It would seem reasonable to suggest that the clinicians have not been fully equipped on how to deal with domestic violence cases during their undergraduate or postgraduate training. Clinicians failing to identify and to offer abused women help despite repeated presentations to health care facilities may cause them further abuse when they are send home to the same abusive environment. Authors' contributions SO provided the initial concept of the study, conducted data collection, performed the statistical analysis and drafted the manuscript. These biases can affect their professional behavior including their intention to ask about abuse and create errors in clinical judgment in domestic violence cases. The physical, sexual and emotional violence history of middle-aged women: In this study, a very small proportion of the participants expressed concern on their safety but a large proportion was concerned about the safety of their patients with in a violent environment. A Women's Safety Survey. Third, since the data collection was based on self-reporting by the participants, respond and recall bias may result in desirable answer despite the confidential manner of the data collection. Nearly a third of clinicians and half of nurses endorsed the view that the abused person must have done something to trigger the abuse. This may be one of the many causes of low screening for domestic violence cases. Screening for intimate partner Violence by health care providers:
More than half of the clinicians and a third of the nursing staff reported a fear of offending patients in asking about domestic violence. Overcoming the barriers to disclosure and inquiry of partner abuse for women attending general practice. This may be related to the underlying belief that domestic violence is a 'private matter' and not within the scope of medical treatment [ 29 ]. Less than a third of the participants knew of any written protocol for the management of domestic violence. Prevalence, Problems and Public Attitude. Not respecting the patient's autonomy can be considered as unethical and may represent institutional victimization. Nearly a third of clinicians and half of nurses endorsed the view that the abused person must have done something to trigger the abuse. There should be a place for the health care providers to have a private consultation with the victim without the presence of the abuser. This finding is similar the study by Sugg [ 31 ]. Most clinicians in this study reported lack of time as a barrier to ask for domestic violence. This finding is similar to that reported in Sugg et al [ 27 ]. Women's Aids Organization; The primary health care providers need to be aware of local information related to domestic violence such as the prevalence, some legal aspect of it and the resources around them. There is no mandatory reporting for domestic violence in Malaysia. Factors, such as inadequate training or the perception of poor success in management of these cases are relevant [ 30 ]. Competing interests The authors declare that they have no competing interests. All these negatively impact on the health care provider's ability to adequately care for abused person or abusers. Traditional beliefs regarding the family privacy, family unity and gender role was found to have posed difficulties to health care providers in their management of domestic violence [ 29 ]. Primary care physician's response to domestic violence: Violence by Intimate Partner. Reported frequency of domestic violence: There should be support for the abused patients no matter what their decision is at that point of time. Hurting the one you love: A Women's Safety Survey. Domestic Violence and Women's Health. Implications from this study Based on this study, primary health care providers need to receive training in domestic violence management and to have more information related to domestic violence in order to improve their management of domestic violence. Physical health consequences of physical and psychological intimate partner violence.
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