Intimate Partner Violence: Igniting Awareness and Increasing Referrals to a Hospital Based Program
Article first published online: 14 JUN 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Special Issue: 2012 Convention Proceedings
Volume 41, Issue s1, pages S103–S104, June 2012
How to Cite
Hartwig, C. (2012), Intimate Partner Violence: Igniting Awareness and Increasing Referrals to a Hospital Based Program. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: S103–S104. doi: 10.1111/j.1552-6909.2012.01361_75.x
- Issue published online: 14 JUN 2012
- Article first published online: 14 JUN 2012
- nurse champion;
- peer-to-peer education;
- intimate partner violence
Purpose for the Program
Our intimate partner violence prevention program, WINGS at Northwest Community Hospital, utilized a nurse champion model to deliver staff education and implement screening for all adult patients and subsequent referral. A similar model was used for physician offices and included on-site education for office staff to achieve the same outcomes.
Since the start of the program in 2007, although several methods were used to educate and increase awareness for the key stakeholder groups, referrals for counseling remained flat. In 2008, a plan was created to develop a nurse champion model for peer-to-peer education as well as a “pharmacy detailing” model with a physician champion for physicians’ offices. In addition, several initiatives were developed with the input of these two groups to provide enhanced just-in-time education for our community.
Implementation, Outcomes, and Evaluation
In June 2008, a workshop was held for 25 nurses who were identified by their unit leadership as nurse champions for intimate partner violence education and awareness. This training included the dynamics of intimate partner violence as well as a presentation from a survivor of intimate partner violence who emphasized the importance of screening. Training included methods of questioning using standardized questions, barriers to screening, our hospital policy, documentation, and the referral process for patients and staff. Nurse champions were challenged to create unit-based goals for education and awareness. Champion follow-up included monthly meetings with unit reports on progress. Outcomes from this group included increased compliance with education, changes to the standardized questions, and creation of a resource card for patients and visitors, which can be found in all public bathrooms and put discretely in a shoe or pocket. The group has a yearly workshop to re-energize and plan activities. Awareness activities planned for 2011 include a purple ribbon campaign on campus trees, toiletry drive for WINGS residents, and a quarterly nurse champion newsletter, which contains ongoing evidence-based information about intimate partner violence and the WINGS at Northwest Community Hospital program.
Education for physicians and office staff was presented in collaboration with a Northwest Community Hospital physician champion and the WINGS hospital liaison and held in the physician offices. Outcomes included standardized screening to identify and refer patients. Referrals to the WINGS at Northwest Community Hospital counseling services are tracked by provider type and have demonstrated growth since both programs were implemented.
Implications for Nursing Practice
The nurse champion method of peer-to-peer education provides a strong foundation to achieve change.