Malmö University Publications
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  • 1.
    Emma, Tegel
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    “I am not so sure of that we are very good at working actively, and are doing this, when we lack any form of suspiciousness”: An implementation evaluation of region skåne’s care program to prevent intimate partner violence in three care settings specialized in youth2021Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    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.  

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  • 2.
    Wemrell, Maria
    et al.
    Department of Gender Studies, Faculty of Social Sciences, Lund University, Lund, Sweden; Unit for Social Epidemiology, Faculty of Medicine, Lund University, Lund, Sweden.
    Tegel, Emma
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Öberg, Johan
    Unit for Social Epidemiology, Faculty of Medicine, Lund University, Lund, Sweden; Department of Health and Medical Care Management, Region Skåne, Malmö, Sweden.
    Ivert, Anna-Karin
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR). Unit for Social Epidemiology, Faculty of Medicine, Lund University, Lund, Sweden.
    Assessing the use of clinical guidelines against domestic violence in southern Sweden: A mixed-methods study2023In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 37, no 3, p. 828-841Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND AIM: Domestic violence is a prevalent public health issue. While clinical guidelines and care programs for its identification and handling have been formulated in all administrative regions of Sweden, their degree of implementation is largely unknown. This study aims to assess the implementation of one administrative region's care program, including how it is seen to align with and function in clinical practice, and any perceived barriers to or facilitators of its use.

    METHODS: A survey was distributed to first-line managers for healthcare units with patient contact in the region (n = 807). The responses were analysed using descriptive statistics. Open responses were analysed thematically. Group interviews (n = 5) were held with caregivers (n = 15) working primarily with young patients and analysed thematically.

    RESULTS: 73% of the survey respondents reported previous awareness of the care program, and 27% reported knowledge of its content. The extent to which their staff knew about and followed the care program was assessed to be relatively low. The survey response rate was 19%. Among interview participants, knowledge of the care program was generally quite low. Survey responses and interview discussions pointed to the importance of developing routines, of collegial and managerial support and of training on domestic violence and the care program.

    CONCLUSION: This study indicates that the knowledge and use of the regional care program is limited among healthcare staff, including among those working with young patients. This underscores the importance of information and training for furthering the implementation of clinical guidelines on domestic violence.

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