Health Expectations
Volume 19, Issue 6, 2016, Pages 1277-1289

Healthcare providers' experiences screening for intimate partner violence among migrant and seasonal farmworking women: A phenomenological study (Article) (Open Access)

Wilson J.B.* , Rappleyea D.L. , Hodgson J.L. , Brimhall A.S. , Hall T.L. , Thompson A.P.
  • a Oklahoma Baptist University, Shawnee, OK, United States
  • b East Carolina University, Greenville, NC, United States
  • c East Carolina University, Greenville, NC, United States
  • d East Carolina University, Greenville, NC, United States
  • e East Carolina University, Greenville, NC, United States
  • f University of Oklahoma, Norman, OK, United States

Abstract

Background: Migrant and seasonal farmworking (MSFW) women patients experience substantially more intimate partner violence (IPV) than the general population, but few health-care providers screen patients for IPV. While researchers have examined screening practices in health-care settings, none have exclusively focused on MSFW women. Objective: The aim of this phenomenological study was to explore the experiences of health-care providers who have screened for and/or addressed IPV with MSFW women patients. Design: Researchers utilized descriptive phenomenology to capture the lived experiences of these health-care providers. Data were analysed using Colaizzi's seven-stage framework. Setting and participants: Interviews were conducted with nine female participants – all of whom: (i) were clinically active health-care providers within the MSFW community, (ii) were bilingual in English and Spanish or had access to a translator, (iii) had treated MSFW patients who had experienced IPV and (iv) were at least 18 years of age. Results: Participants' experiences were reflected in four emergent themes: (i) provider-centered factors, (ii) patient-centered factors, (iii) clinic-centered factors and (iv) community-centered factors. Participants described barriers to establish routine IPV assessment, decrease patient ambivalence and increase on-site support and community resources. Discussion and conclusions: This study aimed to generate a greater understanding of the experiences of health-care providers with screening for and addressing IPV with MSFW patients. Implications and recommendations for research, clinical practice and policy are provided. © 2015 The Authors. Health Expectations Published by John Wiley & Sons Ltd.

Author Keywords

Screening Migrant farmworker health care Seasonal farmworker Intimate partner violence

Index Keywords

Health Personnel health care personnel agricultural worker human statistics and numerical data Farmers interview Surveys and Questionnaires Humans psychology Interviews as Topic female risk factor Risk Factors questionnaire Intimate Partner Violence adult partner violence migration Transients and Migrants

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84965152445&doi=10.1111%2fhex.12421&partnerID=40&md5=b68eb20ae216bdfcc3d833cb4a119688

DOI: 10.1111/hex.12421
ISSN: 13696513
Original Language: English