Syfte: Att undersöka i vilken utsträckning sjuksköterskor på vårdcentraler ställer frågor om våldsutsatthet i nära relationer till kvinnliga patienter och vad som påverkar sjuksköterskornas ställningstagande till att fråga. Metod: Tvärsnittsstudie i form av en enkätundersökning. Sjuksköterskor (n=81) vid 11 vårdcentraler i ett mellansvenskt län besvarade en enkät med 13 frågor. Svarsfrekvensen var 77 procent. Resultat: Sjuksköterskor inom primärvården frågar i liten utsträckning sina kvinnliga patienter om de utsatts för våld i en nära relation. Den vanligast angivna faktorn till att sjuksköterskan ställer frågor om våld var misstanke om våld. Inga statistiskt säkerställda skillnader påvisades mellan sjuksköterskors benägenhet att ställa frågor om våld och om de erhållit utbildning i ämnet eller inte. Inga statistiska skillnader kunde heller ses i jämförelsen mellan de som använde handlingsplan i det kliniska arbetet och de som inte gjorde det med benägenheten att ställa frågor. Slutsats: Sjuksköterskor inom primärvården frågar i liten utsträckning sina kvinnliga patienter om de utsatts för våld i nära relationer. Sjuksköterskor saknar tillräcklig utbildning inom ämnet och använder i liten utsträckning befintlig handlingsplan. / Aim: To examine the extent to which nurses in primary health care ask questions about intimate partner violence to female patients and factors that influence nurses tendency to raise the question. Method: Cross-sectional study in the form of a survey. Nurses (n=81) at 11 primary health care clinics in a Swedish county answered a questionnaire with 13 questions. The response rate was 77 percent. Result: Nurses in primary health care clinics ask their female patients to a small extent if they have experienced violence in an intimate relationship. The most frequently mentioned factor to a nurse asking questions about violence was the suspicion of violence. No statistically significant differences were found between the nurses' tendency to ask questions about violence and whether they had received training on the subject or not. There were no statistical differences seen in the tendency to ask questions when looking at the comparison between those who used the action plan in their clinical work and those who did not. Conclusion: Nurses in health clinics ask, to a small extent, their female patients if they have experienced domestic violence. Nurses lack adequate training on the subject and only use existing action plans to a small extent.

The present study constitutes the qualitative part of a project with aim to evaluate the implementation of Region Skåne’s care program to prevent intimate partner violence. Due to the increasing awareness of youth intimate partner violence in Sweden, the study aim was to evaluate the extent to which the care program has been implemented, as well as what the perceptions of the care program were, in three care settings specialized in young patients. A qualitative focus group study with an inductive approach was chosen. Four focus groups with 12 participants recruited from three care settings specialized in young patients within the region of Skåne county were held. Three of the participants were not explicitly governed by regional guidelines due to working in units which constituted a partnership between the region and the municipality. The data was analysed by using thematic analysis. Two main themes appeared in the findings, with the first being organizational leadership. Factors associated was that the care program had not been fully communicated and/or implemented in any regional unit. Further, the extent to which the professionals had obtained extensive training and/or perceived themselves as supported from the management varied. The second main theme, the clinical practice, reflected the clinical experiences of various types of violence, tasks that could appear challenging such as documenting IPV, screening for IPV online and making reports of concern. The main conclusion is that there are gaps between policy and practice in all contexts where the program is to be used. Recommendations are that organizational leaders should ensure the program to be sufficiently communicated to all professionals, and be responsive to requests for local adjustments and/or insecurities in relation to following the program, in order for neither screenings, nor documentation, nor making reports to fall between the cracks. / Den ingår i en ännu pågående utvärdering av Region Skånes vårdprogram mot våld i nära relationer. Projektet är finansierat av BRÅ.