Nurses' knowledge and learning experiences in relation to the effects of domestic abuse on the mental health of children and adolescents
Kristen de Wit
McKinnon Unit, Rozelle Hospital, Rozelle NSW
Kierrynn Davis
School of Health and Human Sciences, Southern Cross University, Lismore NSW
PP: 214 - 227
Abstract
Nurse researchers are yet to direct substantial attention towards addressing and understanding nurses' experiences of learning about and caring for child and adolescent victims of domestic abuse. This lack of recognition has resulted in the marginalisation of this issue.
This paper seeks to explore nurses' present understanding and experiences of learning about the effects of domestic abuse on the mental health of children and adolescents. The research utilised an interpretive case study approach within a naturalistic paradigm. Snowball sampling of nursing staff within two mental health units was used. Data were collected using semi-structured in-depth interviews with each participant.
Using a constant comparative method and hermeneutic dialectical process both the commonalities and differences regarding participants' multiple realities were identified. Three major categories emerged within the data. These were education, resources and nurses' role. It was apparent that nurses' knowledge and education about the effects of domestic abuse on the mental health of children and adolescents negatively impacted on nurses' ability to provide appropriate care. The research has clear implications for mental health nursing education, practice and future research.
Keywords
domestic abuse; mental health; naturalistic case study; children and adolescents
References
Andrews M & Jones P (1996): Problem-based learning in an undergraduate nursing programme: A case study. Journal of Advanced Nursing 32 (2):357-365.
Bates L & Brown W (1998): Domestic violence: Examining nurses' and doctors' management, attitudes and knowledge in an accident and emergency setting. Australian Journal of Advanced Nursing 15 (3):15-22.
Bennett L (1991): Adolescent girls' experiences of witnessing marital violence: A phenomenological study. Journal of Advanced Nursing 16 (4):431-438.
Berman H (1999): Stories of growing up amid violence by refugee children of war and children of battered women living in Canada. Image: Journal of Nursing Scholarship 31 (1):57-63.
Bibby M (1997): The medical model of informed consent. In Bibby M (ed.) Ethics and Education Research, pp. 81-98. Australian Association of Research in Education, Coldstream, Victoria.
Blanchard A (1993): Violence in families: The effect on children. Family Matters 34: 31-36.
Boyle J (1994): Styles of Ethnography. In: Morse J (ed.) Critical Issues in Research Methods. Sage, Thousand Oaks.
Carpenter D (1995): Phenomenological research approach. In: Streubert H & Carpenter D (eds.) Qualitative Research In Nursing: Advancing the Humanistic Imperative. Lippincott, Philadelphia
Caulley N (1992): Qualitative Research Workshop: Notes on the Basic Characteristics of Postpositivist Interpretive Inquiry. University of New England, Northern Rivers.
Champion J (1998): Family Violence and Mental Health. Nursing Clinics of North America 33 (1):201-215.
Dale A (1995): A research study exploring the patient's view of quality of life using the case study method. Journal of Advanced Nursing 22 (6):1128-1134.
Davies J, Harris M, Roberts G, Mannion J, McCosker H & Anderson D (1996): Community Health Workers' Response to Violence against Women. Australian and New Zealand Journal of Mental Health Nursing 5 (1):20-31.
Dempsey A & Dempsey P (1992): Nursing Research with Basic Statistical Applications. Jones & Bartlett, Boston.
Denzin N & Lincoln Y (1998): Strategies in Qualitative Inquiry. Sage, Thousand Oaks.
Emden C (1998): Conducting a narrative analysis. Collegian 5 (3):34-35.
Ericksen J & Henderson A (1992): Witnessing family violence: The children's experience. Journal of Advanced Nursing 17 (10): 1200-1209.
Frost M (1999): Health visitors' perceptions of domestic violence: The private nature of the problem. Journal of Advance Nursing 30 (3): 589-596.
Guba E & Lincoln Y (1989): Fourth Generation Evaluation. Jossey-Bass, San Francisco.
Humphreys J (1991): Children of battered women: Worries about their mothers. Paediatric Nursing 17 (4):342-346.
Hutchinson S & Wilson H (1994): Research and Therapeutic Interview: A Post-Structuralist Perspective. In: Morse J (ed.) Critical Issues in Research Methods. Sage, Thousand Oaks.
Jenks J (1995): New generation research approaches. In: Streubert, H. & Carpenter D (eds.) Qualitative Research in Nursing: Advancing the Humanistic Imperative. Lippincott, Philadelphia.
Kent J (1992): An evaluation of pre-registration midwifery education in England. Midwifery 8: 69-75.
Leslie Gevers Community Management Services (1999): Practice standards for working with children and young people who have lived with domestic violence. Queensland Department of Families, Youth and Community Care, Brisbane.
Limandri B & Tilden V (1996): Nurses' reasoning in the assessment of family violence. Image Journal of Nursing Scholarship 28 (3):247-252.
Lincoln Y & Guba E (1985): Naturalistic Inquiry. Sage Publications, London.
Lo-Biondo-Wood G & Haber J (1994): Nursing Research: Methods, Critical Appraisal and Utilisation. Mosby, St Louis.
Manley L (1997): Knowledge for nursing practice. In: Perry A (ed.) Nursing: A Knowledge Base for Practice. Arnold, London.
Maykut P & Morehouse R (1994): Beginning Qualitative Research: A Philosophic and Practical Guide. The Falmer Press, London.
McDonell A, Jones M & Read S (2000): Practical considerations in case study research: The relationship between methodology and process. Journal of Advanced Nursing 32 (2):383-390.
Nelms T (1999): An educational programmes to examine emergency nurses attitudes and enhance caring intervention with battered women. Journal of Emergency Nursing 25 (4):290-293.
NSW Health (1999): Review of NSW Health Domestic Violence Policy: Discussion Paper. NSW Health Department, Sydney.
Offredy M (2000): Advanced nursing practice: The case of three nurse practitioner in three Australian states. Journal of Advanced Nursing 32 (2): 274-281.
Patton M (1987): How to use qualitative methods in evaluation. Sage Publications, Sage Publications.
Polit D & Hungler B (1995) Nursing Research: Principles and Methods. Lippincott Company, Philadelphia.
Powers B & Knapp T (1995): A Dictionary of nursing theory and research. Sage, Thousand Oaks.
Ray M (1994): The Richness of Phenomenology: Theoretical and Methodological Concerns. In: Morse J (ed.) Critical Issues in Qualitative Research, pp.117-134. Sage Publications, Thousand Oaks.
Roberts G, Raphael B, Lawrence J, O'Toole B & O'Brien D (1997): Impact of an education programme about domestic violence on nurses and doctors in an Australian emergency department. Journal of Emergency Nursing 31 (1):126-134.
Roberts K (1998): Quantitative Methods. In: Roberts K & Taylor B (eds.) Nursing Research Processes: An Australian Perspective, pp.137-168. Nelson ITP, South Melbourne.
Roberts K (2002): Quantitative Methods. In: Roberts K & Taylor B (eds.) Nursing Research Processes: An Australian Perspective, pp.199 -237. Nelson ITP, South Melbourne.
Roberts K & Taylor B (1998): Obtaining Approval and Support. In: Roberts K & Taylor B (eds.) Nursing Research Processes: An Australian Perspective. Nelson ITP, South Melbourne.
Rycroft-Malone J, Latter S, Yerrell P & Shaw D (2000): Nursing and medication education. Nursing Standard 14 (50):35-39.
Stake R (1998): Case Studies. In: Denzin N & Lincoln Y (eds.) Strategies in Qualitative Inquiry. Sage Publications, Thousand Oaks.
Streubert H (1995): Philosophical Dimensions of Qualitative Research. In: Streubert H & Carpenter D (eds.) Qualitative Research in Nursing: Advancing the Humanistic Imperative. Lippincott, Philadelphia.
Streubert H & Carpenter D (1995): Qualitative Research in Nursing: Advancing the Humanistic Imperative. Lippincott, Philadelphia.
Taylor B (1998): Qualitative Methods. In Roberts, K. & Taylor, B. (Eds.). Nursing Research Processes: An Australian Perspective, pp.374-403. Nelson ITP, South Melbourne.
Vietch L May N & McIntosh J (1997): The Practice-based context of educational innovation: Nurse and midwife preparation in Scotland. Journal of Advanced Nursing 25 (1):191-198
Wilson H (1985): Research in Nursing. Addison-Wesley, Menlo Park.
Women's Services Network (2000): Domestic violence in regional Australia: A literature review. Commonwealth Government of Australia, Canberra.
Woodtli A & Breslin E (1997):Violence and the nursing curriculum: Nurse educators speak out. Nursing and Health Care Perspectives 18 (5):252-259.
Yin R (1994): Applied Social Research Methods Series Volume 5: Case Study Research. Sage Publications, Thousand Oaks.

eContent Home




