Assessment of Nurses’ Preparedness (KNOWLEDGE, Attitudes and Skill) and Identify Barriers to Care Women Expose to Ipv Attending at Governmental Health Care Institution, In East Gojjam Zone, Amhara Regional State, Ethiopia, 2014
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Date
2014-06
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Addis Ababa University
Abstract
Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors thatmay include inflicted physical injury, psychological abuse, sexual assault, progressive socialisolation. This violence can be considered a leading public health problem with serious healthconsequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, noinformation of nurses‟ preparedness (knowledge, attitude and skill, and barriers) regarding to IPVcare in Ethiopia, high prevalence and impact on women health, these make it problem.
Objectives: To assess nurses‟ knowledge, practice and attitude, and identify barriers to carewomen exposed to intimate partner violence in East Gojjam, Amhara region, Ethiopia.
Method: Quantitative study design was conducted to assess nurses‟ preparedness (knowledge,practice and attitude) to care women exposed to IPV and qualitative design for barriers to careWomen exposed to IPV. East Gojjam has 18 woredas. Required sample size was 448 nurses.From 18 woredas, nine woredas were randomly selected through proportionate sampling methodthen the study sample was selected randomly. The collected data was cleaned, coded and enterein EpiData version 3.1 then transferred to SPSS version 16.0 for analysis. Descriptive statisticslike frequency and percentage was used to summarize the socio-demographic characteristics‟,knowledge, attitude and skill. To know whether there is association or not between factors andnurses‟ care of, multivariate regression was used. Then odds ratio was used to find which variablewas the most significant to affect of care women exposed to IPV. The strength of statisticalassociation measured by adjusted odds ratios with 95% confidence intervals and 0.5% marginalerror. Three groups of nurses from emergency, OPD and Obygynacology wards nurses purposelywere selected. Total nurses who were participating in focus group discussions were 24. nurses‟conversation auto taped, transcribed, translated and analyzed through open code soft ware 6.3version. Finally, integrated according to emerging themes and then narriated.
Result: Just over 94% of all respondents had not received training. More than the half of nurseswas not knowledgeable. Around 60% of nurses had negative attitude to IPV cases. In addition,almost 60% of nurses were not skillful. A logistic regression analysis indicated that there was asignificant association between being male to care to Women exposed to IPV. Males were 7.899times more likely to give care to Women exposed to IPV. Nurses who had experience on the careof women exposed to IPV were more give care than who never had experience. Barriersdescribed by nurses were; related to social, institutional, nurses and victim/ women exposed tointimate partner violence/ that affect nurse care to women exposed to IPV were addressed.
Conclusion:. Training was significantly affecting the care of women exposed to IPV. Many ofnurses had no skill/experience to care women exposed to IPV and majority of nurses could notask sign of women exposed to IPV like eating disorders, hypertension, headaches and irritablebowel syndrome. Majority of nurses were not knowledgeable and not skillfull thus affect nursingcare of women exposed to IPV. Generally, the majority of the nurses did not provide nursing careto women exposed to IPV.
Recommendation: East Gojjam zone health offices to open the opportunity of getting nursingcare training regarding to women exposed to IPV. At higher institutions like university r trainingbefore and afte graduation, expanding education opportunity, expanding education opportunityand incorporating in nursing curriculum is recommended. Strengthening of health services in
promoting early nurses‟ training and experience sharing and special emphasis to information onsigns and what next action shall be done is recommended.
Key words: Preparedness to care, readiness to care, barriers to care and IPV care
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Keywords
Preparedness to care Readiness to care Barriers to care and IPV care