Health Staff Responses to Domestic and Family Violence: The Case for Training to Build Confidence and Skills

ABSTRACT

Domestic and family violence (DFV) is a serious, worldwide public health concern and the literature suggests that women who have experienced violence identify health care providers as the professionals they would most trust with disclosure of abuse. Social work is well positioned to respond to women presenting in hospitals after experiencing DFV and in advocating for systems and policy initiatives to support health staff in becoming adequately trained and supported to detect and respond appropriately. This paper reports on research that surveyed health staff in two hospitals in Queensland, Australia, to identify what DFV training they had received, whether this training increased their knowledge, skills and confidence to address DFV and what services they would access to support women presenting with DFV. The results showed that the respondents were an experienced staff group who had worked in the health sector for 10–20 years but despite having access to State-based training, the majority of them had not completed any in-house training and only 12% had received face-to-face training, and when they did undertake training, it was usually only a two-hour session. Seventy-five per cent of respondents would refer to their hospital-based social worker and 40% would make referrals to other support services, primarily social work.

IMPLICATIONS

• Hospitals need to prioritise, commit to, and resource appropriate and regular training to better equip health staff to identify and respond to DFV.

• Training needs to build the knowledge and skills of staff members to address their confidence to intervene and offer support.

• Social work can provide an important role in advocating and developing training and procedures to sustain health staff members’ capacity to respond appropriately to DFV.

     

Novel biotechnologies for eradicating wasps: seeking Māori studies students’ perspectives with Q method

Aligned with the New Zealand government’s ‘Predator-Free 2050’ target for Aotearoa New Zealand, National Science Challenge: Our Biological Heritage supports research into five distinct ‘novel biotechnological controls’ of exotic wasps. A framing question within this project is which controls are considered ‘socially acceptable’ and thus suitable for further development to control and potentially eradicate introduced wasps? How can the public answer this question without first engaging with complex technologies? Can they develop and express an informed view that still reflects their ‘gut’ reactions and unique positions? To model and explore the views of an ‘informed public’, university students in Māori studies engaged in reflection, writing and mapping activities; choice and ranking exercises; Q Method; and focus group interviews. Amongst the interviewees, Q Method analysis distinguished three ‘factors’, describing unique viewpoints: those who see the potential of biotechnologies, those who are in doubt about them and those in a position of trust in scientists. Overall, the group see potential in new biotechnologies for wasps but are wary of political, economic and social decision-making mechanisms.     

Do we practice (or teach) what we preach? Developing a more inclusive learning environment to better prepare social work students for practice through improving the explorationof their different ethnicities within teaching,learning and assessment opportunities.

ABSTRACT

Teaching experience at the University of Suffolk noted anecdotally that Black Asian and Minority Ethnic (BAME) students avoid discussing their identity, cultural heritage, norms and values, in lectures, tutor groups and in assignments.

To improve the integration of different cultural perspectives into the social work curriculum, we devised a small-scale qualitative research project Spring, 2017, to explore students’ views of teaching, learning and assessment about cultural norms and differences, seeking the views of both BAME students and white students on the programme in order to compare and contrast their experiences.

Focus groups were used to gather the views of BAME and white students about the opportunities and barriers to discussing identity, culture, and anti-racism. The findings raised significant issues, specifically about the barriers for both BAME and white students to considering cultural differences. Student perspectives suggest more sensitive approaches to considering cultural differences; more responsibility for white lecturers to explore white privilege and its impact; and more safe spaces to manage emotional responses to oppression to enable exchange of experience and learning about different cultural norms and values. The article analyses the findings, discussing ways forward to improve the student experience and promote good practice in teaching and learning.     

Marketing’s contribution to business strategy: market orientation,relationship marketing and resource-advantage theory

Although overlooked to some degree by non-marketing disciplines, the discipline of marketing has contributed significantly to the body of knowledge on business strategy over the last two decades. This paper evaluates these contributions, examines how they complement dominant non-marketing theories of business strategy, and shows how marketing offers a generalized theory of competition that integrates the concepts of both marketing and non-marketing theories of business strategy.     

Analysing data from a cluster randomized trial (cRCT) in primary care: a case study

Health technology assessment often requires the evaluation of interventions which are implemented at the level of the health service organization unit (e.g. GP practice) for clusters of individuals. In a cluster randomized controlled trial (cRCT), clusters of patients are randomized; not each patient individually.

The majority of statistical analyses, in individually RCT, assume that the outcomes on different patients are independent. In cRCTs there is doubt about the validity of this assumption as the outcomes of patients, in the same cluster, may be correlated. Hence, the analysis of data from cRCTs presents a number of difficulties. The aim of this paper is to describe the statistical methods of adjusting for clustering, in the context of cRCTs.

There are essentially four approaches to analysing cRCTs: 1. Cluster-level analysis using aggregate summary data.

2. Regression analysis with robust standard errors.

3. Random-effects/cluster-specific approach.

4. Marginal/population-averaged approach.

This paper will compare and contrast the four approaches, using example data, with binary and continuous outcomes, from a cRCT designed to evaluate the effectiveness of training Health Visitors in psychological approaches to identify post-natal depressive symptoms and support post-natal women compared with usual care. The PoNDER Trial randomized 101 clusters (GP practices) and collected data on 2659 new mothers with an 18-month follow-up.     

The time use of teenagers

This paper uses American Time Use Survey (ATUS) data to describe the time use of teenagers ages 15–17, with a focus on activities that may affect teenagers’ well-being such as sleep, eating, schoolwork, and selected leisure activities. We find that teenagers with an employed mother spend less time on homework and computers, are less likely to eat with parents, but spend more time in supervised activities. Teenagers with a single mother spend more time in paid work, are less likely to eat dinner with their parent, and spend more time in unsupervised activities, but they also get more sleep. Adolescents with more educated mothers spend more time studying and on the computer, less time watching television, and are more likely to eat dinner with parents. Family income correlates positively with teenagers’ paid work, homework, computer use, and the likelihood of eating with parents, but is negatively associated with sleep. Family size is positively related to time spent in caregiving activities, sleep, and eating with parents, but is associated with less computer use.     

A Content Analysis of Sexual Consent and Refusal Communication in Mainstream Films

Young adults have limited access to comprehensive sex education. As such, they may seek sexuality information through such alternative sources, such as mass media. Previous research suggests that media, including films and television shows, can influence sexual behaviors and attitudes. Because sexual consent communication is important to sexual experiences, the purpose of this study was to assess how sexual consent and refusal communication were depicted in films. We also examined contextual factors that influence consent and refusal communication, such as gender, relationship status, location, and types of sexual behaviors. Four researchers analyzed popular mainstream films (N = 50) from 2013 based on a codebook developed inductively and deductively. The most common consent and refusal communication cues were nonverbal or implicit. The majority of scenes portrayed consent immediately before sexual activity. We also conducted chi-squared analyses to assess differences in consent and refusal communication based on gender and relationship status. There were no gender differences in the portrayal of consent cues; however, characters in established relationships used nonverbal cues more often than those in novel relationships. Mass media can normalize behaviors, and our results suggest that films may further normalize nonverbal or implicit consent cues.     

(Unintended) Consequences of initiating an alcohol sales policy at college football stadiums: A case study

University officials are increasingly considering selling alcoholic beverages at campus football stadiums. To inform this decision, we report on offenses occurring at a campus football stadium and surrounding community on game day weekends between 2009 and 2013. Campus police log data for 35 home football weekends were examined, accounting for 1,940 distinct incidents. There was a general upward trend in crime incidents. On average, 330 total crime incidents occurred when alcohol was not sold (2009–2011) compared to 475 annually when alcohol was sold (2012–2013). Liquor law violations and alcohol consumption by a minor were the two most frequently cited offenses. Liquor law violations (317) was highest after alcohol sales initiated. Police incidents were markedly higher when playing a traditional football rival at home. College administrators, health officials, athletic departments, and local law enforcement must work together to weigh the potential benefit of enhanced financial profit against the risk of increased alcohol-related crime.     

Queer youth,intoxication and queer drinking spaces

Research on intoxicating substances and gender has developed considerably in the last 30 years, especially in the social sciences as feminist scholars highlighted the contradictory discourses about young women’s intoxication. Nevertheless, there still remain significant gaps if we are to fully understand the role and meaning of intoxication for all young people and not merely for heterosexual, cisgender young people. As a way of exploring the possible limitations of this legacy, we will examine the qualitative data from 52 in-depth interviews with self-identified LGBTQ young people. Our analysis explores the relationships between meanings of intoxication and sexual and gender identities, drinking spaces, and the extent to which notions of masculinity and femininity influence alcohol consumption and drinking practices among LGBTQ youth. As gender expressions among young people, especially those who identify as LGBTQ, become increasingly nuanced and fluid, understanding the role of social and cultural practices of alcohol consumption in the performance of sexual and gender identities may increase our understanding of the ways in which sexuality and gender influence alcohol consumption.