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
Introduction: Intimate partner violence (IPV) is a pattern of purposeful coercive behaviors thatrnmay include inflicted physical injury, psychological abuse, sexual assault, progressive socialrnisolation. This violence can be considered a leading public health problem with serious healthrnconsequences for Women exposed to IPV. Due to, the nurse is often an early point of contact, norninformation of nurses‟ preparedness (knowledge, attitude and skill, and barriers) regarding to IPVrncare in Ethiopia, high prevalence and impact on women health, these make it problem.rnObjectives: To assess nurses‟ knowledge, practice and attitude, and identify barriers to carernwomen exposed to intimate partner violence in East Gojjam, Amhara region, Ethiopia.rnMethod: Quantitative study design was conducted to assess nurses‟ preparedness (knowledge,rnpractice and attitude) to care women exposed to IPV and qualitative design for barriers to carernWomen exposed to IPV. East Gojjam has 18 woredas. Required sample size was 448 nurses.rnFrom 18 woredas, nine woredas were randomly selected through proportionate sampling methodrnthen the study sample was selected randomly. The collected data was cleaned, coded and enteredrnin EpiData version 3.1 then transferred to SPSS version 16.0 for analysis. Descriptive statisticsrnlike frequency and percentage was used to summarize the socio-demographic characteristics‟,rnknowledge, attitude and skill. To know whether there is association or not between factors andrnnurses‟ care of, multivariate regression was used. Then odds ratio was used to find which variablernwas the most significant to affect of care women exposed to IPV. The strength of statisticalrnassociation measured by adjusted odds ratios with 95% confidence intervals and 0.5% marginalrnerror. Three groups of nurses from emergency, OPD and Obygynacology wards nurses purposelyrnwere selected. Total nurses who were participating in focus group discussions were 24. nurses‟rnconversation auto taped, transcribed, translated and analyzed through open code soft ware 6.3rnversion. Finally, integrated according to emerging themes and then narriated.rnResult: Just over 94% of all respondents had not received training. More than the half of nursesrnwas not knowledgeable. Around 60% of nurses had negative attitude to IPV cases. In addition,rnalmost 60% of nurses were not skillful. A logistic regression analysis indicated that there was arnsignificant association between being male to care to Women exposed to IPV. Males were 7.899rntimes more likely to give care to Women exposed to IPV. Nurses who had experience on the carernof women exposed to IPV were more give care than who never had experience. Barriersrndescribed by nurses were; related to social, institutional, nurses and victim/ women exposed tornintimate partner violence/ that affect nurse care to women exposed to IPV were addressed.rnConclusion:. Training was significantly affecting the care of women exposed to IPV. Many ofrnnurses had no skill/experience to care women exposed to IPV and majority of nurses could notrnask sign of women exposed to IPV like eating disorders, hypertension, headaches and irritablernbowel syndrome. Majority of nurses were not knowledgeable and not skillfull thus affect nursingrncare of women exposed to IPV. Generally, the majority of the nurses did not provide nursing carernto women exposed to IPV.rnRecommendation: East Gojjam zone health offices to open the opportunity of getting nursingrncare training regarding to women exposed to IPV. At higher institutions like university r trainingrnbefore and afte graduation, expanding education opportunity, expanding education opportunityrnand incorporating in nursing curriculum is recommended. Strengthening of health services inrnpromoting early nurses‟ training and experience sharing and special emphasis to information onrnsigns and what next action shall be done is recommended.rnKey words: Preparedness to care, readiness to care, barriers to care and IPV care