Date of Award

January 2015

Document Type

Open Access Thesis

Degree Name

Master of Public Health (MPH)

Department

School of Public Health

First Advisor

Trace Kershaw

Abstract

Background: Intimate partner violence (IPV) is a highly prevalent issue worldwide. A large randomized controlled trial (RCT) evaluating a nurse delivered intervention to reduce IPV and associated health risks took place between 2012 and 2014 in Mexico City. This study will focus on qualitative interviews performed with a sample of the nurses who were the interventionists in the large RCT. Minimal work has explored implementation issues around large RCTs in resource poor settings or characteristics of the interventionists that may influence the implementation of the intervention and their health care delivery after completion of the intervention.

Methods: Semi-structured, qualitative interviews were conducted with 19 nurses who participated in the RCT in Mexico City. The nurses were chosen using purposeful sampling to obtain a diverse sample. Interviews were conducted and recorded by research assistants in Spanish, then translated into English and analyzed using thematic analysis and grounded theory. A coding tree was developed and themes and problems/questions were discussed with the research team. One researcher coded the interviews QSR NVivo 10.

Results: Themes include: changes in knowledge about IPV, emotional challenges for nurses including, mixed feelings about their participation in the study and the feeling on the part of nurses that their work in this study was worthwhile and important, a broader scope of the intervention than initially anticipated, nurses as trusted advisors and confidants, a gain in confidence on the part of nurses, the belief that IPV prevention and treatment is a part of the job description of a nurse and the differences between theoretical and practical trainings.

Conclusion: Implications of this study include the knowledge that practical training that includes tools for immediate use are more effective than theoretical training. Nurses believe that IPV is an issue they can and should address in their everyday practice and therefore are a logical choice for intervener. Additionally the scope of this intervention may be wider than indicated by the eligibility protocol due to nurses carrying out the intervention in a wider population than indicated by inclusion criteria.

Comments

This is an Open Access Thesis.

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