A Mixed Methods Evaluation of a Nurse-Led Domestic and Family Violence Service.
Jane Currie, Claire Nelson, Leanne Papas and 3 others
PMID 40167250WHAT IT FOUND
233 women in a nurse-led domestic violence service were contacted quickly and assessed for injuries, including strangulation.
Staff said outreach and coordination helped them reach health care. This was a service evaluation, not a tested intervention.
Key findings
01233 women consented for attendance data; 98% (227) were contacted by the nurse on the same day as referral, usually by telephone.
0254% (127) reported injury; 61% (78) of those reported head, face or throat injury including strangulation.
03Stakeholders perceived that the nurse-led service's mobile outreach helped women access health services.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was single site and the service was run by one nurse, so it may not transfer to other services. The qualitative interviews included only five staff and stakeholders, all sampled from the organisation, so their views may be favourable. There was no control group or tested outcome, so the study cannot show that the service caused improved access. Attendance data were convenience sampled, and consent was sought after a consultation when the nurse judged it appropriate. The eligibility text says women over 18, but the reported age range was 16 to 78 years. The service included outreach, assessment, care coordination, referrals and other agency supports, so the contribution of any single component cannot be separated.
Declared interests
Micah Projects funded the study. Three authors worked at Micah Projects during the study and one author volunteered there one day a week as a nurse practitioner.
The easy way to misread this
Do not read this as proof that a nurse-led service improves health outcomes or reduces violence. It was a single-site service evaluation with staff perceptions and no comparison group, so it cannot show what the service caused.