Bakgrund: Våld mot kvinnor i nära relation är ett globalt hälsoproblem. Ett svenskt universi- tetssjukhus har tagit fram en handlingsplan för omhändertagande av våldsutsatta kvinnor och det finns evidens för att avdelningschefer spelar en stor roll för implementeringen av hand- lingsplaner. Syfte: Syftet med föreliggande studie är att undersöka avdelningschefers erfarenheter av att implementera en handlingsplan om våldsutsatthet; “Våldsutsatta kvinnor - en handlingsplan för omhändertagande”, samt att undersöka vilka hinder och underlättande faktorer som ligger bakom implementeringen. Metod: Studien genomfördes med en kvalitativ metod i form av semistrukturerade intervjuer. Sju avdelningschefer från sju olika avdelningar inom fem divisioner intervjuades vid ett svenskt universitetssjukhus som har en handlingsplan för omhändertagande av våldsutsatta kvinnor. Intervjuerna genomfördes med stöd av en intervjuguide, och resultatet analyserades med hjälp av en kvalitativ innehållsanalys. Huvudresultat: Majoriteten av informanterna hade inte implementerat handlingsplanen. För- sök till implementering hade genomförts dels genom att föra in frågan om våld i ett inskriv- ningsformulär eller genom att ta upp handlingsplanen på arbetsplatsträffar eller andra perso- nalmöten. De rapporterade hinder och underlättande faktorer som finns i samband med im- plementeringen av handlingsplanen för våldsutsatta kvinnor berodde på avdelningsschefen själv, verksamheten, dokumentationen och olika resurser. Slutsats: Idag går det inte att implementera handlingsplanen full ut. Informanterna upplevde detta som frustrerande och menar att en tydlig struktur av handlingsplanen från sjukhusled- ningen krävs för att kunna förankra handlingsplanen i verksamheten. Fler studier bör genom- föras på fler avdelningar då verksamhetens patientgrupp påverkade hur informanterna förhöll sig till handlingsplanen. / Background: Intimate partner violence against women is a global health problem. A Swedish university has developed a guideline for the care of abused women and there is evidence that nurse managers play a major role in the implementation of guidelines. Aim: The aim of the present study is to investigate the nurse managers' experiences of im- plementing a guideline on domestic violence; "Abused women - a guideline for disposal" and to explore the barriers and facilitating factors behind the implementation. Method: A qualitative study was conducted. Seven nurse managers from seven different wards within five divisions were interviewed at a Swedish university hospital that has a guideline for the care of abused women. Data were collected through semi-structured intervi- ews using an interview guide, and the results were analyzed using a qualitative content analy- sis. Main result: The majority of respondents had not implemented the guideline. Attemts to im- plement the guideline had been carried out, partly by bringing in the issue of violence in an enrollment form, or by taking up the guideline at workplace meetings and other staff mee- tings. The reported barriers and facilitating factors that are associated with the implementation of the guideline for abused women was due to the nurse manager, operations, documentation and various resources. Conclusion: Today it is not possible to implement the guideline completley. The informants experienced this as frustrating and believes that a clear structure of the guideline from the hospital management is required to anchor the guideline into the wards activity. More intervi- ews should be conducted in other wards as the group of patients, treated at the ward, affected how informants conducted the guideline.

Transition to parenthood can be a stressful time for a couple, especially for couples at risk for substance misuse and intimate partner violence. Relationship satisfaction tends to decline in the first year of parenthood as the partners are adjusting to the demands of their new roles as parents. History of trauma and current symptoms of Post-traumatic Stress (PTS) have been associated with decreased intimacy, communication, and relationship adjustment, yet there is a lack of research on how PTS symptoms and trauma history affect parents and families. The current study investigated how PTS symptoms and trauma history affect new parents’ relationship satisfaction in the presence of substance misuse and intimate partner violence. Ninety eight heterosexual couples filled out questionnaires one year after the birth of their first child. Hierarchical multiple regression results indicated that PTS symptoms predicted relationship satisfaction over and above IPV victimization and substance misuse for men. However, for women, psychological IPV victimization was the only significant multivariate predictor for women. Additionally, for men, PTS symptoms interacted with harmful drinking to predict relationship satisfaction. The results suggest that women’s relationship functioning is particularly affected by psychological aggression while men’s relationship functioning is particularly susceptible to effects of harmful drinking and their own PTS symptoms. Implications are discussed. / Graduate

Emerging adulthood, the period between 18 and 30 years of age, is particularly relevant for identity development. During this time, relational disconnections such as intimate partner violence (IPV) can inhibit the growth that occurs within interpersonal relationships. There has been little in-depth exploration of how emerging adult women describe the impacts of IPV on their sense of self. Using qualitative case study methodology, six young women shared their stories of IPV during open-ended narrative interviews and completed an exploration of their Possible Selves. Thematic analysis identified impacts of IPV relating to participants’ sense of self, future possible selves, and subsequent intimate relationships. The findings highlight participants’ self-descriptions of strength and resilience, as well as accounts of challenges and growth since the relationships ended. The findings have meaningful implications for theory and research on IPV for young women, and for counselling practice. / Graduate / kateborsato@gmail.com

Children exposed to intimate partner violence (IPV) and/or maltreatment have a higher risk for developing delinquent behavior. This study examines these problems using secondary data which consisted of 150 adolescents in ages 12-18. All participants received treatment for alcohol and/or drug use at clinic centre at the time. The result suggests that delinquent behaviors in adolescents with substance use are associated with witnessing injury and sexual coercion among parents above and beyond being a victim of maltreatment. Violence against others is associated with witnessing sexual coercion among parents but is not related with none of the adolescents victimization variables. Implications of the presents study's result are discussed. / Barn som exponeras för våld mellan föräldrarna och/eller misshandel har en högre risk för att utveckla kriminellt beteende. Den föreliggande studien undersöker detta problem med hjälp av sekundärdata bestående av 150 ungdomar i åldrarna 12-18 år. Alla deltagare i studien fick behandling mot alkohol och/eller drogproblem på en behandlingsklinik vid tillfället. Studiens resultat föreslår att kriminalitet hos ungdomar med alkohol och/eller drogproblem är associerat med att bevittna föräldrars skador och sexuella tvång utöver att vara offer för misshandel. Våldsamt beteende mot andra är associerat med att bevittna föräldrars sexuella tvång men inte relaterad med någon av de olika variablerna för misshandel. Implikationer från den föreliggande studiens resultat diskuteras.

Bakgrund: Omvårdnad är sjuksköterskans ansvarsområde och ges till individer under hela livet. Det omvårdnadsbehov som en individ har ska tillgodoses oavsett om de är av fysisk, psykisk, social, kulturell eller andlig karaktär. Våld i nära relationer drabbar en tredjedel av världens kvinnor och sjuksköterskan har en betydande roll i deras omhändertagande. Syfte: Att belysa resurser och utmaningar inom omvårdnad av kvinnor utsatta för våld i en nära relation. Metod: Litteraturstudie med tio vetenskapliga artiklar inkluderade. Dataanalysen utfördes genom att identifiera likheter och skillnader i artiklarnas resultat. Resultat: Arbetsmiljö och utbildning återfanns som viktiga strukturella aspekter inom omvårdnaden av utsatta kvinnor och kunde ses som både resurser och utmaningar i omvårdnadsarbetet. Vidare inom de personliga aspekterna kunde majoriteten av subkategorierna även här ses som både resurser och utmaningar. En essentiell resurs inom omvårdnaden av utsatta kvinnor som framkom var skapandet av en trygg och bekväm atmosfär. Som utmaning återfanns känslomässiga reaktioner vilka ibland ledde till ett avståndstagande gentemot kvinnorna. Utbildning och kunskap inom området beskrevs därför som nyckelfaktorer på ett strukturellt respektive personligt plan för att god omvårdnad skulle kunna ges. Slutsats: Majoriteten av kategorierna återfanns som både resurser och utmaningar. Det är troligt att en variation finns mellan olika kontexter i omvårdnaden av utsatta kvinnor varför det är viktigt att inom en specifik kontext ta reda på vilka de aktuella resurserna och utmaningarna är. Klinisk betydelse: Litteraturstudien bidrar med en överblick rörande befintliga resurser och utmaningar som finns globalt inomomvårdnaden av kvinnor utsatta för våld i en nära relation.De resurser som framkommit kan sjuksköterskan lyfta fram för att styrka omvårdnadsarbetet medan utmaningarna visar vilka områden som det finns ett behov att arbeta omkring. / Background: Nursing care is the main responsibility in the nursing profession and is given to individuals during the lifespan. An individual's needs in regards to nursing care should be dealt with regardless of them consisting of physical, psychological, social, cultural or spiritual aspects. About one third of women around the world are subjected to intimate partner violence. Nurses have a significant role in caring for these women. Aim: To illuminate resources and challenges in nursing care of women subjected to intimate partner violence. Method: Literature study consisting of ten scientific articles. A data analysis was made in regards of similarities and differences in the results of the articles. Results: Work environment and education were found as structural aspects of importance and could be seen as both resources and challenges in the nursing care of women subjected to intimate partner violence. Considering the personal aspects most of the subcategories could also be seen as both resources and challenges. In nursing care the creation of a safe and comfortable environment was discovered as an essential resource. Emotional reactions were seen as challenges which could lead to avoidance towards the women. Education and knowledge in the field were described as key factors within the structural and personal aspects respectively. Conclusion: The majority of the categories were found as both resources and challenges. A variation may therefore be seen across different contexts in relation to what is seen as a resource and a challenge. Thus it is important to find out which are the resources and challenges in a specific context .Clinical significance:The literature study contribute with an overview considering the existing global resources and challenges in nursing care of women exposed to intimate partner violence. The resources found can be highlighted in the nursing care while the challenges need further development

Intimate partner violence (IPV) is a leading cause of death and injury for women in the United States. Although African American women are one of the groups most likely to be killed by an intimate partner, there has been little research to identify factors associated with risk among this group. To address this gap in the literature, the current study investigated ecological risk factors associated with physical and psychological IPV. Next, Africultural coping was explored as a moderator hypothesized to decrease the association between childhood maltreatment (CM) one of the strongest predictors of IPV, and IPV outcomes. It was hypothesized that Africultural coping would moderate the association between the level of retrospectively reported CM and recent reports of psychological IPV victimization, such that there would be a weaker relationship between CM and IPV for women who reported higher levels of Africultural coping. Results of multiple linear regressions indicated that higher levels of CM predicted both psychological and physical IPV, while controlling for the participants’ age. Hypothesized moderators were limited in their association with IPV. Implications for research, policy, practice, and wellness promotion for African American women are discussed.

Domestic violence remains a serious social issue. In North America, millions of women are victimized each year, and many of these women are victims of violence at the hand of their intimate partners. A small but growing body of research on domestic violence has shown that companion animals are among the victims of such violence. Abuse of or threats to the pets are used to control, manipulate and emotionally abuse the female partner. However, the majority of this research has focused on the perspective of the abused female partner; the male perspective is missing. Through semi-structured interviews with ten incarcerated men who have committed intimate partner violence (IPV), this thesis explores the abuser’s motivations for abuse of the pet as well as their perspective of pets in the context of a violent relationship. The findings indicate that, contrary to previous research, most men do not abuse pets in the relationship, and in fact have positive relationships with their pets. Just as pets are sources of comfort for women in abusive relationships, pets can be sources of comfort and support for the abusive men as well. When incorporated into violence intervention and treatment programs, relationships with pets can provide a venue for men construct a masculine identity in a positive way, and the treatment of animals can illustrate how violence is not an effective solution.

Bakgrund: Det är ungefär 10 % av barnen som bor i Sverige som bevittnar våld mot mamman i hemmet. Våldet försiggår i olika familjesammansättningar, inom olika socioekonomiska samt psykosociala typer av familjer. Att bevittna våld kan leda till att barnen får svårt att klara sin skolgång och kan även ge både psykiska och fysiska symtom. Skolsköterskan är en person som alla barn på en skola träffar någon gång under sina skolår och har därför en viktig stödjande roll.Syfte: Syftet med studien var att beskriva skolsköterskors erfarenheter av att arbeta med barn som bevittnar våld mot mamman i hemmet.Metod: I denna studie användes en induktiv ansats där datamaterialet analyserades med kvalitativ innehållsanalys. Datamaterialet bygger på intervjuer som genomfördes med sex skolsköterskor.Resultat: Ur analysen av datamaterialet framträdde två kategorier: identifiera utsatt barn samt tar emot och bekräftar barnets berättelse.Konklusion: Skolsköterskorna försöker skapa en relation mellan sig själv och barnet så att barnet skall uppleva att de har en personlig relation till skolsköterskan och på så sätt ha lättare för att söka stöd hos denne och berätta om sina erfarenheter. / Background: Approximately 10% of the children residing in Sweden witness violence against their mothers. The violence exists in different types of families – both different socioeconomic and psychosocial types. To witness violence can cause a child to struggle with schooling, but also give both psychological and physical symptoms. The school nurse is a person that meets with all the children of a school at least a few times during their school years and as such has an important supporting role.Aim: The aim of the study was to describe school nurses’ experiences of working with children who witness violence against their mother at home.Method: The method used was an inductive approach where data was analyzed with a qualitative content analysis. The data was collected through interviews with six school nurses.Results: Two categories emerged from the analysis; to identify exposed children and to receive and confirm the child's story, with their seven subcategories. Conclusion: The school nurses are trying to create a relationship between themselves and the child so the child feel a personal relationship with the school nurse and therefore seek support from her/him and share own experiences.

Thesis (Ph. D.)--Michigan State University. Dept. of Sociology, 2008. / Title from PDF t.p. (viewed on July 7, 2009) Includes bibliographical references (p. 97-100). Also issued in print.

Thesis (M.A.)--Brandeis University, 2009. / Title from PDF title page (viewed on August 9, 2009). Includes bibliographical references.