TY - JOUR
T1 - Mechanisms that trigger a good health-care response to intimate partner violence in Spain. Combining realist evaluation and qualitative comparative analysis approaches
AU - Goicolea, Isabel
AU - Vives-Cases, Carmen
AU - Hurtig, Anna-Karin
AU - Marchal, Bruno
AU - Briones-Vozmediano, Erica
AU - Otero-García, Laura
AU - García-Quinto, Marta
AU - San Sebastian, Miguel
N1 - Goicolea I, Vives-Cases C, Hurtig AK, Marchal B, Briones-Vozmediano E,
Otero-García L, García-Quinto M, San Sebastian M. Correction: Mechanisms that
Trigger a Good Health-Care Response to Intimate Partner Violence in Spain.
Combining Realist Evaluation and Qualitative Comparative Analysis Approaches.
PLoS One. 2015 Sep 23;10(9):e0139184. doi: 10.1371/journal.pone.0139184.
eCollection 2015. PubMed PMID: 26398769; PubMed Central PMCID: PMC4580404.
FTX
PY - 2015
Y1 - 2015
N2 - BACKGROUND: Health care professionals, especially those working in primary health-care services, can play a key role in preventing and responding to intimate partner violence. However, there are huge variations in the way health care professionals and primary health care teams respond to intimate partner violence. In this study we tested a previously developed programme theory on 15 primary health care center teams located in four different Spanish regions: Murcia, C Valenciana, Castilla-León and Cantabria. The aim was to identify the key combinations of contextual factors and mechanisms that trigger a good primary health care center team response to intimate partner violence.METHODS: A multiple case-study design was used. Qualitative and quantitative information was collected from each of the 15 centers (cases). In order to handle the large amount of information without losing familiarity with each case, qualitative comparative analysis was undertaken. Conditions (context and mechanisms) and outcomes, were identified and assessed for each of the 15 cases, and solution formulae were calculated using qualitative comparative analysis software.RESULTS: The emerging programme theory highlighted the importance of the combination of each team's self-efficacy, perceived preparation and women-centredness in generating a good team response to intimate partner violence. The use of the protocol and accumulated experience in primary health care were the most relevant contextual/intervention conditions to trigger a good response. However in order to achieve this, they must be combined with other conditions, such as an enabling team climate, having a champion social worker and having staff with training in intimate partner violence.CONCLUSIONS: Interventions to improve primary health care teams' response to intimate partner violence should focus on strengthening team's self-efficacy, perceived preparation and the implementation of a woman-centred approach. The use of the protocol combined with a large working experience in primary health care, and other factors such as training, a good team climate, and having a champion social worker on the team, also played a key role. Measures to sustain such interventions and promote these contextual factors should be encouraged.
AB - BACKGROUND: Health care professionals, especially those working in primary health-care services, can play a key role in preventing and responding to intimate partner violence. However, there are huge variations in the way health care professionals and primary health care teams respond to intimate partner violence. In this study we tested a previously developed programme theory on 15 primary health care center teams located in four different Spanish regions: Murcia, C Valenciana, Castilla-León and Cantabria. The aim was to identify the key combinations of contextual factors and mechanisms that trigger a good primary health care center team response to intimate partner violence.METHODS: A multiple case-study design was used. Qualitative and quantitative information was collected from each of the 15 centers (cases). In order to handle the large amount of information without losing familiarity with each case, qualitative comparative analysis was undertaken. Conditions (context and mechanisms) and outcomes, were identified and assessed for each of the 15 cases, and solution formulae were calculated using qualitative comparative analysis software.RESULTS: The emerging programme theory highlighted the importance of the combination of each team's self-efficacy, perceived preparation and women-centredness in generating a good team response to intimate partner violence. The use of the protocol and accumulated experience in primary health care were the most relevant contextual/intervention conditions to trigger a good response. However in order to achieve this, they must be combined with other conditions, such as an enabling team climate, having a champion social worker and having staff with training in intimate partner violence.CONCLUSIONS: Interventions to improve primary health care teams' response to intimate partner violence should focus on strengthening team's self-efficacy, perceived preparation and the implementation of a woman-centred approach. The use of the protocol combined with a large working experience in primary health care, and other factors such as training, a good team climate, and having a champion social worker on the team, also played a key role. Measures to sustain such interventions and promote these contextual factors should be encouraged.
KW - Attitude of Health Personnel
KW - Clinical Competence
KW - Female
KW - Humans
KW - Intimate Partner Violence
KW - Male
KW - Patient Care Team
KW - Primary Health Care
KW - Software
KW - Spain
KW - Journal Article
KW - Multicenter Study
KW - Research Support, Non-U.S. Gov't
U2 - 10.1371/journal.pone.0135167
DO - 10.1371/journal.pone.0135167
M3 - A1: Web of Science-article
C2 - 26270816
SN - 1932-6203
VL - 10
SP - e0135167
JO - PLoS ONE
JF - PLoS ONE
IS - 8
ER -