The study relates to nursing in that nurses have a role in enhancing the health and wellbeing of women experiencing IPV. Being in the frontline of care, nurses are in the position to elicit information on IPV and facilitate its management. Moreover, nurse managers have the capacity and authority to initiate policy changes, educate staff nurses and formulate practice guidelines in compliance with present recommendations. In summarizing what is known about IPV among pregnant women, the paper provides comprehensive information which can guide practice and allows gaps in information to be identified.
The author holds the opinion that routine screening must be implemented along with interventions if these are warranted and to this end, provider training and research-based guidelines must be addressed. (Bailey, 2010). Although I agree that pregnant IPV is a significant issue, having training and guidelines are not enough to support nursing care in this area. With current nurse-patient ratios, nurses often experience work overload. They lack the time to investigate especially since the issue is a sensitive one. Rapport needs to be developed in order for patients to have enough trust to open up about the abuse. With time constraints, assessment and management cannot be accomplished. Therefore, training and practice guidelines should be within the context of sufficient staffing.
On the whole, the paper is descriptive and very informative covering the definitions of IPV, its prevalence among women in general and among pregnant women in particular, the risk factors, the effects on pregnancy outcomes and how these take place, current recommendations, screening practices, provider attitudes, screening tools, and management. The author is a physician but the content of the article is also useful to nurses. The paper underscores the need for further studies from the perspective of nurses in the areas of enhancing practice through the generation of research evidence on the efficacy of interventions, and also organizational changes so that policies and systems support nursing care for IPV.
Bailey, B.A. (2010). Partner violence during pregnancy: prevalence, effects, screening and management. International Journal of Women’s Health, 2010(2), 183-197.