View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
I read with vivid understanding Karen Roush's Viewpoint, "No One Asked What Happened" (April), regarding U.S. health professionals' indifference to screening for domestic violence. Her observation that "It's not enough to add a check box to the admission form" is important. Doing only that is a dishonor and disservice to the one in four women in this country who are victims of abuse. Health care facilities and educational institutions that aren't compliant with the Joint Commission's mandate for domestic violence education programs and policies should be fined and lose the accreditation they so covet.
I'm a staff nurse at a freestanding acute rehabilitation hospital. During our accreditation process several years ago, the staff told surveyors that we didn't universally screen patients for domestic violence. We now have a check box on the admission form, but we don't offer education, policies, or programs, despite my appeals, research, and pleas.
The U.S. Preventive Services Task Force study cited by Ms. Roush found insufficient evidence to recommend universal screening, but the outcome measure it used was "reduction in violence" as opposed to providing an opportunity for disclosure, which is the purpose of universal screening, according to many domestic violence advocacy groups, including the Family Violence Prevention Fund.1
The Agency for Healthcare Research and Quality has developed a quality assessment tool for evaluating hospital-based domestic violence programs. The tool is straightforward and provides a wealth of information and an opportunity to make a difference. For more information, see http://www.ahrq.gov/research/domesticviol.
Karen E. Myers, BSN, RN, CRRN
1.Family Violence Prevention Fund. National consensus guidelines on identifying and responding to domestic violence victimization in health care settings. 2nd ed. San Francisco: Family Violence Prevention Fund; 2004. http://www.endabuse.org/userfiles/HealthCare/consensus.pdf. [Context Link]
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top