Rising to the challenge: The motivation to champion routine intimate partner violence screening in rural emergency departments

Article


Saberi, Elham, Hutchinson, Marie and Hurley, John. 2024. "Rising to the challenge: The motivation to champion routine intimate partner violence screening in rural emergency departments." Australian Journal of Rural Health. 32 (5), pp. 1018-1030. https://doi.org/10.1111/ajr.13176
Article Title

Rising to the challenge: The motivation to champion routine intimate partner violence screening in rural emergency departments

ERA Journal ID13436
Article CategoryArticle
AuthorsSaberi, Elham, Hutchinson, Marie and Hurley, John
Journal TitleAustralian Journal of Rural Health
Journal Citation32 (5), pp. 1018-1030
Number of Pages13
Year2024
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1038-5282
1440-1584
Digital Object Identifier (DOI)https://doi.org/10.1111/ajr.13176
Web Address (URL)https://onlinelibrary.wiley.com/doi/10.1111/ajr.13176
Abstract

Objective
To understand the motivations of champions who worked to bring about system and practice change that supported routine screening for intimate partner violence (IPV) in two rural emergency departments (EDs).

Introduction
Practice changes are required to achieve routine and effective identification and response to IPV. Nurses play a significant role in affecting such practice change. This paper identifies the motivations of champions in the ED setting who successfully brought about such change.

Setting
The EDs of two Level 5 tertiary hospitals within a rural Local Health District (LHD) of New South Wales, Australia.

Participants
Twenty-three individuals who identified as champions and worked to introduce routine IPV screening in two rural hospital EDs.

Design
Qualitative longitudinal semi-structured interviews employing a process of constant comparison and an interpretive framework to analyse data thematically. Interviews were carried out between June and August 2017 and again between July and August 2019.

Results
Over the period of the study, routine screening was established, and screening rates steadily increased from a low baseline to a significantly higher rate. Three aspects of champion motivation emerged from the analysis: formation of an identity as a champion, making a difference to a significant social justice issue and providing quality and community-relevant care.

Conclusions
This study is the first study to report on champions and their motivation as they supported IPV practice change in the ED. The findings highlight the capacity for innovation in rural health services, with important implications for other settings looking to translate similar programs. Understanding motivating factors may assist in improved utilisation and support for champions. This is vital if champions are to bring about required practice change within their service and ensure the needs of individuals experiencing IPV are effectively met.

Keywordschampion; change agent; domestic violence; emergency department; motivation; quality improvement; rural health; screening
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204299. Other health sciences
Byline AffiliationsSouthern Cross University
University of Southern Queensland
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