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Biomedical subjects

June Keeling

Publications and source records attributed to June Keeling.

7 recordsLinked to original sources

Pregnancy counselling clinic: a questionnaire survey of intimate partner abuse.

CONTEXT: Intimate partner abuse has a significant and detrimental impact on the mental and physical health of a woman. Physical abuse is often associated with sexual abuse. OBJECTIVE: To examine the prevalence and nature of physical and sexual partner abuse experienced by women who request a termination of pregnancy (TOP). DESIGN: Quantitative data collection using an anonymous, self-completed questionnaire. SETTING: A pregnancy counselling clinic located within a large district general hospital in the north west of England. PARTICIPANTS: A sample of 312 women attending the clinic. RESULTS: Three hundred and twelve questionnaires were returned (96.7% response rate). The prevalence rate of intimate partner abuse at some stage in the woman's life was 35.1%; 19.5% had experienced actual physical abuse in the past year; and 3.7% had experienced forced sexual intercourse in the past year. Of the latter, in over half of the cases, this may have resulted in the current pregnancy. A total of 6.6% of women in this study are currently living in fear. DISCUSSION: The anonymity of the survey and the method of implementation encouraged an excellent response rate. The prevalence of physical abuse was higher than that reported in previous studies, however the prevalence of sexual abuse was lower. Up to 2% of requests for TOP could have been due to recent forced sexual intercourse. CONCLUSIONS: Many women requesting a TOP have been, or still are, in violent relationships. Some women may attend with an unwanted conception following sexual assault by their current or previous intimate partner.

Abortion Applicants↗

The prevalence rates of domestic abuse in women attending a family planning clinic.

CONTEXT: Domestic abuse has a detrimental impact on the mental and physical health of a woman. The abusive partner may use physical and sexual violence and 'control' the choice of contraception. OBJECTIVE: To examine the prevalence rates of domestic abuse. DESIGN: Data collection using anonymous questionnaire. SETTING: A family planning clinic. PARTICIPANTS: Two hundred and ninety-two women. MAIN OUTCOME MEASURES: The prevalence rate of past and present history of domestic abuse and the nature of the abuse. RESULTS: One in three women experienced domestic abuse at some time in their life. A significant relationship existed between the age of the woman and experiencing abuse within the last year. Women in full-time employment experienced the highest rates of abuse. DISCUSSION: The anonymity of the research and the method of implementation encouraged an excellent response rate. CONCLUSION: During a woman's childbearing years, one-third of women may experience domestic abuse from their partner.

Adolescent↗

Support and education: the role of the domestic violence coordinator.

The domestic violence coordinator is a relatively new role that has evolved due to increased awareness of the long-term health issues that result from domestic abuse. Health professionals have a vital role in the identification, assessment and response to domestic violence. In order to provide this support the professionals themselves require the appropriate knowledge and skills. The domestic violence coordinator's role is multifaceted; it incorporates effective education and training, and provides the essential link between clinical and community environments.

Adolescent↗

Domestic violence in nursing curricula.

Domestic violence has serious consequences, which often result in long-term damage to an individual's health, well being and development. Health care providers are ideally placed to detect people who have experienced domestic abuse, as almost everyone accesses the health service at some point in their lifetime. Nursing and midwifery tutors have a pivotal role in educating health care professionals on the subject of domestic abuse. This article reports on a study exploring the current practice and views of tutors who deliver this topic in the curriculum.

Attitude of Health Personnel↗

A community-based perspective on living with domestic violence.

Women living within a violent relationship suffer from a multitude of somatic and psychological complaints. The constant erosion of their self-esteem undermines their confidence and decision-making abilities, eventually leading to a learned helplessness and apathy. In association with this is the significant deleterious effect on the psychological and physical health of any children witnessing this abuse within the home. Community health care providers such as district nurses, practice nurses and GPs are in close contact with the family and can observe the family dynamics. They are often the only health care professionals in a position to be able to build a rapport with the family. Consequently a survivor of domestic abuse may confide in them, enforcing the health professional to play a pivotal role in empowerment and the initiation of essential support services. This article highlights the detrimental effects of domestic abuse and the necessity to raise awareness within the community forum.

Adaptation, Psychological↗

A practical approach to promote reflective practice within nursing.

Although reflective practice has been identified as a valuable tool to help nurses recognise their own strengths and weaknesses, many still find it a difficult concept to embrace. This article dispels some of the myths surrounding reflective practice and offers examples of how it can benefit nurses both on a personal and a professional level.

Data Collection↗