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A Systematic Review of Culturally Competent Family Violence Responses to Women in Primary Care
Trauma, Violence, & Abuse ( IF 5.4 ) Pub Date : 2021-10-10 , DOI: 10.1177/15248380211046968
Bijaya Pokharel 1 , Jane Yelland 2 , Leesa Hooker 1 , Angela Taft 1
Affiliation  

Existing culturally competent models of care and guidelines are directing the responses of healthcare providers to culturally diverse populations. However, there is a lack of research into how or if these models and guidelines can be translated into the primary care context of family violence. This systematic review aimed to synthesise published evidence to explore the components of culturally competent primary care response for women experiencing family violence. We define family violence as any form of abuse perpetrated against a woman either by her intimate partner or the partner’s family member. We included English language peer-reviewed articles and grey literature items that explored interactions between culturally diverse women experiencing family violence and their primary care clinicians. We refer women of migrant and refugee backgrounds, Indigenous women and women of ethnic minorities collectively as culturally diverse women. We searched eight electronic databases and websites of Australia-based relevant organisations. Following a critical interpretive synthesis of 28 eligible peer-reviewed articles and 16 grey literature items, we generated 11 components of culturally competent family violence related primary care. In the discussion section, we interpreted our findings using an ecological framework to develop a model of care that provides insights into how components at the primary care practice level should coordinate with components at the primary care provider level to enable efficient support to these women experiencing family violence. The review findings are applicable beyond the family violence primary care context.



中文翻译:

对初级保健中妇女的具有文化能力的家庭暴力反应的系统评价

现有的具有文化竞争力的护理模式和指南正在指导医疗保健提供者对文化多样化的人群做出反应。然而,缺乏关于如何或是否可以将这些模型和指南转化为家庭暴力初级保健背景的研究。该系统评价旨在综合已发表的证据,以探索针对遭受家庭暴力的妇女的具有文化能力的初级保健应对措施的组成部分。我们将家庭暴力定义为亲密伴侣或伴侣的家庭成员对女性实施的任何形式的虐待。我们收录了英文同行评议文章和灰色文献项目,探讨了经历家庭暴力的多元文化女性与其初级保健临床医生之间的互动。我们推荐有移民和难民背景的妇女,土著妇女和少数民族妇女统称为多元文化妇女。我们搜索了澳大利亚相关组织的八个电子数据库和网站。在对 28 篇符合条件的同行评审文章和 16 篇灰色文献进行批判性解释综合后,我们生成了 11 个与文化相关的家庭暴力相关初级保健的组成部分。在讨论部分,我们使用生态框架解释了我们的发现,以开发一种护理模型,该模型提供了关于初级保健实践层面的组成部分应如何与初级保健提供者层面的组成部分协调的见解,以便为这些经历家庭的妇女提供有效支持暴力。审查结果适用于家庭暴力初级保健范围之外的情况。

更新日期:2021-10-11
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