#WeNurses - Thursday 12th December 2019 8pm (GMT Standard Time) Domestic Violence & Abuse: Do we have a preventative role?

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This chat is guest hosted by @parveenazamali @DrJulieMcGarry

Domestic Violence and Abuse (DVA): Do Nurses and Midwives have a preventive role?

Domestic violence and abuse (DVA) is a serious public health health concern. It happens every year in the world and intersects geographic, cultural and regional, racial and ethnic boundaries. We don’t know the exact prevalence of DVA, however, estimates suggest that globally one in three women experience some form of DVA. According to the Crime Survey for England and Wales (2018), an estimated 2.0 million adults aged 16 to 59 years experienced DVA in the year ending March 2018, equating to a prevalence rate of approximately 6%. Women were around twice as likely to have experienced DVA than men (7.9% compared with 4.2%). This equates to an estimated 1.3 million female victims and 695,000 male victims (UK Office for National Statistics, 2018).  DVA has economic consequences as the the estimated cost of providing health services to victims and the loss of economic output, in the UK, is around £66 billion every year(Oliver et al., 2019). There are many physical and mental health impacts of DVA and these include, though not limited to, poor mental health, chronic health disorders, physical injury, depression, diminished physical functioning, PTSD, substance misuse, suicide attempts, anxiety.

Health care professionals and especially nurses, midwives can play a very important role in identification, management and prevention of DVA.  Nurses and midwives, working in any setting may come across DVA and therefore, it is important for them to recognise the manifestations of DVA. They should not only be able identify victims of DVA but should be able to provide appropriate, person centred, culturally sensitive and empathetic care. While we know that a large majority of DVA victims attend health care settings, only a small proportion of them are often asked about their DVA experiences. Available evidence involving victims of DVA suggest a negative experience of the victims when encountered by health care professionals. Victims felt that healthcare professionals often blamed them for abuse, did not show a concern, and did not address the abuse even when DVA was obvious. We also know that nurses, midwives and other HCPs are often unprepared to deal with DVA victims.

To be able to effectively identify and respond to DVA victims, nurses, midwives, pre-registration nursing and midwifery students and other healthcare professionals need to understand DVA and associated complexities. However, not much emphasis is placed on preparing nursing and midwifery students and registered nurses and midwives to deal with DVA issues in clinical practice. The aim of this chat is to explore what nurses, midwives, pre-registration nursing and midwifery students and other healthcare professionals think about their role with regards to identification and management of DVA. The participants will also be encouraged to discuss training and preparation needs to prepare future workforce to effectively contribute to the DVA identification and management in various clinical settings.


Proposed Questions:

  1. What do you understand/know about DVA?
  2. Should nurses ask for DVA when assessing patients?
  3. Prompts: How confident do nurses feel to enquire about and safely manage a disclosure of DVA? Are you aware of existing services and referral pathways to domestic abuse provision? 
  4. Are nurses as well as pre-registration students appropriately prepared to deal with DVA?
  5. What role can nurses play in identification, management and prevention of DVA?
  6. What not to say when providing care to victims of DVA?
  7. Who can be victimised by DVA?

About our guest hosts:

Dr Parveen Ali SeniorLecturer, ProgrammeLead: MMedSci Advanced Nursing Studies AssociateEditor, Nursing Open Lead,Sheffield University Interpersonal Violence Research Group The Universityof Sheffield

Dr. Parveen Ali works as a Senior Lecturer at the University of Sheffield. She has been associated with the University of Sheffield for more than 10 years now.She is a Registered Nurse, Registered Midwife (Pakistan) Registered NurseTeacher, Senior Fellow of Higher Education Academy and a Fellow of RoyalSociety of Arts, Manufactures and Commerce. Dr Ali is an associate editor of Nursing Open (A Wiley Journal) and editorial board member of Journal of Advanced Nursing and Journal of Interpersonal Violence.

Dr Ali completed her PhD from University of Sheffield. She completed MScN and BScN from Aga Khan University, Karachi, Pakistan. Dr Ali’s research focuses on gender based violence, domestic abuse, inequalities in health related to gender and ethnicity, and health care professionals’ preparation.She is a mixed method researcher and has led and contributed to many different projects over the past decade.

She is a recipient of various awards including Mary Seacole leadership Award , Sigma’s Emerging Nurse ResearcherAward for Europe and Pakistani Diaspora Achievement Award. She also leads a health programme on a community radio station to raise awareness about different health issues. She also serves on various grant awarding bodies and research ethics committees in the UK and other countries.She also loves to contribute to the development of health care professionals nationally and internationally to ensure health care professionals are prepared to meet the needs of individuals, families, communities and health care systems in this changing world. 

Latest Book: Ali, P.,& McGarry, J. (Eds.). (2019). Domestic Violence in Health Contexts: A Guide for Healthcare Professions. Available at: https://www.springer.com/gp/book/9783030293604

Dr JulieMcGarry AssociateProfessor SafeguardingResearch Lead - Sexual Safety. Nottinghamshire Healthcare NHS Foundation Trust Chair of theDomestic Violence and Abuse Integrated Research Group, Institute of MentalHealth, Nottingham https://institutemh.org.uk/research/centre-for-social-futures/projects/349-research-area-domestic-violence-and-abuse School ofHealth Sciences The University of Nottingham

Julie McGarry DHSci (Nottingham),MMedSci (Nottingham), Post-Graduate Diploma (Medical Ethics), BA (Hon) (Law& Psychology), PGCHE, SFHEA. Registered nurse (RN) in adult and mental health fields of practice. Nursing and Midwifery Council (NMC) registered nurse teacher.

Julie is a nurse and Associate Professor in the School of Health Sciences with expertise and professional background in the field of adult and mental health nursing, safeguarding (adults and children), gender based violence and intimate partner violence / domestic violence and abuse with a focus towards survivors' experiences - the impact on health and wellbeing alongside the development of effective multi-agency (health/social care/criminal justice) responses. Julie has led on a number of externally funded research initiatives, working with international, national and local agencies in the UK in the development of safeguarding and domestic violence services for children and families and survivors of abuse. Julie also has a well-established background in participant led research exploring effective approaches to domestic violence identification and management through co-production of arts based narrative projects with survivors of female genital mutilation (FGM) and domestic violence and abuse (DVA). Current research includes healthcare responses to sexual violence in South Africa - funded through British Council Global Challenge Funds. Julie has initiated multi-agency collaborative scholarly partnerships on both international and national levels through leading the successful inception and as Chair of the Integrated Domestic Violence and Abuse Research Group within the Social Futures Centre of Excellence, Institute of Mental Health.

Latest Book: Ali, P.,& McGarry, J. (Eds.). (2019). Domestic Violence in Health Contexts: A Guide for Healthcare Professions. Available at: https://www.springer.com/gp/book/9783030293604

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