPSTF Guidelines for Screening Women for IPV

New Jersey enrollment

Screening toolsSlide5

USPSTF Recommendations Screening Tools

HARK

HITS ( English & Spanish)

CTQ-SF

OVAT

STaT

WAST

USPSTF,

2013Slide6

HARK

Within the past year have you been:

H

umiliatedA

fraid

R

aped *

K

icked

Basile, Hertz, Back, 2007Slide7

HITSHow often does your partner ?

Physically hurt you

Insult or talk down to you

Threaten you with harmScream or curse at you

Sherin et al., 1998Slide8

Woman Abuse Screening Tool (WAST)

Questions focus on -

Description of patient-partner relationship

Patient – partner ability to work through arguments

Arguments with partner resulting in feelings of depression

Arguments that lead to hitting, kicking or pushing

Frightened by partners words or actions

Direct question about partner physical abuse

Direct question about partner causing emotional abuse

Direct question about sexual abuse by partner

Basile, Hertz, Back, 2007Slide9

Voices of Survivors“Let Me See Tomorrow”

Interviews with 11 survivors

Recommendations

Healthcare provider (HCP) training in domestic violenceAsk about domestic violence in a confidential manner

Ask in a private area away from the abuser

HCPs should display domestic violence information and educational materials in their offices. Slide10

Safety Plans

#1 goal : Offer a plan of safety and support

Call 911 if you are in immediate danger.

Prepare and emergency kit for a situation where you have to leave suddenly.Develop a plan of safety with your children. Include people they can call in an emergency, including 911.

Talk to your healthcare provider, who can provide you with a private phone call for help.

Futures Without Violence, 2014Slide11

New Jersey Resources for Domestic Violence

The New Jersey Coalition to End Domestic Violence is a statewide association that provides leadership, support and resources on the prevention of domestic violence in New Jersey through advocacy, training, public awareness and research.

http

://www.njcedv.org

/

http://www.nj.gov/dcf/women

/Slide12

http://www.nj.gov/dcf/women/

State of New Jersey Dept. of Children and Families

Brochures and Posters Slide13

New Jersey Resources for Domestic Violence

New Jersey Division on Women State of New Jersey Department of Community Affairs (2011). Slide14

National Resources

Futures Without Violence 2016; American College of Obstetrics and Gynecology, 2016Slide15

Futures Without ViolenceSlide16

Let’s Get Started!

Futures Without Violence, 2016 . Retrieved from https

://

www.youtube.com

/

results?search_query

=

Futures+without+violenceSlide17

Futures Without Violence Safety Card Montage YouTube Video

https://

www.youtube.com

/watch?v=usUlD8j2VXo&index=15&list=PLaS4Etq3IFrWgqgcKstcBwNiP_j8ZoBYKSlide18

Become the IPV Champion

Don’t Stop Asking!

Develop Trusting Relationships!

Keep the Door Open!

Practice promotes confidence !

S

end a Clear Message!

Always be prepared!

Celebrate Success!

Keep up with Resources!Slide19

References

American Congress of Obstetricians and Gynecologists( ACOG) ( 2012, February). Committee

Opinion

: Committee on health care for underserved women. (Issue Brief No 518). Retrieved from

http

://www.acog.org/Resources-And-Publications/Committee-

Opinions/Committee

-on

-Health-Care-for-Underserved-Women/Intimate-Partner-

Violence.

Basile KC, Hertz MF, Back SE. Intimate Partner Violence and Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings: Version 1. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control;

2007.

Nelson, H.D.,

Bougatsos

, C., &

Blazina

, I. (2012). Screening women for intimate partner

violence

: A systematic review to update the U.S. Preventive Services Task Force

recommendation

.

Annals of Internal Medicine, 156

(11), 796- w-282. Retrieved

from:

http

://

annals.org

New Jersey Department of Children and Families (2016). Finding safety & support.

Retrieved

from

http://

www.nj.gov

/

dcf

/news/publications/

domesticviolence.html

Slide20

New Jersey Division on Women State of New Jersey Department of Community Affairs (2011). New Jersey resource guide for women: Section VII domestic violence. Retrieved from

http

://

www.nj.gov/dcf/women/resources/pdfs/section_vii_domesticviolence2011.pdf

New Jersey Domestic Violence Fatality and Near Fatality Review Board (2010). “Let me see

tomorrow

” A report based on interviews with women who were nearly killed by their

intimate

partners. Retrieved from

http

://www.nj.gov/dcf/news/reportsnewsletters/taskforce/LetMeSeeTomorrowOct2010.

p

df

Patient Protection and Affordable Care Act (ACA) (2010). Retrieved

from

http

://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf

Sherin

, K. M.,

Sinacore

, J. M., Li, X. Q.,

Zitter

, R. E., &

Shakil

, A. (1998). HITS: a short domestic violence screening tool for use in a family practice setting. Family Medicine, 30(7), 508-512.

U.S. Preventative Services Task Force (USPSTF) (2013). Screening for intimate partner

violence and

abuse of elderly and vulnerable adults: U.S. Preventative services task force

recommendation

statement. Retrieved from :

http

://

www.uspreventiveservicestaskforce.org

/uspstf12/

ipvelder

/

ipvelderfinalrs.htm