Longitudinal evaluation of a training program to promote routine antenatal enquiry for domestic violence by midwives.

Baird, K; Creedy, DK; Saito, AS; Eustace, J

Longitudinal evaluation of a training program to promote routine antenatal enquiry for domestic violence by midwives.

Baird, K

Creedy, DK Saito, AS Eustace, J

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Publisher:: ELSEVIER SCIENCE BV
Publication Type:: Journal Article
Citation:: Women Birth, 2018, 31, (5), pp. 398-406
Issue Date:: 2018-10

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Field	Value	Language
dc.contributor.author	Baird, K https://orcid.org/0000-0003-0142-6962
dc.contributor.author	Creedy, DK
dc.contributor.author	Saito, AS
dc.contributor.author	Eustace, J
dc.date.accessioned	2022-09-07T21:01:45Z
dc.date.available	2018-01-04
dc.date.available	2022-09-07T21:01:45Z
dc.date.issued	2018-10
dc.identifier.citation	Women Birth, 2018, 31, (5), pp. 398-406
dc.identifier.issn	1871-5192
dc.identifier.issn	1878-1799
dc.identifier.uri	http://hdl.handle.net/10453/161473
dc.description.abstract	BACKGROUND: Routine enquiry about domestic violence during pregnancy is accepted best practice. Training is essential to improve knowledge and practice. Few studies have undertaken a comprehensive evaluation of training impact over time. AIM: To evaluate the longitudinal impact of a domestic violence training and support program to promote midwives' routine antenatal enquiry for domestic violence using a mixed methods design. METHOD: Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives' knowledge, preparation for routine enquiry, knowledge of domestic violence and perceptions of impact of the training and support for practice change. FINDINGS: Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z=4.88, p<.001); and knowledge scores increased from a mean of 21.15 to 24.65 (Z=4.9, p<.001). Most participants (>90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates revealed that of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral. CONCLUSIONS: Training, support processes, and referral pathways, contributed to midwives' sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	ELSEVIER SCIENCE BV
dc.relation.ispartof	Women Birth
dc.relation.isbasedon	10.1016/j.wombi.2018.01.004
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Adult
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Domestic Violence
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Midwifery
dc.subject.mesh	Nurse-Patient Relations
dc.subject.mesh	Perception
dc.subject.mesh	Pregnancy
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Nurse-Patient Relations
dc.subject.mesh	Perception
dc.subject.mesh	Midwifery
dc.subject.mesh	Pregnancy
dc.subject.mesh	Domestic Violence
dc.subject.mesh	Adult
dc.subject.mesh	Female
dc.subject.mesh	Surveys and Questionnaires
dc.title	Longitudinal evaluation of a training program to promote routine antenatal enquiry for domestic violence by midwives.
dc.type	Journal Article
utslib.citation.volume	31
utslib.location.activity	Netherlands
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2022-09-07T21:01:43Z
pubs.issue	5
pubs.publication-status	Published
pubs.volume	31
utslib.citation.issue	5

Abstract:

BACKGROUND: Routine enquiry about domestic violence during pregnancy is accepted best practice. Training is essential to improve knowledge and practice. Few studies have undertaken a comprehensive evaluation of training impact over time. AIM: To evaluate the longitudinal impact of a domestic violence training and support program to promote midwives' routine antenatal enquiry for domestic violence using a mixed methods design. METHOD: Data sources included (1) surveys of midwives at 6 months post-training, (2) interviews with key stakeholders at 12 months, (3) chart audit data of screening, risk, and disclosure rates (for 16 months). Measures included midwives' knowledge, preparation for routine enquiry, knowledge of domestic violence and perceptions of impact of the training and support for practice change. FINDINGS: Forty (out of 83) participant surveys could be matched and responses compared to baseline and post-training scores. Wilcoxon signed-rank test identified that all 6-month follow-up scores were significantly higher than those at baseline. Level of preparedness increased from 42.3 to 51.05 (Z=4.88, p<.001); and knowledge scores increased from a mean of 21.15 to 24.65 (Z=4.9, p<.001). Most participants (>90%) reported improved confidence to undertake routine inquiry. A chart audit of screening rates revealed that of the 6671 women presenting for antenatal care, nearly 90% were screened. Disclosure of domestic violence was low (<2%) with most women at risk or experiencing violence declining referral. CONCLUSIONS: Training, support processes, and referral pathways, contributed to midwives' sustained preparedness and knowledge to conduct routine enquiry and support women disclosing domestic violence.

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http://hdl.handle.net/10453/161473