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.
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a
Oklahoma Baptist University, Shawnee, OK, United States
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b
East Carolina University, Greenville, NC, United States
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c
East Carolina University, Greenville, NC, United States
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d
East Carolina University, Greenville, NC, United States
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e
East Carolina University, Greenville, NC, United States
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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.
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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