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A qualitative exploration of ‘thrivership’ among women who have experienced domestic violence and abuse: Development of a new model
BMC Women's Health ( IF 2.742 ) Pub Date : 2019-08-06 , DOI: 10.1186/s12905-019-0789-z
Isobel Heywood , Dana Sammut , Caroline Bradbury-Jones

Domestic violence and abuse (DVA) is a serious public health issue, threatening the health of individuals the world over. Whilst DVA can be experienced by both men and women, the majority is still experienced by women; around 30% of women worldwide who have been in a relationship report that they have experienced violence at the hands of their partner, and every week in England and Wales two women are killed by their current or ex-partner. The purpose of this study was to explore the concept of thrivership with women who have experienced DVA, to contribute to our understandings of what constitutes ‘thriving’ post-abuse, and how women affected can move from surviving to thriving. Thirty-seven women took part in this qualitative study which consisted of six focus groups and four in-depth interviews undertaken in one region of the UK in 2018. Data were analysed using a thematic analysis approach. Initial findings were reported back to a group of participants to invite respondent validation and ensure co-production of data. The process of ‘thrivership’ – moving from surviving to thriving after DVA - is a fluid, non-linear journey of self-discovery featuring three ‘stages’ of victim, survivor, and thriver. Thriving after DVA is characterised by a positive outlook and looking to the future, improved health and well-being, a reclamation of the self, and a new social network. Crucial to ensuring ‘thrivership’ are three key components that we propose as the ‘Thrivership Model’, all of which are underpinned by education and awareness building at different levels: (1) Provision of Safety, (2) Sharing the Story, (3) Social Response. The study findings provide a new view of thriving post-abuse by women who have lived through it. The proposed Thrivership Model has been developed to illustrate what is required from DVA-services and public health practitioners for the thrivership process to take place, so that more women may be supported towards ‘thriving’ after abuse.

中文翻译:

对经历过家庭暴力和虐待的妇女进行“繁荣”的定性探索:建立新的模式

家庭暴力和虐待(DVA)是一个严重的公共卫生问题,威胁着世界各地个人的健康。男性和女性均可体验DVA,但大多数女性仍可体验。在全球范围内,有30%的女性在伴侣关系中报告说,她们在伴侣的手中遭受了暴力侵害。在英格兰和威尔士,每周有两名女性被其现有或前伴侣杀死。这项研究的目的是探索与经历过DVA的女性一起获得繁荣的概念,以帮助我们了解滥用后的“繁荣”构成,以及受影响的妇女如何从生存中走向繁荣。2018年,有37名妇女参加了这项定性研究,该研究包括六个焦点小组和四个深度访谈,在英国的一个地区进行。使用主题分析方法分析数据。最初的调查结果被报告给一组参与者,以邀请受访者进行验证并确保数据的共同产生。“生存”的过程-从幸存者发展到DVA之后的繁荣-是一种流动的,非线性的自我发现旅程,具有受害者,幸存者和繁荣者的三个“阶段”。DVA的蓬勃发展的特点是乐观的前景和对未来的展望,健康和福祉的改善,自我的开垦以及新的社交网络。确保“繁荣”至关重要的是我们提出的“繁荣模式”的三个关键要素,所有这些要素都得到了不同层次的教育和意识建设的支持:(1)提供安全;(2)分享故事;(3) )社会反应。该研究结果为经历过虐待的妇女提供了繁荣的虐待后的新观点。拟议的“激励机制”模型已经开发出来,用于说明DVA服务和公共卫生从业人员进行激励机制所需要的条件,以便可以为更多的妇女提供支持,使其在遭受虐待后“蓬勃发展”。
更新日期:2019-08-06
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