Bakgrund Många kvinnor världen över har någon gång utsatts för eller utsätts för våld av en manlig partner. Kvinnor i alla åldrar och samhällsklasser drabbas och utsätts för så väl fysiskt som psykiskt, socialt och ekonomiskt våld. Dessa kvinnor söker vård inom alla olika instanser inom sjukvården, och som sjuksköterska är det viktigt att kunna bemöta dessa kvinnor och ge dem den vård och hjälp som de behöver. Syfte Syftet med studien var att beskriva sjuksköterskors upplevelser och erfarenheter av att möta kvinnor i hälso- och sjukvården som utsatts för våld av en manlig partner. Metod Denna studie är en strukturerad litteraturöversikt med metodologiska inslag. Tolv artiklar av kvalitativ och kvantitativ sort från databaserna CINAHL och PubMed har valts ut och analyserats. Resultat Av resultatet identifierades två huvudkategorier; Hinder vid identifiering av våld och Faktorer som påverkar det professionella förhållningssättet. I huvudkategorin Hinder vid identifiering av våld identifierades tre underkategorier; Subtila tecken på våld, Bristande resurser och Screening. Andra huvudkategorin Faktorer som påverkar det professionella förhållningssättet innehöll tre underkategorier; Kunskap och erfarenhet, Utbildning ochInterprofessionell samverkan. Slutsats Resultatet visade att det finns ett stort behov hos sjuksköterskor att öka sin kompetens inom ämnet våld i nära relation hos kvinnor. Många sjuksköterskor saknade utbildning inom ämnet men många sjuksköterskor hade stor medvetenhet om att problemet existeraroch olika former av våld som kvinnor utsätts för. Ett närmare samarbete mellan olika yrkesgrupper och tydligare riktlinjer behövs för att hjälpa kvinnor som utsätts för våld i nära relation. Brist på tid hindrar även sjuksköterskor från att bygga tillitsfulla relationer och ge nödvändig hjälp och omvårdnad till kvinnorna. Sjuksköterskor behöver få rätt förutsättningar för att kunna hjälpa och stötta de kvinnor de möter som utsätts för våld i nära relation. / Background Many women around the world have at some point been subjected to or are being subjected to violence by a male partner. Women of all ages and social classes suffer and are exposed to both physical and psychological, social, and economic violence. These women seek care in all different instances within the healthcare system, and as a nurse itis important to be able to respond to these women and give them the care and help, they need. Aim The aim of this study was to describe nurses experiences in meeting women in healthcare who have been subjected to intimate partner violence by a male partner. Method This study is a structured literature review with methodological elements. 12 qualitative and quantitative articles from the databases CINAHL and PubMed have been selected and analyzed. Results From the results, two main categories were identified: Barriers to the identification of violence and Factors affecting the professional approach. Of the main categories, six subcategories were identified; Subtle signs of violence, Lack of resources, Screening, Knowledge and experience, Training, and Interprofessional collaboration. Conclusions The results showed that there is a great need for nurses to increase their competence in the subject of violence in intimate relationships among women. Many nurses lacked training in the subject, but many nurses were aware that the problem exists and the various forms of violence that women are exposed to. Closer cooperation between different professional groups and clearer guidelines are needed to help women who are exposed to intimate partner violence. Lack of time also prevents nurses from building trusting relationships and providing the necessary help and care to women. Nurses need to be given the right conditions to be able to help and support those who are exposed to intimate partner violence.

Intimate partner violence (IPV) is estimated to impact about one in four U.S. women in their lifetime and represents 15% of all violent crime. Total violent crime rates have steadily declined across the country, but rates of IPV victimization have fallen at far slower rates and the incidence of intimate partner homicide has been increasing in recent years. These alarming trends suggest that current strategies for IPV prevention are insufficient and may even be counterproductive. Since the 1970s, the U.S. has developed and maintained a police-centric response to IPV—a response that relies on arrest as its primary tool through practices and policies including mandatory arrest laws and other pro-arrest policing practices. This police-centric response to IPV persists despite increased recognition of the harms of mass criminalization and incarceration and growing calls for criminal legal reform, and despite a lack of empirical evidence that policing and arrest in fact prevent or reduce IPV.In addition, there are strong theoretical reasons to believe, and emerging empirical evidence to suggest, that there are negative consequences of the police-centric response to IPV that extend beyond subsequent IPV victimization, including the increased risk of all-cause mortality among survivors of IPV and the increased risk of child protective services involvement for families. However, there is very limited quantitative research estimating these negative consequences of IPV policing. There are also likely profound racialized disparities in the consequences of IPV policing because of the ways in which policing, and the criminal legal system more broadly, disproportionately harms Black communities and other communities of color. In this dissertation, I assessed the state- and county-level consequences of the police-centric response to IPV for the health and safety of IPV survivors and estimated the extent to which those consequences have differential impacts across racialized groups. The first chapter presents a systematic scoping review synthesizing the existing evidence concerning the negative and racialized consequences of the police-centric response to IPV. The review included all empirical studies (quantitative and qualitative) focused on a U.S. population that assessed consequences of IPV policing. A total of 34 articles were included in the review. I found that survivor criminalization was the most studied negative consequence of IPV policing and the existing evidence suggests that IPV policing has increased the risk of survivor arrest. I also found that there have been numerous rigorous studies on the effects of mandatory arrest laws on population-level measures of IPV victimization, including IPV homicide rates. The evidence to date generally suggests there is no association between mandatory arrest rates and population-level IPV victimization rates. The review also identified gaps in the evidence base: specifically, there is a need for research on additional potential consequences of IPV policing such as police violence against survivors, child protective services involvement, and measures of the psychosocial and physical health of survivors. The second chapter presents a difference-in-differences analysis estimating the effect of state-level changes in warrantless arrest legislation for IPV on the all-cause mortality of IPV survivors from 1980-2019 in the U.S. I analyzed panel data measured at the state-year level and included data for all U.S. states and the District of Columbia. I used women’s all-cause mortality age 20-54 as a proxy for all-cause mortality among IPV survivors. I used quasi-Poisson regression models with a population offset term with robust standard errors to model the association between state-year changes in warrantless arrest legislation and all-cause mortality. I also fit two models with race-specific rates of women’s all-cause mortality (20-54 years) to assess if there are differences by racialized group. Overall, the findings suggested that there is no detectable effect of mandatory arrest laws on women’s mortality (20-54 years) at the population level, however, there appears to be a harmful effect of preferred arrest laws. Despite no documentation of a harmful effect of mandatory arrest laws on women’s mortality (20-54 years), this null effect should be weighed against known, documented harmful effects of mandatory arrest such as its role as a driver of female arrests and arrests of IPV survivors. The third chapter presents a county-level analysis of the intersection between IPV arrest practice and family surveillance from 2000-2019 in large U.S. counties. I hypothesized that family surveillance and subsequent intervention by child protective services agencies would be a negative consequence of the police-centric response to IPV because of direct coordination between police and child welfare systems and the subsequent increased risk of child protective services involvement that may follow from the arrest of a parent. I evaluated family surveillance and child protective services involvement as a negative consequence because of the harmful and racialized ways in which the U.S. child welfare apparatus targets, punishes, and breaks apart Black families. The criminal legal system and child welfare system are both rooted in structural racism and, thus, their coordination is expected to cause generational harm for Black families. The outcome of interest was the rate of child maltreatment reports that received a response from child welfare agencies and the exposure of interest was the percentage of IPV incidents that were reported to police and resulted in arrest, measured at the county-year level. I used Poisson regression and modeled between- and within-county effects using three types of models: 1) a multilevel county random intercept model, 2) a multilevel county random intercept model with state fixed effects, and 3) a county fixed effects model. I also fit two additional models with race-specific outcome data and conducted an interaction analysis by the percentage of Black residents in the county to assess if there were differences by racialized groups and within different racialized contexts. The findings presented in the third chapter demonstrated no overall association between the percentage of police-reported IPV incidents that resulted in arrest and child maltreatment report rate at the county level. In addition, there was no county-level evidence to suggest that the association differed for the Black vs. non-Hispanic white child maltreatment report rates. These county-level findings are inconsistent with existing individual-level survey research and qualitative research that provide evidence that IPV policing is associated with child protective services involvement through direct coordination between police and the child welfare system. However, the interaction analysis demonstrated that the percentage of police-reported IPV incidents that resulted in arrest was positively associated with the Black child maltreatment report rate within counties with a low percentage of Black residents. Therefore, the association between IPV policing and family surveillance may vary by individual and contextual factors. This was the first study to examine the intersection between IPV policing and family surveillance at the county level, so additional research is warranted to assess whether the findings can be replicated. Individual family-level data would be useful to further interrogate the relationship between IPV policing and family surveillance.

Thesis (DPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2009. / ENGLISH ABSTRACT: The World Health Organisation recognises intimate partner violence (IPV) to be of major consequence to women’s mental and physical health, yet in South Africa it remains a neglected area of care. Within a professional action research framework, this study implemented a previously recommended South African protocol for the screening and holistic management of IPV in women in order to test its feasibility and to adapt it for use in the primary health care (PHC) sector of the Western Cape. It also aimed to identify the current nature of care offered to female survivors of IPV. Thirdly, it aimed to learn from the process of training and supporting (nurse) researchers who were new to the action research paradigm and methodology. Successfully implementing and evaluating a complex health intervention in the current PHC scenario required a flexible methodology which could enable real engagement with, and a creative response to, the issues as they emerged. Guided by the British Medical Research Council’s framework for development and evaluation of randomised controlled trials for complex health interventions (Medical Research Council, 2000, p.3), this study was positioned within the modelling phase. Professional action research used a co-operative inquiry group process as the overarching method with the usual cycles of action, observation, reflection and planning. Altogether five co-researchers were involved in implementing the protocol and were members of the inquiry group. A number of techniques were used to observe and reflect on experience, including participant interviews, key informant interviews, focus groups with health care providers at each site, quantitative data from the medical records and protocol, field notes and academic literature. / AFRIKAANSE OPSOMMING: Die Wêreld Gesondheidsorganisasie erken dat geweldpleging in intieme verhoudings (“intimate partner violence”, of IPV) ‘n groot impak het op vroue se geestes- en fisiese gesondheid, terwyl dit ʼn verwaarloosde area van sorg in Suid-Afrika is. Binne ‘n professionele aksie-navorsingsraamwerk, implementeer hierdie studie ‘n voorheen aanbevole Suid-Afrikaanse protokol vir die sifting en holistiese hantering van IPV by vroue om die uitvoerbaarheid daarvan te toets en om dit aan te pas vir gebruik in die primêre gesondheidsorgsektor (PGS) van die Wes-Kaap. Die projek poog ook om die huidige aard van sorg wat aan vroulike oorlewendes van IPV beskikbaar is, te identifiseer. Derdens het dit ook ten doel om te leer van die proses van opleiding en ondersteuning van (verpleeg-) navorsers vir wie die aksie-navorsingsparadigma en methodologie nuut was. Suksesvolle implementering en evaluering van ‘n komplekse gesondheidsintervensie in die huidige PGS scenario vereis ‘n buigsame methodologie wat betrokkenheid met, en ‘n kreatiewe respons tot, kwessies soos wat dit ontwikkel, moontlik maak. Gelei deur die Britse Mediese Navorsingsraad se raamwerk vir die ontwikkeling en evaluering van ewekansige gekontroleerde proewe vir komplekse gesondheidsintervensies (Mediese Navorsingsraad, 2000, bl.3), was hierdie studie binne die modelleringsfase geposisioneer. Professionele aksienavorsing het ‘n gekoördineerde ondersoekgroep as die oorkoepelende metode - met die normale siklusse van aksie, waarneming, reflektering en beplanning - gebruik. Altesaam vyf mede-navorsers wat lede van die ondersoekgroep was, was betrokke in die implementering van die protokol. ‘n Aantal tegnieke is gebruik om waar te neem en te reflekteer op ervarings, insluitend deelnemersonderhoude, sleutel-informant onderhoude, fokusgroepe met gesondheidsorgverskaffers by elke fasiliteit, kwantitatiewe data van die mediese verslae en protokol, veldnotas en akademiese literatuur.

The purpose of this study was to examine the effects of multiple forms of abuse (physical, psychological, and sexual) on later psychopathology (depression, anxiety, and somatic complaints as assessed by the Hopkins Symptoms Checklist -HSCL) among two ethnic groups (non-Hispanic Caucasian and Hispanic).

The purpose of this study was to develop a deeper understanding of the experiences of Latina women in Intimate Partner Violence (IPV) relationships. Young Women's Christian Association-Women In Need Growing Stronger (YWCA-WINGS) is a program in Los Angeles County that works with victims and survivors of IPV.

Researchers have provided evidence that living in intimate partner violence while pregnant negatively impacts the health of both the women and their unborn children. The purpose of this narrative study was twofold, first to gain understanding of the meaning of health as described by pregnant women who lived in intimate partner violence, and second to gain strategies for health care professionals. Six purposefully selected women participated in two interviews. The data were arranged under five themes: loss of body health, loss of mind health, loss of spirit health, coping with loss of body, mind and spirit health, and advice for health care professionals. The results revealed that these women’s health was negatively affected by living in intimate partner violence while pregnant. Universal screening, coalition building, further research, changes in health care policies, and changes in nursing education and practice are needed to properly address this serious health issue. / xi, 153 leaves ; 29 cm

M.Tech. (Architecture) / Please refer to full text to view abstract

Explores why revictimization occurs in women who were sexually abused as children. Examines variables such as nature and severity of childhood abuse, attachment, and self-esteem to identify predictors of repeated abuse. A correlational-regression approach was used to test the hypothesis that lower positive attachment to parental figures, mediated by low self-esteem, will be associated with revictimization in adulthood. Approximately 150 women (Age = 18 to 54; M = 27) from various communities across Southern California participated in the study. Results did not support the hypothesis. Though self-esteem was correlated with both attachment and revictimization individually, there was no mediational effect of self-esteem between parental attachment and revictimization.

PhD (Sociology) / Department of Sociology / The purpose of the study was to explore and understand the circumstances, which influence abused female breadwinners to stay in nuptial contracts and to model coping strategies for their plight. The study was qualitative in nature and an explorative case study design of abused married female breadwinners who had reported cases at Thohoyandou Victim Empowerment Programme (TVEP) trauma centers in the Vhembe District of Limpopo Province, South Africa was used. A critical case purposive sample was used to draw a cross-sectional sample of 12 participants from a total population of 1800 female breadwinners who reported cases between 2010 and 2015. The data collection methods were; in-depth interviews, focus group discussions from the same participants and key informants‟ interviews from three TVEP female managers. The three data collection techniques ensured triangulation for more complete and well-validated outcomes of the study. The data analysis method was the Van Mann. The study found out that a plethora of circumstances that involves the following; culture, the desire to take care of children, culture, religion, social needs, social status and entrapment influences abused married female breadwinners to stay in abusive marriages. As a result, they are forced to devise some coping strategies that include; problem solving strategies, reporting to the police, protection orders, seeking refuge, alcohol abuse and dependence, counselling, religious intervention, social support to cope with their plight. Establishing the reasons was critical in coming up with intervention methods that may help to curb abuse and coping strategies that may assist them in their plight. / NRF

The purpose of this study is to encourage further study and attention to girls that are at high risk of becoming members of a gang. The more that can be learned about this group the more can be done to implement appropriate policies and programs to effectively target and assist this population. This study is based on an existing data set that profiled the needs and characteristics of girls that were incarcerated May 1996 at a California Youth Authority facility in Ventura, now called The Division of Juvenile Justice.