Improving Intimate Partner Violence Screening in the Emergency Department Setting
Repository Posting Date2015-04-29T17:37:08Z
Author(s)Karnitschnig, Laura M.
TypeDNP Capstone Project
Level of EvidenceCohort Study
Research ApproachMixed/Multi Method Research
Keywordsdomestic violence; intimate partner violence; screening; children; Domestic Violence; Intimate Partner Violence; Emergency Services, Hospital; Mass Screening
MeSH HeadingsDomestic Violence; Intimate Partner Violence; Emergency Services, Hospital; Mass Screening
Intimate partner violence (IPV) is a significant public health issue. Global rates of IPV
range between 15% and 71%. Approximately three million U.S. women are affected during their
lifetimes; and approximately 15.5 million children in the U.S. are exposed to violence in the
home annually. To provide resources and decrease health consequences of exposure to violence,
violence screening in healthcare settings has been recommended by both medical and nursing
organizations. The objectives of this study were to improve RNs’ ability to screen for IPV,
increase identification of individuals and families exposed to IPV and ensure provision of
appropriate resources, and advance knowledge of continued nursing barriers to screening in the
emergency department (ED) setting. This cohort study utilized an embedded research design.
IPV educational training was provided to the ED nurses. Study data included: IPV screening
rates, IPV positive screenings, and IPV referrals or resources provided. Additionally, a nine-item
survey to the ED nurses elicited barriers to routine IPV screening. The numbers of IPV positive
screening were significantly increased after the educational training. Also, resources provided to
patients doubled. Privacy was the primary reported barrier to routine screening in the ED setting.
Patients and families benefit from the delivery of IPV education to nurses through early
identification and provision of resources. IPV education to nurses has the ability to positively
impact the results of screenings. Privacy and time constraints need to be addressed to support
increasing rates of IPV screening in the ED setting.