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Health care for intimate partner violence : current standard of care and development of protocol management

Thesis (DPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2009.

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Main Author: Joyner, Kate
Other Authors: Mash, Bob
Format: Thesis
Language:English
Published: Stellenbosch : Stellenbosch University 2009
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access_status_str Open Access
author Joyner, Kate
author2 Mash, Bob
author_browse Joyner, Kate
Mash, Bob
author_facet Mash, Bob
Joyner, Kate
author_sort Joyner, Kate
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (DPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2009.
format Thesis
id oai:scholar.sun.ac.za:10019.1/2515
institution Stellenbosch University (South Africa)
language English
last_indexed 2026-06-10T12:43:51.865Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2009
publishDateRange 2009
publishDateSort 2009
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
record_format dspace
source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/2515 Health care for intimate partner violence : current standard of care and development of protocol management Joyner, Kate Mash, Bob Van der Waal, Kees University of Stellenbosch. Faculty of Arts and Social Sciences. Dept. of Sociology and Social Anthropology. Professional action research Dissertations -- Sociology Theses -- Sociology Dissertations -- Social science methods Theses -- Social science methods Intimate partner violence -- South Africa Abused women -- Services for -- South Africa Abused women -- Medical care -- South Africa Primary health care -- South Africa Thesis (DPhil (Sociology and Social Anthropology))--University of Stellenbosch, 2009. ENGLISH ABSTRACT: The World Health Organisation recognises intimate partner violence (IPV) to be of major consequence to women’s mental and physical health, yet in South Africa it remains a neglected area of care. Within a professional action research framework, this study implemented a previously recommended South African protocol for the screening and holistic management of IPV in women in order to test its feasibility and to adapt it for use in the primary health care (PHC) sector of the Western Cape. It also aimed to identify the current nature of care offered to female survivors of IPV. Thirdly, it aimed to learn from the process of training and supporting (nurse) researchers who were new to the action research paradigm and methodology. Successfully implementing and evaluating a complex health intervention in the current PHC scenario required a flexible methodology which could enable real engagement with, and a creative response to, the issues as they emerged. Guided by the British Medical Research Council’s framework for development and evaluation of randomised controlled trials for complex health interventions (Medical Research Council, 2000, p.3), this study was positioned within the modelling phase. Professional action research used a co-operative inquiry group process as the overarching method with the usual cycles of action, observation, reflection and planning. Altogether five co-researchers were involved in implementing the protocol and were members of the inquiry group. A number of techniques were used to observe and reflect on experience, including participant interviews, key informant interviews, focus groups with health care providers at each site, quantitative data from the medical records and protocol, field notes and academic literature. AFRIKAANSE OPSOMMING: Die Wêreld Gesondheidsorganisasie erken dat geweldpleging in intieme verhoudings (“intimate partner violence”, of IPV) ‘n groot impak het op vroue se geestes- en fisiese gesondheid, terwyl dit ʼn verwaarloosde area van sorg in Suid-Afrika is. Binne ‘n professionele aksie-navorsingsraamwerk, implementeer hierdie studie ‘n voorheen aanbevole Suid-Afrikaanse protokol vir die sifting en holistiese hantering van IPV by vroue om die uitvoerbaarheid daarvan te toets en om dit aan te pas vir gebruik in die primêre gesondheidsorgsektor (PGS) van die Wes-Kaap. Die projek poog ook om die huidige aard van sorg wat aan vroulike oorlewendes van IPV beskikbaar is, te identifiseer. Derdens het dit ook ten doel om te leer van die proses van opleiding en ondersteuning van (verpleeg-) navorsers vir wie die aksie-navorsingsparadigma en methodologie nuut was. Suksesvolle implementering en evaluering van ‘n komplekse gesondheidsintervensie in die huidige PGS scenario vereis ‘n buigsame methodologie wat betrokkenheid met, en ‘n kreatiewe respons tot, kwessies soos wat dit ontwikkel, moontlik maak. Gelei deur die Britse Mediese Navorsingsraad se raamwerk vir die ontwikkeling en evaluering van ewekansige gekontroleerde proewe vir komplekse gesondheidsintervensies (Mediese Navorsingsraad, 2000, bl.3), was hierdie studie binne die modelleringsfase geposisioneer. Professionele aksienavorsing het ‘n gekoördineerde ondersoekgroep as die oorkoepelende metode - met die normale siklusse van aksie, waarneming, reflektering en beplanning - gebruik. Altesaam vyf mede-navorsers wat lede van die ondersoekgroep was, was betrokke in die implementering van die protokol. ‘n Aantal tegnieke is gebruik om waar te neem en te reflekteer op ervarings, insluitend deelnemersonderhoude, sleutel-informant onderhoude, fokusgroepe met gesondheidsorgverskaffers by elke fasiliteit, kwantitatiewe data van die mediese verslae en protokol, veldnotas en akademiese literatuur. Doctoral 2009-11-27T09:33:20Z 2010-06-01T08:50:57Z 2009-11-27T09:33:20Z 2010-06-01T08:50:57Z 2009-12 Thesis http://hdl.handle.net/10019.1/2515 en Stellenbosch University application/pdf Stellenbosch : Stellenbosch University
spellingShingle Professional action research
Dissertations -- Sociology
Theses -- Sociology
Dissertations -- Social science methods
Theses -- Social science methods
Intimate partner violence -- South Africa
Abused women -- Services for -- South Africa
Abused women -- Medical care -- South Africa
Primary health care -- South Africa
Joyner, Kate
Health care for intimate partner violence : current standard of care and development of protocol management
title Health care for intimate partner violence : current standard of care and development of protocol management
title_full Health care for intimate partner violence : current standard of care and development of protocol management
title_fullStr Health care for intimate partner violence : current standard of care and development of protocol management
title_full_unstemmed Health care for intimate partner violence : current standard of care and development of protocol management
title_short Health care for intimate partner violence : current standard of care and development of protocol management
title_sort health care for intimate partner violence current standard of care and development of protocol management
topic Professional action research
Dissertations -- Sociology
Theses -- Sociology
Dissertations -- Social science methods
Theses -- Social science methods
Intimate partner violence -- South Africa
Abused women -- Services for -- South Africa
Abused women -- Medical care -- South Africa
Primary health care -- South Africa
url http://hdl.handle.net/10019.1/2515
work_keys_str_mv AT joynerkate healthcareforintimatepartnerviolencecurrentstandardofcareanddevelopmentofprotocolmanagement